Evidence map›Paper›PMID 34378205›Full record

ArticleHealth services research2022

Insurance coverage change and survivorship care among young adult survivors of childhood cancer.

Erin M Mobley, Sue E Kim, Michael Cousineau, Jennifer Tsui, Kimberly A Miller, Jessica Tobin, David R Freyer, Joel E Milam

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PubMed Full text at PMC Publisher
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Health Care Transitions Among Adolescents and Young Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Erin M MobleyDepartment of Surgery, College of Medicine, University of Florida, Jacksonville, Florida, USA.ORCID 0000-0002-6278-6593
Sue E KimDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Michael CousineauDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-3693-2163
Jennifer TsuiDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Kimberly A MillerDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Jessica TobinVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
David R FreyerDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Joel E MilamDepartment of Epidemiology and Biostatistics, School of Medicine, Chao Family Comprehensive Cancer Center, University of California, Irvine, California, USA.

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MYLES G COCKBURN · 1985 to 2026
$181.4M
Training grant for Cancer Control and EpidemiologyT32CA009492 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PENTZ, MARY ANN · 1985 to 2019
$7.4M
Reducing racial/ethnic inequities in childhood cancer survivorshipR01MD007801 · NIMHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MILAM, JOEL E · 2014 to 2018
$2.1M
NCI NIH HHS L40 CA253827NCI NIH HHS P30 CA014089NCI NIH HHS T32 CA009492NIMHD NIH HHS R01 MD007801
6 · The paper itself

Abstract

objectiveTo (1) characterize change in type of insurance coverage among childhood cancer survivors from diagnosis to survivorship and (2) examine whether insurance change is associated with cancer-related follow-up care utilization. DATA SOURCES: Participants in this study were derived from the Project Forward study, a population-based, observational study of childhood cancer survivors in Los Angeles County that used California Cancer Registry data to identify participants. STUDY

designMultivariable logistic regression models incorporating survey nonresponse weights estimated the change in the marginal predicted probabilities of insurance change and survivorship care, adjusting for demographic, socioeconomic, and clinical covariates and clustering by treating hospital. DATA COLLECTION/EXTRACTION

methodsStudy participants were diagnosed with cancer who were younger than age 20 years while living in Los Angeles County from 1996 to 2010 and were older than the age 18 years at the time of survey participation, from 2015 to 2017 (N = 1106). PRINCIPAL

findingsMost participants were 18-26 years of age, male, diagnosed before 2004, Hispanic/Latino race/ethnicity, single, without children, highly educated, not employed full time, and lived with their parents at survey. Almost half (N = 529) of participants experienced insurance change from diagnosis to survivorship. Insurance change was associated with insurance coverage at diagnosis, as those who were uninsured were most likely to experience change and gain coverage during survivorship (by 51 percentage points [ppt], standard error [SE] of 0.05). Survivors who experienced any change had decreased probability of reporting a recent cancer-related follow-up care visit, a disparity that was magnified for those who lost insurance coverage (-5 ppt, SE 0.02 for those who gained coverage; -15 ppt, SE 0.04 for those who lost coverage).

conclusionsInsurance coverage change was associated with lower cancer-related follow-up care utilization. Indeed, survivors who experienced any insurance coverage change had decreased probability of having a cancer-related follow-up care visit, and this was magnified for those who lost their insurance coverage.

Indexed as

AdolescentAge of OnsetCancer SurvivorsHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMaleMedically UninsuredNeoplasmsPatient Protection and Affordable Care ActSurvivorshipUnited StatesYoung Adultcancer survivorshealth equityinsurance coveragemedically uninsuredpatient-reported outcome measuressurvivorship

Identifiers

PMID34378205
PMCPMC8763279

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.