Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Sep;25(5):948-952.
doi: 10.1111/tbj.13373. Epub 2019 Jun 11.

The impact of the affordable care act on breast cancer care in the USA: A multi-institutional analysis

Affiliations

The impact of the affordable care act on breast cancer care in the USA: A multi-institutional analysis

Jessica Maxwell et al. Breast J. 2019 Sep.

Abstract

There are less data available on the effect of the ACA on breast cancer care beyond the screening level. A retrospective review at participating iCaRe2/BCCR institutions was completed before and after ACA. Post-ACA, patients were older, more urban, and more likely to be insured through Medicaid. Increased imaging use was noted post-ACA. These patients were less likely to be diagnosed with late-stage cancers, received fewer mastectomies, and were more likely to have radiation.

Keywords: affordable care act; breast cancer; cancer disparities.

PubMed Disclaimer

References

REFERENCES

    1. Churilla TM, Egleston B, Bleicher R, Dong Y, Meyer J, Anderson P. Disparities in the local management of breast cancer in the US according to health insurance status. Breast J. 2017:23(2):169-176.
    1. Walker GV, Grant SR, Guadagnolo BA, et al. Disparities in stage at diagnosis, treatment, and survival in nonelderly adult patients with cancer according to insurance status. J Clin Oncol. 2014;32:3118-3125.
    1. Slatore CG, Au DH, Gould MK. An official American Thoracic Society systematic review: insurance status and disparities in lung cancer practices and outcomes. Am J Respir Crit Care Med. 2010;182:1195-1205.
    1. Amini A, Jones BL, Yeh N, et al. Disparities in disease presentation in the four screenable cancers according to health insurance status. Public Health. 2016;138:50-56.
    1. Gorey KM, Richter NL, Luginaah IN, et al. Breast Cancer among women living in poverty: Better care in Canada than in the United States. Soc Work Res. 2015;39(2):107-118.

MeSH terms

LinkOut - more resources