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Insurance status and access to cervical cancer treatment in a specialized cancer center in Mexico.
Isla-Ortiz, David; Torres-Domínguez, Juan; Pérez-Peralta, Liliana; Jiménez-Barrera, Hugo; Bandala-Jacques, Antonio; Meneses-García, Abelardo; Reynoso-Noverón, Nancy.
Afiliação
  • Isla-Ortiz D; Departamento de tumores ginecológicos, Instituto Nacional de Cancerología, Mexico City, Mexico.
  • Torres-Domínguez J; Centro de Investigación en Prevención, Instituto Nacional de Cancerología, Mexico City, Mexico.
  • Pérez-Peralta L; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Jiménez-Barrera H; Instituto de Oftalmología Fundación Conde de Valenciana, Mexico City, Mexico.
  • Bandala-Jacques A; Centro de Investigación en Prevención, Instituto Nacional de Cancerología, Mexico City, Mexico.
  • Meneses-García A; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
  • Reynoso-Noverón N; Dirección General, Instituto Nacional de Cancerología, Mexico City, Mexico.
Medicine (Baltimore) ; 102(17): e33655, 2023 Apr 25.
Article em En | MEDLINE | ID: mdl-37115063
To describe access to complete treatment in women with cervical cancer and state-sponsored insurance versus no insurance. We conducted a retrospective observational study. The source population consisted of women treated for cervical cancer from January 2000 to December 2015 in a tertiary care hospital. We included 411 women with state-sponsored insurance and 400 without insurance. We defined access to cervical cancer treatment as complete treatment (according NCCN/ESMO (National Comprehensive Cancer Network/European Society for Medical Oncology) standards) and timely initiation of treatment (less than 4 weeks). Clinical and sociodemographic characteristics were described and analyzed with logistic regression using complete treatment as the main outcome. A total of 811 subjects were included, the median age was 46 (IQR (Interquartile range) 42-50) years. Most of them were married (36.1%), unemployed (50.4%), and had completed primary school (44.0%). The most common clinical stages at diagnosis were II (38.2%) and III (24.7%). In the adjusted regression model, being married (OR (odds ratio): 4.3, 95% CI (confidence interval): 1.74-10.61) and having paid employment (OR: 2.79, 95% CI: 1.59-4.90) or state-sponsored insurance (OR: 1.54, 95% CI: 1.04-2.26) were positively associated with the possibility of having a complete treatment. Women with insurance were likely to be younger and receive timely treatment compared with uninsured women. Complete treatment was associated to insurance status and advanced stages of cervical cancer. State-sponsored insurance improves access to complete treatment. Government policies are needed to avoid social and economic inequity and provide better management of cervical cancer in our country.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias do Colo do Útero Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies Limite: Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Medicine (Baltimore) Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias do Colo do Útero Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies Limite: Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Medicine (Baltimore) Ano de publicação: 2023 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos