SwePub
Sök i LIBRIS databas

  Utökad sökning

id:"swepub:oai:DiVA.org:oru-84935"
 

Sökning: id:"swepub:oai:DiVA.org:oru-84935" > Public health insur...

Public health insurance and cancer-specific mortality risk among patients with breast cancer : A prospective cohort study in China

Xie, Yuxin (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Valdimarsdottir, Unnur A. (författare)
Karolinska Institutet
Wang, Chengshi (författare)
Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
visa fler...
Zhong, XiaoRong (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Gou, Qiheng (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China
Zheng, Hong (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Deng, Ling (författare)
Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
He, Ping (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Hu, Kejia (författare)
Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Fall, Katja, 1971- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics
Fang, Fang (författare)
Karolinska Institutet
Tamimi, Rulla M. (författare)
Department of Population Health Sciences, Weill Cornell Medicine, New York, New York
Luo, Ting (författare)
Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Lu, Donghao (författare)
Karolinska Institutet
visa färre...
 (creator_code:org_t)
2020-07-14
2021
Engelska.
Ingår i: International Journal of Cancer. - : John Wiley & Sons. - 0020-7136 .- 1097-0215. ; 148:1, s. 28-37
Relaterad länk:
https://doi.org/10.1...
visa fler...
https://onlinelibrar...
https://urn.kb.se/re...
https://doi.org/10.1...
http://kipublication...
visa färre...
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Little is known about how health insurance policies, particularly in developing countries, influence breast cancer prognosis. Here, we examined the association between individual health insurance and breast cancer-specific mortality in China. We included 7436 women diagnosed with invasive breast cancer between 2009 and 2016, at West China Hospital, Sichuan University. The health insurance plan of patient was classified as either urban or rural schemes and was also categorized as reimbursement rate (ie, the covered/total charge) below or above the median. Breast cancer-specific mortality was the primary outcome. Using Cox proportional hazards models, we calculated hazard ratios (HRs) for cancer-specific mortality, contrasting rates among patients with a rural insurance scheme or low reimbursement rate to that of those with an urban insurance scheme or high reimbursement rate, respectively. During a median follow-up of 3.1 years, we identified 326 deaths due to breast cancer. Compared to patients covered by urban insurance schemes, patients covered by rural insurance schemes had a 29% increased cancer-specific mortality (95% CI 0%-65%) after adjusting for demographics, tumor characteristics and treatment modes. Reimbursement rate below the median was associated with a 42% increased rate of cancer-specific mortality (95% CI 11%-82%). Every 10% increase in the reimbursement rate is associated with a 7% (95% CI 2%-12%) reduction in cancer-specific mortality risk, particularly in patients covered by rural insurance schemes (26%, 95% CI 9%-39%). Our findings suggest that underinsured patients face a higher risk of breast cancer-specific mortality in developing countries.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

breast cancer
cohort study
health insurance
prognosis
survival

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy