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Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico

To describe access to complete treatment in women with cervical cancer and state-sponsored insurance versus no insurance. We conducted a retrospective observational study. The source population consisted of women treated for cervical cancer from January 2000 to December 2015 in a tertiary care hospi...

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Autores principales: Isla-Ortiz, David, Torres-Domínguez, Juan, Pérez-Peralta, Liliana, Jiménez-Barrera, Hugo, Bandala-Jacques, Antonio, Meneses-García, Abelardo, Reynoso-Noverón, Nancy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145798/
https://www.ncbi.nlm.nih.gov/pubmed/37115063
http://dx.doi.org/10.1097/MD.0000000000033655
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author Isla-Ortiz, David
Torres-Domínguez, Juan
Pérez-Peralta, Liliana
Jiménez-Barrera, Hugo
Bandala-Jacques, Antonio
Meneses-García, Abelardo
Reynoso-Noverón, Nancy
author_facet Isla-Ortiz, David
Torres-Domínguez, Juan
Pérez-Peralta, Liliana
Jiménez-Barrera, Hugo
Bandala-Jacques, Antonio
Meneses-García, Abelardo
Reynoso-Noverón, Nancy
author_sort Isla-Ortiz, David
collection PubMed
description To describe access to complete treatment in women with cervical cancer and state-sponsored insurance versus no insurance. We conducted a retrospective observational study. The source population consisted of women treated for cervical cancer from January 2000 to December 2015 in a tertiary care hospital. We included 411 women with state–sponsored insurance and 400 without insurance. We defined access to cervical cancer treatment as complete treatment (according NCCN/ESMO (National Comprehensive Cancer Network/European Society for Medical Oncology) standards) and timely initiation of treatment (less than 4 weeks). Clinical and sociodemographic characteristics were described and analyzed with logistic regression using complete treatment as the main outcome. A total of 811 subjects were included, the median age was 46 (IQR (Interquartile range) 42–50) years. Most of them were married (36.1%), unemployed (50.4%), and had completed primary school (44.0%). The most common clinical stages at diagnosis were II (38.2%) and III (24.7%). In the adjusted regression model, being married (OR (odds ratio): 4.3, 95% CI (confidence interval): 1.74–10.61) and having paid employment (OR: 2.79, 95% CI: 1.59–4.90) or state-sponsored insurance (OR: 1.54, 95% CI: 1.04–2.26) were positively associated with the possibility of having a complete treatment. Women with insurance were likely to be younger and receive timely treatment compared with uninsured women. Complete treatment was associated to insurance status and advanced stages of cervical cancer. State-sponsored insurance improves access to complete treatment. Government policies are needed to avoid social and economic inequity and provide better management of cervical cancer in our country.
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spelling pubmed-101457982023-04-29 Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico Isla-Ortiz, David Torres-Domínguez, Juan Pérez-Peralta, Liliana Jiménez-Barrera, Hugo Bandala-Jacques, Antonio Meneses-García, Abelardo Reynoso-Noverón, Nancy Medicine (Baltimore) 5700 To describe access to complete treatment in women with cervical cancer and state-sponsored insurance versus no insurance. We conducted a retrospective observational study. The source population consisted of women treated for cervical cancer from January 2000 to December 2015 in a tertiary care hospital. We included 411 women with state–sponsored insurance and 400 without insurance. We defined access to cervical cancer treatment as complete treatment (according NCCN/ESMO (National Comprehensive Cancer Network/European Society for Medical Oncology) standards) and timely initiation of treatment (less than 4 weeks). Clinical and sociodemographic characteristics were described and analyzed with logistic regression using complete treatment as the main outcome. A total of 811 subjects were included, the median age was 46 (IQR (Interquartile range) 42–50) years. Most of them were married (36.1%), unemployed (50.4%), and had completed primary school (44.0%). The most common clinical stages at diagnosis were II (38.2%) and III (24.7%). In the adjusted regression model, being married (OR (odds ratio): 4.3, 95% CI (confidence interval): 1.74–10.61) and having paid employment (OR: 2.79, 95% CI: 1.59–4.90) or state-sponsored insurance (OR: 1.54, 95% CI: 1.04–2.26) were positively associated with the possibility of having a complete treatment. Women with insurance were likely to be younger and receive timely treatment compared with uninsured women. Complete treatment was associated to insurance status and advanced stages of cervical cancer. State-sponsored insurance improves access to complete treatment. Government policies are needed to avoid social and economic inequity and provide better management of cervical cancer in our country. Lippincott Williams & Wilkins 2023-04-25 /pmc/articles/PMC10145798/ /pubmed/37115063 http://dx.doi.org/10.1097/MD.0000000000033655 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 5700
Isla-Ortiz, David
Torres-Domínguez, Juan
Pérez-Peralta, Liliana
Jiménez-Barrera, Hugo
Bandala-Jacques, Antonio
Meneses-García, Abelardo
Reynoso-Noverón, Nancy
Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title_full Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title_fullStr Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title_full_unstemmed Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title_short Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico
title_sort insurance status and access to cervical cancer treatment in a specialized cancer center in mexico
topic 5700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10145798/
https://www.ncbi.nlm.nih.gov/pubmed/37115063
http://dx.doi.org/10.1097/MD.0000000000033655
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