2006
DOI: 10.1002/cncr.21879
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Health insurance coverage and cost barriers to needed medical care among U.S. adult cancer survivors age <65 years

Abstract: The spinal dorsal horn receives a dense innervation of noradrenaline‐containing fibers that originate from pontine neurons in the A5, locus coeruleus (LC), and A7 cell groups. These pontospinal neurons are believed to constitute a component of the endogenous analgesic system. We used an adenoviral vector with a catecholaminergic‐selective promoter (AVV‐PRS) to retrogradely label the noradrenergic neurons projecting to the lumbar (L4–L5) dorsal horn with enhanced green fluorescent protein (EGFP) or monomeric re… Show more

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Cited by 61 publications
(64 citation statements)
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References 95 publications
(167 reference statements)
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“…In our data, more survivors of AYA cancer were publically insured than the comparison group, and about 15 % of the survivors were without any insurance in the past 12 months. Earlier reports have shown that survivors of cancer who are without insurance may find it difficult to use medical care compared with survivors who have insurance, especially due to cost reasons [44,45], which may explain lower quality ratings from uninsured survivors. As our assessment was prior to the rollout of major Patient Protection and Affordable Care Act (ACA) provisions [46] that expands insurance eligibility, it is likely that some of the issues reported by survivors may be reduced as more obtain insurance [47].…”
Section: Discussionmentioning
confidence: 98%
“…In our data, more survivors of AYA cancer were publically insured than the comparison group, and about 15 % of the survivors were without any insurance in the past 12 months. Earlier reports have shown that survivors of cancer who are without insurance may find it difficult to use medical care compared with survivors who have insurance, especially due to cost reasons [44,45], which may explain lower quality ratings from uninsured survivors. As our assessment was prior to the rollout of major Patient Protection and Affordable Care Act (ACA) provisions [46] that expands insurance eligibility, it is likely that some of the issues reported by survivors may be reduced as more obtain insurance [47].…”
Section: Discussionmentioning
confidence: 98%
“…In comparison, in a study of 1,718 survivors of adult cancer that used data from the National Health Interview Survey (1998 and 2000 surveys), 45.1% of uninsured survivors reported not getting needed medical care within the preceding year because of concerns about the cost of that care; in contrast, 16.7% of publicly insured and 4.4% of privately insured survivors did not receive needed care. 32 Among survivors in our study who reported some form of care, those who had developed sequelae of their prior therapy (such as pain, anxiety, poorer physical health, or a severe chronic physical condition) were more likely to report a visit related to their previous malignancy, suggesting that these individuals may have been seeking care for extant symptoms. However, because the incidence of serious chronic health conditions increases as survivors age, 3,4 even survivors who have not developed late effects may benefit from care focused on prevention and early detection.…”
mentioning
confidence: 79%
“…11,12 Second, personal finances are recognized as an important factor in patients' ability to receive optimal therapy for cancer. 34 Anywhere from 9% to 20% of cancer patients report missing essential medical care because of personal cost, 12,35,36 and the likelihood of economically-motivated nonadherence is even greater among cancer patients who are younger, 35 have the lowest incomes, 12 or are uninsured. 36 Furthermore, disease-related job loss and disability substantially increase nonadherence with recommended cancer therapy.…”
Section: Discussionmentioning
confidence: 99%
“…34 Anywhere from 9% to 20% of cancer patients report missing essential medical care because of personal cost, 12,35,36 and the likelihood of economically-motivated nonadherence is even greater among cancer patients who are younger, 35 have the lowest incomes, 12 or are uninsured. 36 Furthermore, disease-related job loss and disability substantially increase nonadherence with recommended cancer therapy. 9 Therefore, if the personal economic consequences of adverse clinical outcomes from CRC surgery contribute to patients' failure to complete necessary therapy, then there may be an important decrement in long-term oncologic outcomes related to job loss and disability attributable to CRC surgery.…”
Section: Discussionmentioning
confidence: 99%