Article
Health Care Sciences & Services
Siran M. Koroukian, Weichuan Dong, Jeffrey M. Albert, Uriel Kim, Kirsten Y. Eom, Johnie Rose, Cynthia Owusu, Kristine M. Zanotti, Gregory S. Cooper, Jennifer Tsui
Summary: This study found that post-expansion improvements in cancer stage were caused by an increased reliance on Medicaid as a source of stable insurance coverage.
Article
Oncology
Cathy J. Bradley, Jennifer L. Stevens, Lindsey Enewold, Joan L. Warren
Summary: A national data source is needed to evaluate cancer care for low-income, publicly insured patients. This study compared characteristics and outcomes of cancer patients enrolled in Medicaid with those who were not enrolled. The study found that Medicaid patients had a higher proportion of racial/ethnic minorities, more late-stage diagnoses, and higher mortality rates compared to non-Medicaid patients.
Article
Health Care Sciences & Services
Lindsey Rose Bullinger, Angelica Meinhofer
Summary: The Affordable Care Act has the potential to improve healthcare coverage for former foster youth by expanding Medicaid eligibility and extending age eligibility. Data from the National Youth in Transition Database shows that Medicaid expansion and age extension increased coverage among former foster youth. However, there is room for improvement in enrollment, recertification, outreach, and eligibility determination processes to further increase Medicaid coverage for this vulnerable population.
Article
Health Care Sciences & Services
Sarah H. Gordon, Alex Hoagland, Lindsay K. Admon, Jamie R. Daw
Summary: The American Rescue Plan Act allows states to extend pregnancy-related Medicaid coverage for up to one year, resulting in improved continuity of postpartum insurance coverage for low-income adults.
Article
Public, Environmental & Occupational Health
Clare C. Brown, Caroline E. Adams, Jennifer E. Moore
Summary: The study aimed to compare differences in severe maternal morbidity (SMM) among women of different races and insurance types. Black women with Medicaid did not have higher rates of SMM compared to those with private insurance, but they had higher rates compared to White women across all payer types.
WOMENS HEALTH ISSUES
(2021)
Review
Public, Environmental & Occupational Health
Lonnie R. Snowden, Genevieve Graaf, Latocia Keyes, Katherine Kitchens, Amanda Ryan, Neal Wallace
Summary: This study aims to investigate the impact of the Affordable Care Act's Medicaid expansion on African American-white disparities in health care. The results showed that the effect of Medicaid expansion on the disparities in health insurance coverage between African Americans and whites is still uncertain, while there is little evidence of change in disparities in health access, treatment, or health outcomes.
Article
Oncology
Anna Jo Bodurtha Smith, Thrusha Puttaraju, Jeremy Applebaum, Amanda N. Fader
Summary: The dependent coverage mandate in the 2010 Affordable Care Act allows young adults to stay on a parent's private insurance through age 26. Its impact on survival in patients with gynecologic cancer is unknown.
GYNECOLOGIC ONCOLOGY
(2023)
Article
Oncology
Joseph M. Unger, Hong Xiao, Riha Vaidya, Michael LeBlanc, Dawn L. Hershman
Summary: The implementation of ACA Medicaid expansion was associated with increased participation of patients using Medicaid in cancer clinical trials, which is critical for socioeconomically vulnerable patients seeking access to the newest treatments available in trials and for improving confidence in trial findings.
Article
Public, Environmental & Occupational Health
Yilu Lin, Alisha Monnette, Lizheng Shi
Summary: The study found that expanding Medicaid can improve uninsured rates in poverty disparity, but the population below 138% of the federal poverty level still faces a higher risk of being uninsured.
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
(2021)
Article
Medicine, Research & Experimental
Alexandria L. Irace, Rahul K. Sharma, Timothy L. Smith, Michael G. Stewart, David A. Gudis
Summary: The expansion of Medicaid coverage is associated with improved healthcare coverage and earlier diagnosis for patients with rhinologic cancer. However, survival rates are not significantly affected by Medicaid expansion.
Article
Surgery
Sarah C. Stokes, Kaeli J. Yamashiro, Ganesh Rajasekar, Miriam A. Nuno, Edgardo S. Salcedo, Alana L. Beres
Summary: This study aimed to examine the impact of the Patient Protection and Affordable Care Act (ACA) on pediatric trauma patients. The results showed that the expansion of Medicaid coverage under the ACA was associated with marginal changes in insurance coverage among pediatric trauma patients, and did not identify significant improvements in patient outcomes.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Abigail S. Friedman, Sasha Thomas, Sakinah C. Suttiratana
Summary: This study aimed to estimate whether the relationships between state Medicaid expansions and breast, cervical, and colorectal cancer screening varied by race/ethnicity. Results showed significant increases in mammography and Pap testing among Asian and Hispanic women after Medicaid expansions, independent of language proficiency or insurance status.
