Ricardo Pérez?Cuevas|Svetlana V Doubova|Marta Zapata?Tarrés|Sergio Flores?Hernández|Lindsay Frazier|Carlos Rodríguez?Galindo|Gabriel Cortés-Gallo|Salomon Chertorivski?Woldenberg|Onofre Muñoz?Hernández
Scaling up cancer care for children without medical insurance in developing countries: The case of Mexico
Inter-American Development Bank|Mexican Social Security Institute|Hospital Infantil de México Federico Gómez|Instituto Nacional de Salud Pública|Dana-Farber Cancer Institute|Harvard University|Dana-Farber Cancer Institute|Harvard University|Hospital Infantil de México Federico Gómez
abstract background 2006 mexican government launched fund protection catastrophic expenditures fpgc support financially healthcare high cost illnesses study aimed answering question whether fpgc improved coverage cancer care measure survival fpgc affiliated children cancer procedure retrospective cohort study 20062009 conducted 47 public hospitals information children adolescents cancer analyzed coverage estimated accordance expected number incident cases registered fpgc survival analyzed using kaplanmeier survival curves cox proportional hazards regression modeling results study included 3821 patients 2006 2009 coverage new cancer cases increased 33 553 principal diagnoses acute lymphoblastic leukemia 464 central nervous system cns tumors 82 acute myeloid leukemia aml 74 survival rates 36 months 50 aml 305 hodgkin lymphoma 745 nonhodgkin lymphoma 401 cns tumors 328 renal tumors 584 bone tumors 334 retinoblastoma 592 solid tumors 526 3year overall survival rates varied among regions children east southsoutheast higher risks hazard ratio 30 95 ci 2339 24 95 ci 2028 death disease compared central region conclusion fpgc increased coverage cancer cases survival rates different throughout country necessary evaluate effectiveness policy increase access identify opportunities reduce differences survival pediatr blood cancer 201360196203 2012 wiley periodicals inc