Lois M. Ramondetta|Larissa A. Meyer|Kathleen M. Schmeler|Maria Daheri|Jessica Gallegos|Michael E. Scheurer|Jane R. Montealegre|Andrea Milbourne|Matthew L. Anderson|Charlotte C. Sun
Avoidable tragedies: Disparities in healthcare access among medically underserved women diagnosed with cervical cancer
Harris Health System|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|Harris Health System|The University of Texas MD Anderson Cancer Center|Harris Health System|Harris Health System|The University of Texas MD Anderson Cancer Center|Harris Health System|Baylor College of Medicine|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center|Harris Health System|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center|Harris Health System
purpose identify barriers including logistical health belief correlates late stage presentation cervical cancer cxca among medically underserved women presenting safety net health care systemwomen presenting newly diagnosed cxca asked complete detailed health belief survey included questions barriers care knowledge cxca information collected prior initiating cancer treatment comparisons made among women diagnosed early stages disease amendable surgical treatment ib1 diagnosed stage requiring localregional systemicpalliative treatment ib2among 138 women 217 diagnosed lb1 disease 783 diagnosed ib2 disease latestage diagnosis associated greater number emergency room er visits p001 blood transfusions p001 prior diagnosis compared 88 lb1 disease 53 patients ib2 disease car p003 women ib2 disease likely without primary care provider 750 vs 423 p001access transportation lack regular primary care provider medical home associated latestage cxca diagnosis many medically underserved women continue use er primary source health care result cxca diagnosed advanced stages higher medical costs lower chances cure lack medicaid expansion texas may result worsening situation