Women aged ≥65 years who were dually enrolled in Medicare and Medicaid had an overall 34% increase in all-cause mortality after diagnosis with a gynecologic cancer compared with the non-dually enrolled population, according to a study of 4,522 women. Of those enrolled, 82% were enrolled in Medicare and 18% were dually enrolled. Uterine and ovarian cancers had the highest number of cases. The study also concluded:
• Dual enrollees had increased all-cause mortality overall.
• Increased odds of advanced-stage disease at the time of diagnosis among dual enrollees were only present in patients with uterine cancer.
• The strongest disparities were among women with early-stage uterine and early-stage vulgar/vaginal cancers.
Citation: Doll KM, Meng K, Basch EM, Gehrig PA, Brewster WR, Meyer AM. Cancer. [Published online ahead of print July 31, 2015]. doi: 10.1002/cncr.29541.
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Maternal Factors in Cervical Cancer Prevention, Womens Health Issues; ePub 2019 Jan 10; Charlton, et al
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