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- W2590906827 abstract "6124 Background: The independent effect of health insurance on cancer outcomes is controversial. In the US, the rate of insurance coverage increases substantially at age 65 because of access to Medicare. While overall cancer patient survival is expected to diminish with increasing age, we hypothesized that reaching the threshold of 65 years might improve pancreatic cancer survival. Methods: Data from Surveillance, Epidemiology, and End Results (SEER), 2000-2005 was used to identify all patients with pancreatic cancer. The cohort was then restricted to patients aged 60-70 years old to allow for analyses centered around 65, the age of general Medicare eligibility. Overall median survival was calculated by year of age for the entire cohort, as well as for the subset that had undergone cancer-directed surgery. Kaplan-Meier survival analyses were performed. Median survival trend and potential discontinuity were tested using ARIMA modeling. Results: Overall, 6,035 patients aged 60-70 years old at the time of pancreatic cancer diagnosis were identified. Mean age of this cohort was 65.4 years old. On analysis of median survival per year of age, observational trends demonstrated decreasing survival with increasing age until age 64; at age 65, survival time increased, and then slowly decreased again over time (Table). In contrast, analysis of the subset of the cohort that had undergone cancer-directed surgery revealed no significant differences in survival over ages 60-70. Conclusions: In pancreatic cancer, the age of 65 years, when near-universal insurance takes effect, is a positive inflection point for overall survival. Further studies to examine the influence of insurance coverage on cancer outcomes is warranted. Age at diagnosis (years) Median survival (months) % change 60 7 61 7 0 62 6 -14.3% 63 6 0 64 5 -16.7% 65 6 20% increase 66 6 0 67 5 -16.7% 68 5 0 69 4 -20.0% 70 4 0" @default.
- W2590906827 created "2017-03-03" @default.
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- W2590906827 date "2011-05-20" @default.
- W2590906827 modified "2023-09-26" @default.
- W2590906827 title "Does insurance coverage affect pancreatic cancer survival? The Medicare age threshold." @default.
- W2590906827 doi "https://doi.org/10.1200/jco.2011.29.15_suppl.6124" @default.
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