Evaluation of Insurance Coverage and Cancer Stage at Diagnosis Among Low-Income Adults With Renal Cell Carcinoma After Passage of the Patient Protection and Affordable Care Act.

ABSTRACT:

Importance

The association of the Patient Protection and Affordable Care Act (ACA) with insurance status and cancer stage at diagnosis among patients with renal cell carcinoma (RCC) is unknown.

Objective

To test the hypothesis that the ACA may be associated with increased access to care through expansion of insurance, which may vary based on income.

Design, setting, and participants

This retrospective cohort analysis included patients diagnosed with RCC from January 1, 2010, to December 31, 2016, in the National Cancer Database. Data were analyzed from July 1 to December 31, 2020. The periods from 2010 to 2013 and from 2014 to 2016 were defined as pre- and post-ACA implementation, respectively. Patients were categorized as living in a Medicaid expansion state or not.<

SUBMITTER: Javier-DesLoges JF 

PROVIDER: S-EPMC8285737 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature