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@ARTICLE{Pulte:132852,
      author       = {D. Pulte$^*$ and L. Jansen$^*$ and H. Brenner$^*$},
      title        = {{D}isparities in {C}olon {C}ancer {S}urvival by {I}nsurance
                      {T}ype: {A} {P}opulation-{B}ased {A}nalysis.},
      journal      = {Diseases of the colon $\&$ rectum},
      volume       = {61},
      number       = {5},
      issn         = {0012-3706},
      address      = {Hagerstown, Md.},
      publisher    = {Lippincott Williams $\&$ Wilkins},
      reportid     = {DKFZ-2018-00495},
      pages        = {538 - 546},
      year         = {2018},
      abstract     = {Colon cancer is a common cancer with a relatively high
                      survival for nonmetastatic disease if appropriate treatment
                      is given. A lower survival rate for patients with no or
                      inadequate insurance has previously been documented, but the
                      differences have not been explored in detail on a population
                      level.The purpose of this study was to examine survival for
                      patients with colon cancer by insurance type.Complete
                      analysis was used to examine 1-, 2-, and 3-year survival
                      rates.This was a population-level analysis.Patients were
                      drawn from the in-patients diagnosed with colon cancer at
                      ages 15 to 64 years between 2007 and 2012 in the
                      Surveillance, Epidemiology, and End Results 18 database by
                      insurance type (Medicaid, uninsured, or other insurance)
                      MAIN OUTCOME MEASURE:: This study measured overall
                      survival.A total of 57,790 cases were included, with
                      insurance information available for 55,432. Of those, 7611
                      $(13.7\%),$ 4131 $(7.5\%),$ and 43,690 $(78.8\%)$ had
                      Medicaid, no insurance, or other insurance. Patients with
                      Medicaid or without insurance were more likely to have
                      metastatic disease compared with those with other insurance.
                      Survival was higher for patients with insurance other than
                      Medicaid, with 3-year survival estimates of $57.0\%,$
                      $61.2\%,$ and $75.6\%$ for Medicaid, uninsured, and other
                      insurance. Significant disparities continued to be observed
                      after adjustment for stage, especially for later-stage
                      disease. When only patients with stage I to II disease who
                      had definitive surgery and resection of ≥12 lymph nodes
                      were included in the analysis, the discrepancy was
                      decreased, especially for uninsured patients.Information on
                      chemotherapy use and biological markers of disease severity
                      are not available in the database.Colon cancer survival is
                      lower for patients with no insurance or with Medicaid than
                      for those with private insurance. Differences in rates of
                      definitive surgery and adequate lymph node dissection
                      explain some of this disparity. See Video Abstract at
                      http://links.lww.com/DCR/A585.},
      cin          = {C070 / G110 / L101},
      ddc          = {150},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)G110-20160331 /
                      I:(DE-He78)L101-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:29624548},
      doi          = {10.1097/DCR.0000000000001068},
      url          = {https://inrepo02.dkfz.de/record/132852},
}