AMERICAN JOURNAL OF PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Xiaobei Dong, T. H. Gindling, Nancy A. Miller
Summary: The study found that Medicaid coverage increased, private insurance coverage and uninsured rate decreased in states that expanded Medicaid. However, no significant effects were detected for health care access and utilization outcomes.
DISABILITY AND HEALTH JOURNAL
(2022)
Article
Oncology
Richard S. Hoehn, Caroline J. Rieser, Heather Phelos, Lindsay M. Sabik, Ibrahim Nassour, Sidrah Khan, Christof Kaltenmeier, Alessandro Paniccia, Amer H. Zureikat, Samer T. Tohme
Summary: Medicaid expansion has increased insurance coverage and early stage diagnoses for pancreatic cancer patients, but did not significantly impact surgical outcomes or overall survival. This study highlights both the benefits and limitations of policy changes in improving outcomes for aggressive malignancies like pancreatic cancer.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Review
Medicine, General & Internal
Julie M. Donohue, Evan S. Cole, Cara V. James, Marian Jarlenski, Jamila D. Michener, Eric T. Roberts
Summary: Medicaid plays a crucial role in providing health insurance coverage for low-income individuals in the US. Despite facing fiscal and political pressures, it strives to address health disparities and inequalities and ensure equitable access to quality healthcare services.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Surgery
Daniel Pucheril, Sean A. Fletcher, Xi Chen, David F. Friedlander, Alexander P. Cole, Marieke J. Krimphove, Adam C. Fields, Nelya Melnitchouk, Adam S. Kibel, Prokar Dasgupta, Quoc-Dien Trinh
Summary: This retrospective insurance-based analysis showed that robotic surgery was associated with fewer missed days from work compared to open surgery for major procedures such as radical prostatectomy, hysterectomy/myomectomy, and partial colectomy. This information can help stakeholders better understand the indirect benefits of robotic surgery in relation to its cost.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Pamela W. Lu, Rebecca E. Scully, Adam C. Fields, Vanessa M. Welten, Stuart R. Lipsitz, Quoc-Dien Trinh, Adil Haider, Joel S. Weissman, Karen M. Freund, Nelya Melnitchouk
Summary: Racial disparities exist in patients with rectal cancer in terms of treatment and survival outcomes. Patients treated at minority-serving hospitals have lower odds of receiving standard of care treatment for locally advanced rectal adenocarcinoma, with Black patients experiencing higher mortality risk compared to White patients.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Oncology
Junaid Nabi, Karl H. Tully, Alexander P. Cole, Maya Marchese, Eugene B. Cone, Nelya Melnitchouk, Adam S. Kibel, Quoc-Dien Trinh
Summary: The study found that underinsured, Medicare-insured, and Medicaid-insured patients are less likely to receive surgical care at high-volume hospitals. For patients with colorectal cancer, the effect of insurance coverage differed by study period, and improved since 2011.
Article
Urology & Nephrology
David F. Friedlander, Aaron Brant, Timothy D. McClure, Joseph Del Pizzo, Molly A. Nowels, Quoc-Dien Trinh, Art Sedrakyan, Bilal Chughtai
Summary: This study analyzed data from the New York State database on nearly 220,000 patients who underwent ureterorenoscopy or shockwave lithotripsy between 2000 and 2016, finding that patients undergoing shockwave lithotripsy had lower 30-day complication rates but higher odds of treatment failure at 90 and 180 days.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Surgery
Austin Haag, Junaid Nabi, Peter Herzog, Nicollette K. Kwon, Maya Marchese, Adam Fields, Jolene Wun, David F. Friedlander, Eugene B. Cone, Quoc-Dien Trinh
Summary: This study assessed the perioperative outcomes and costs of colorectal surgeries for TRICARE military beneficiaries, finding that direct care was associated with higher readmissions, similar overall complications, and higher costs compared to purchased care. Interestingly, higher volume in the direct-care setting did not translate to fewer complications, challenging common assumptions about volume and quality in healthcare.
Article
Respiratory System
Stephen W. Reese, Eugene Cone, Maya Marchese, Brenda Garcia, Wesley Chou, Asha Ayub, Kerry Kilbridge, Gerald Weinhouse, Quoc-Dien Trinh
Summary: The study identified associations between immune checkpoint inhibitors and pulmonary toxicities, including pneumonitis, interstitial lung disease, pulmonary embolism, and respiratory failure. The research also found other associations with immune checkpoint inhibitors, although not consistently across all agents. Many of these immune-related adverse drug reactions were severe and contributed to a significant source of mortality in reported cases.
