The association of Medicaid expansion and pediatric cancer overall survival
Menée aux Etats-Unis à partir de données portant sur des enfants atteints d'un cancer diagnostiqué entre 2011 et 2018 (âge : inférieur ou égal à 14 ans), cette étude analyse l'impact de l'extension de la couverture sociale Medicaid sur la survie globale
Medicaid eligibility expansion, though not directly applicable to children, has been associated with improved access to care in children with cancer, but associations with overall survival are unknown. Data for children ages 0 to 14 years diagnosed with cancer from 2011 to 2018 were queried from central cancer registries data covering cancer diagnoses from 40 states as part of the Centers for Disease Control’s National Program of Cancer Registries. Difference-in-differences analyses were utilized to compare changes in 2-year survival from 2011-2013 to 2015-2018 in Medicaid expansion relative to non-expansion states. In adjusted analyses, there was a 1.50 percentage point (95% CI = 0.37 to 2.64) increase in 2-year overall survival after 2014 in expansion relative to non-expansion states, particularly for those living in the lowest county income quartile (DID = 5.12 percentage point, 95% CI = 2.59 to 7.65). Medicaid expansion may improve cancer outcomes for children with cancer.