MARC details
| 000 -LEADER |
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| fixed length control field |
04449nam a22005657a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
230628s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0012-3706 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
00003453-990000000-00297 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1097/DCR.0000000000002560 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
37000794 |
| 245 ## - TITLE STATEMENT |
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| Title |
Persistent Disparities in Access to Elective Colorectal Cancer Surgery After Medicaid Expansion Under the Affordable Care Act: A Multi-State Evaluation. |
| 251 ## - Source |
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| Source |
Diseases of the Colon & Rectum. 2023 Mar 30 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Dis Colon Rectum. 2023 Mar 30 |
| 253 ## - Journal Name |
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| Journal name |
Diseases of the colon and rectum |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Mar 30 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
Publisher |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2023-06-28 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1997 - present, Available in print through MWHC library: 1999 - 2006 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Despite their higher incidence of colorectal cancer, ethnoracial minority and low-income patients have reduced access to elective colorectal cancer surgery. Although the Affordable Care Act's Medicaid expansion increased screening colonoscopies, its effect on disparities in elective colorectal cancer surgery remains unknown. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Despite gains in screening, Medicaid expansion was not associated with reductions in known ethnoracial or income-based disparities in elective colorectal cancer surgery rates. Expanding access to colorectal cancer surgery for underserved populations likely requires attention to provider and health system factors contributing to persistent disparities. Copyright � The ASCRS 2023. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
DESIGN: Using the 2012-2015 State Inpatient Databases, a retrospective cohort study was conducted. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LIMITATIONS: The study was limited to 5 states. While patients may have increased access to cancer screening services and surgery post-expansion, the State Inpatient Database only provides information on patients who underwent surgery. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
MAIN OUTCOME: Using interrupted time series analysis, the effect of Medicaid expansion on the odds of elective colorectal cancer surgery was assessed. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OBJECTIVE: This study assessed the effects of Medicaid expansion on elective colorectal cancer surgery rates overall and by race-ethnicity and income. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
PATIENTS: This study examined 22,304 adult patients aged 18-64 who underwent colorectal cancer surgery. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Elective vs. non-elective surgery rates remained unchanged overall (70.2% vs 70.7%, p = 0.63) and in ethnoracial minorities in expansion states (whites from 72.8% to 73.8% pre to post, p = 0.40 and non-white from 64.0% to 63.1% pre to post, p = 0.67). There was an instantaneous increase in odds of elective surgery in expansion vs. non-expansion states at policy implementation (adjusted OR 1.37, 95% CI, 1.05-1.79, p = 0.02), but it subsequently decreased (combined adjusted OR 0.95, 95% CI, 0.92-0.99, p = 0.03). Elective surgery rates were also unchanged among ethnoracial minorities (instantaneous changes in expansion states, combined effect 1.06; pre-trend 1.01 vs. post trend 0.98) and low-income persons in expansion states (pre trend 1.03 vs. post-trend 0.97) (for all, p > 0.1). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
SETTINGS: State Inpatient Databases from three expansion (Maryland, New Jersey, Kentucky) and two non-expansion states (Florida, North Carolina) were used. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Indexing |
Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Institute |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar General Surgery Residency |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Al-Refaie, Waddah B |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Bayasi, Mohammad |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Bello, Brian L |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Bouchard, Megan |
| Institution Code |
MGUH |
| Program |
MedStar General Surgery Residency |
| Degree |
MD, MPH |
| Resident year |
Resident PGY 5 |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Cohen, Brian |
| Institution Code |
MGUH |
| Program |
MedStar General Surgery Residency |
| Degree |
MD |
| Resident year |
Resident PGY 5 |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
DeLia, Derek |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Desale, Sameer |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Zeymo, Alexander |
| Institution Code |
MHRI |
| 790 ## - Authors |
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| All authors |
Al-Refaie WB, Bayasi M, Bello BL, Bouchard ME, Cohen B, DeLia D, Desale S, Zeymo A |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1097/DCR.0000000000002560">https://dx.doi.org/10.1097/DCR.0000000000002560</a> |
| Public note |
https://dx.doi.org/10.1097/DCR.0000000000002560 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