Article
Oncology
Hari S. Iyer, Scarlett L. Gomez, Jarvis T. Chen, Quoc-Dien Trinh, Timothy R. Rebbeck
Summary: The study found that Black-White disparities in prostate cancer mortality decreased over the study period in Massachusetts and Pennsylvania, while neighborhood socioeconomic status mortality disparities trends either stagnated or increased, calling for further attention and action.
Article
Oncology
Bhav Jain, Kenrick Ng, Patricia Mae G. Santos, Kekoa Taparra, Vinayak Muralidhar, Brandon A. Mahal, Neha Vapiwala, Quoc-Dien Trinh, Paul L. Nguyen, Edward Christopher Dee
Summary: The study identified differences in localized prostate cancer risk group at presentation and disparities in treatment patterns for different Asian American, Native Hawaiian, and Pacific Islander subgroups. Further research is needed to assess and address barriers to prostate cancer care.
JCO ONCOLOGY PRACTICE
(2022)
Review
Health Care Sciences & Services
Logan G. Briggs, Muhieddine Labban, Khalid Alkhatib, David-Dan Nguyen, Alexander P. Cole, Quoc-Dien Trinh
Summary: Digital health technology plays a crucial role in cancer care, promoting personalized medicine and enhancing the quality and accessibility of healthcare services. Physicians utilize various digital health technologies such as smartphone apps, wearable devices, and web-based communication platforms to improve cancer screening, patient education, symptom monitoring, and other aspects of cancer care.
JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH
(2022)
Article
Oncology
Zhiyu Qian, Khalid Al Khatib, Xi Chen, Sanvi Belani, Muhieddine Labban, Stuart Lipsitz, Alexander P. Cole, Hari S. Iyer, Quoc-Dien Trinh
Summary: PSA screening among younger black and white men has steadily decreased since 2012, but the decrease has been more rapid among black men compared to white men.
JNCI CANCER SPECTRUM
(2023)
Article
Urology & Nephrology
Edoardo Beatrici, Muhieddine Labban, Benjamin V. Stone, Dejan K. Filipas, Leonardo O. Reis, Giovanni Lughezzani, Nicolo M. Buffi, Adam S. Kibel, Alexander P. Cole, Quoc-Dien Trinh
Summary: The use of expectant management for low-risk prostate cancer has significantly increased over the past decade, likely due to growing awareness of the harms of overtreatment.
Article
Oncology
Dejan K. Filipas, Edoardo Beatrici, Jose Nolazco, Zhiyu Qian, Phillip Marks, Muhieddine Labban, Benjamin Stone, Phillip M. Pierorazio, Stuart R. Lipsitz, Quoc-Dien Trinh, Steven L. Chang, Alexander P. Cole
Summary: The use of nonoperative management for small renal masses has increased over the past decade. Observational management is more frequently used among Black patients. Possible reasons include race-based differences in physicians' risk assessments and resource allocation.
JNCI CANCER SPECTRUM
(2023)
Article
Urology & Nephrology
Muhieddine Labban, Nicola Frego, Zhiyu Qian, David-Dan Nguyen, Chang-Rong Chen, Brittany D. Berk, Stuart R. Lipsitz, Naeem Bhojani, Martin Kathrins, Quoc-Dien Trinh
Summary: The 5-item Frailty Index (5i-FI) is a useful predictor of surgical complications in endoscopic surgery for benign prostatic obstruction (BPO). After adjusting for selection bias, laser enucleation of the prostate (LEP) and photoselective vaporization of the prostate (PVP) are associated with lower rates of complications compared to transurethral resection of the prostate (TURP). However, frail patients are less likely to undergo PVP and LEP. Preoperative frailty assessment can improve risk stratification in BPO surgery.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Oncology
Stephen W. Reese, Karl H. Tully, Junaid Nabi, Marco Paciotti, Wesley H. Chou, Quoc-Dien Trinh
Summary: White men have the highest incidence and increase in rate of testicular cancer, but there are also increasing rates of the disease among non-white patients.
EUROPEAN UROLOGY ONCOLOGY
(2021)
Article
Oncology
Hari S. Iyer, Scarlett L. Gomez, Jarvis T. Chen, Quoc-Dien Trinh, Timothy R. Rebbeck
Summary: The study revealed that while Black-White disparities in prostate cancer mortality decreased over time in Massachusetts and Pennsylvania, disparities based on neighborhood socioeconomic status either remained stagnant or widened. There were no significant changes in prostate cancer-specific mortality, but cardiovascular mortality disparities increased. Overall, disparities were more pronounced in Pennsylvania compared to Massachusetts.