Joshua Caballero, Neil Patel, Drenna Waldrop, Raymond L Ownby
Patient activation and medication adherence in adults
Journal of the American Pharmacists Association : JAPhA
competing risk analysis powerful assessment cancer risk factors covariates method better elucidate insurance status social determinants health covariates oral cavity cancer treatment survival disparities retrospective cohort study using surveillance epidemiology end results seer database data regarding patient characteristics clinical stage diagnosis treatment survival data 20271 patients diagnosed oral cavity cancer extracted seer 18 regs research data including hurricane katrina impacted louisiana cases 1973 2014 statistical analyses performed using sas 95 sas institute inc cary nc finegray method assessing impact risk covariates employed medicaid patients presented later stage disease larger tumor size distant metastases lymph node involvement diagnosis compared insured patients medicaid patients less likely receive cancerdirected surgery medicaid status also associated worse cancerspecific survival subhazard ratios 187 95 confidence interval 172204 p 0001 adjustment covariates first study examining specifically medicaid status social determinants health covariates impact oral cavity cancer treatment outcomes first using methods validated complex covariates patients medicaid present extensive oral cavity disease burden less likely receive definitive therapy significantly worse overall survival forms insurance better identifies disparities need improving health literacy specifically atrisk medicaid population guide clinicians na laryngoscope 13021602165 2020