Evidence map›Paper›PMID 36782354›Full record

ArticleJournal of the National Cancer Institute2023

The association of Medicaid expansion and pediatric cancer overall survival.

Justin M Barnes, Corey Neff, Xuesong Han, Carol Kruchko, Jill S Barnholtz-Sloan, Quinn T Ostrom, Kimberly J Johnson

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

7 authors.

Justin M BarnesDepartment of Radiation Oncology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-2812-0824
Corey NeffDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.
Xuesong HanSurveillance & Health Equity Science, American Cancer Society, Atlanta, GA, USA.ORCID 0000-0001-7159-7949
Carol KruchkoCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.
Jill S Barnholtz-SloanCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.
Quinn T OstromDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.
Kimberly J JohnsonBrown School, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-4888-4629

Funding

CDC HHS
6 · The paper itself

Abstract

Medicaid eligibility expansion, though not directly applicable to children, has been associated with improved access to care in children with cancer, but associations with overall survival are unknown. Data for children ages 0 to 14 years diagnosed with cancer from 2011 to 2018 were queried from central cancer registries data covering cancer diagnoses from 40 states as part of the Centers for Disease Control and Prevention's National Program of Cancer Registries. Difference-in-differences analyses were used to compare changes in 2-year survival from 2011-2013 to 2015-2018 in Medicaid expansion relative to nonexpansion states. In adjusted analyses, there was a 1.50 percentage point (95% confidence interval = 0.37 to 2.64) increase in 2-year overall survival after 2014 in expansion relative to nonexpansion states, particularly for those living in the lowest county income quartile (difference-in-differences  = 5.12 percentage point, 95% confidence interval = 2.59 to 7.65). Medicaid expansion may improve cancer outcomes for children with cancer.

Indexed as

MedicaidNeoplasmsChildHumansInsurance CoveragePatient Protection and Affordable Care ActPovertyRegistriesUnited States

Identifiers

PMID36782354
PMCPMC10248835

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.