Evidence map›Paper›PMID 41649004›Full record

SynthesisJournal of adolescent and young adult oncology2026

Systematic Review of Health Insurance and Survival Among Adolescent and Young Adult Cancer Patients.

Tara Martin, Rhonda Winegar, Zhaoli Liu

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Journal of adolescent and young adult oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Tara MartinCollege of Nursing and Health Innovation, The University of Texas at Arlington, Texas, USA.
Rhonda WinegarCollege of Nursing and Health Innovation, The University of Texas at Arlington, Texas, USA.
Zhaoli LiuCollege of Nursing and Health Innovation, The University of Texas at Arlington, Texas, USA.ORCID 0000-0002-4210-8349

Funding

Impact of Rural Hospital Closures on Cancer Outcomes and Cancer Racial Disparity among Medicare BeneficiariesR03CA292975 · NCI · UNIVERSITY OF TEXAS ARLINGTON · PI LIU, ZHAOLI · 2024 to 2024
$171k
NCI NIH HHS R03 CA292975
6 · The paper itself

Abstract

Cancer is the leading cause of disease-related death among female adolescents and young adults (AYAs) and the second leading cause after heart disease among males in the United States. Despite recent improvements in survival outcomes, AYAs continue to experience poorer cancer survival rates compared with pediatric and older adult populations. Health care access and quality are substantially influenced by insurance coverage, and AYAs represent the age group with the highest proportion of uninsured individuals. The objective of this review was to examine the association between insurance status and cancer survival among AYAs to inform future policy interventions. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, peer-reviewed studies published in the United States between 2018 and 2024 were identified from PubMed, CINAHL, and Web of Science. Eligible studies examined associations between insurance status and survival outcomes among the AYA cancer population. Ten studies, encompassing 468,583 AYAs with cancer (60.1% female), were included. Individuals with Medicaid/public insurance, as well as those uninsured, exhibited poorer survival outcomes compared with those privately insured across multiple cancer types, including head and neck cancer, lymphoma, central nervous system tumors, hepatic carcinomas, sarcoma, germ cell, breast, thyroid, cervical, colorectal, uterine, ovarian, kidney, lung, and melanoma. Several associations appeared to be age-dependent (e.g., lymphoma). Findings from this review suggest that insurance status is associated with both short- and long-term cancer outcomes among AYAs. The results also highlight persistent challenges in accurately assessing and categorizing insurance status within this population.

Indexed as

Insurance CoverageInsurance, HealthNeoplasmsAdolescentFemaleHumansMaleUnited StatesYoung Adultadolescents and young adultscancer survivalinsuranceMedicaid

Identifiers

PMID41649004
PMCPMC13548845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.