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Public health insur...
Public health insurance and cancer-specific mortality risk among patients with breast cancer : A prospective cohort study in China
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- 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
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- Valdimarsdottir, Unnur A. (författare)
- Karolinska Institutet
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- Wang, Chengshi (författare)
- Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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- 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
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- Gou, Qiheng (författare)
- Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China
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- 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
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- Deng, Ling (författare)
- Laboratory of Molecular Diagnosis of Cancer, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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- 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
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- 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
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- Fall, Katja, 1971- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics
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- Fang, Fang (författare)
- Karolinska Institutet
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- Tamimi, Rulla M. (författare)
- Department of Population Health Sciences, Weill Cornell Medicine, New York, New York
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- 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
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- Lu, Donghao (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2020-07-14
- 2021
- Engelska.
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Ingår i: International Journal of Cancer. - : John Wiley & Sons. - 0020-7136 .- 1097-0215. ; 148:1, s. 28-37
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https://doi.org/10.1...
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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)
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Till lärosätets databas
- Av författaren/redakt...
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Xie, Yuxin
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Valdimarsdottir, ...
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Wang, Chengshi
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Zhong, XiaoRong
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Gou, Qiheng
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Zheng, Hong
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Deng, Ling
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He, Ping
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Hu, Kejia
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Fall, Katja, 197 ...
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Fang, Fang
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Tamimi, Rulla M.
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Luo, Ting
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Lu, Donghao
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Örebro universitet
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Karolinska Institutet