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• W2593335347 abstract "Purpose: Financial insolvency following cancer has been linked to increased mortality; however, the individual financial factors, insurance, medical utilization, health behaviors, and comorbidities in cancer patients with a negative net worth (NNW) have not been characterized. Using the Health and Retirement Study, a national longitudinal survey of U.S. households from 1992 to 2012, we examined the effect of a cancer diagnosis on medical spending and personal finances in adults age-eligible for Medicare insurance. Demographic variables, insurance status, and measures of medical utilization, finances, and health in cancer patients reporting negative and positive net worth were assessed. Methods: Analyses were restricted to individuals age 65 years or older to reduce heterogeneity in employment and insurance status. Individual-level fixed effect panel analyses were performed to assess the effect of a cancer diagnosis on log out-of-pocket medical spending, hospitalizations, log household debt, Medicaid enrollment, and NNW. Subset analyses were performed by gender and time period (pre- and post-2002). Summary measures of cancer patients, partitioned by presence or absence of NNW, were performed on financial indices, medical utilization, health measures, and insurance. Results: A new cancer diagnosis significantly increased out-of-pocket medical spending, hospitalizations, Medicaid enrollment, and risk of NNW in all respondents, as well as household debt in males. Following a cancer diagnosis, there was a large change in medical utilization, with a 36.7% increase in log out-of-pocket medical spending and a 71.4% increase in hospitalizations (p Conclusion: A diagnosis of cancer increases out-of-pocket medical spending, hospitalizations, and financial insolvency among individuals age-eligible for Medicare insurance protection. Newly diagnosed cancer patients reporting negative net worth have multiple differences in socioeconomic status, medical utilization, and comorbidities as compared to patients with positive net worth, which may contribute to disparities in survival outcomes. Citation Format: Emily Castellanos, Michael Richards. Patterns of medical utilization, finances, health behaviors and comorbidities in older adults reporting negative versus positive net worth after a cancer diagnosis. [abstract]. In: Proceedings of the Ninth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2016 Sep 25-28; Fort Lauderdale, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2017;26(2 Suppl):Abstract nr A77." @default.
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• W2593335347 date "2017-02-01" @default.
• W2593335347 modified "2023-10-14" @default.
• W2593335347 title "Abstract A77: Patterns of medical utilization, finances, health behaviors and comorbidities in older adults reporting negative versus positive net worth after a cancer diagnosis" @default.
• W2593335347 doi "https://doi.org/10.1158/1538-7755.disp16-a77" @default.
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