{"id":"https://openalex.org/W2238560554","doi":"https://doi.org/10.1182/blood.v124.21.2274.2274","title":"Impact of Insurance Status on the Day of Admission and Clinical Outcome on Acute Myeloid Leukemia (AML)Patients","display_name":"Impact of Insurance Status on the Day of Admission and Clinical Outcome on Acute Myeloid Leukemia (AML)Patients","publication_year":2014,"publication_date":"2014-12-06","ids":{"openalex":"https://openalex.org/W2238560554","doi":"https://doi.org/10.1182/blood.v124.21.2274.2274","mag":"2238560554"},"language":"en","primary_location":{"id":"doi:10.1182/blood.v124.21.2274.2274","doi":"https://doi.org/10.1182/blood.v124.21.2274.2274","is_oa":false,"landing_page_url":"https://doi.org/10.1182/blood.v124.21.2274.2274","pdf_url":null,"source":{"id":"https://openalex.org/S200071133","display_name":"Blood","issn_l":"0006-4971","issn":["0006-4971","1528-0020"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Blood","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058133670","display_name":"Bilal Ahmad","orcid":"https://orcid.org/0009-0005-8911-0955","observed_orcids":["https://orcid.org/0009-0005-8911-0955"]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bilal Ahmad","raw_affiliation_strings":["University of Oklahoma Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Oklahoma Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019344153","display_name":"Hossein Maymani","orcid":"https://orcid.org/0000-0002-0639-590X","observed_orcids":["https://orcid.org/0000-0002-0639-590X"]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hossein Maymani","raw_affiliation_strings":["University of Oklahoma Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Oklahoma Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001701501","display_name":"Haseeb Saeed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4390039271","display_name":"OU Health","ror":"https://ror.org/00a6cxf28","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4390039271"]},{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Haseeb Saeed","raw_affiliation_strings":["Oklahoma university health sciences center, Oklahoma city,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oklahoma university health sciences center, Oklahoma city,","institution_ids":["https://openalex.org/I4390039271","https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010783190","display_name":"Mohamad Osama Khawandanah","orcid":"https://orcid.org/0000-0002-6627-1933","observed_orcids":["https://orcid.org/0000-0002-6627-1933"]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohamad Khawandanah","raw_affiliation_strings":["Oklahoma University Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oklahoma University Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038619722","display_name":"Samer Ali Srour","orcid":"https://orcid.org/0000-0002-6693-2025","observed_orcids":["https://orcid.org/0000-0002-6693-2025"]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samer A Srour","raw_affiliation_strings":["University of Oklahoma Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Oklahoma Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050601040","display_name":"Michael G Machiorlatti","orcid":"https://orcid.org/0000-0002-9180-3647","observed_orcids":["https://orcid.org/0000-0002-9180-3647"]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael G Machiorlatti","raw_affiliation_strings":["The Univ. of Oklahoma Health Sciences Center, College of Public Health, Oklahoma City,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Univ. of Oklahoma Health Sciences Center, College of Public Health, Oklahoma City,","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110938334","display_name":"Adam Steven Asch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adam S. Asch","raw_affiliation_strings":["University of Oklahoma Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Oklahoma Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102896953","display_name":"Mohamad Cherry","orcid":"https://orcid.org/0000-0003-1391-1084","observed_orcids":["https://orcid.org/0000-0003-1391-1084"]},"institutions":[{"id":"https://openalex.org/I4390039271","display_name":"OU Health","ror":"https://ror.org/00a6cxf28","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4390039271"]},{"id":"https://openalex.org/I49332381","display_name":"University of Oklahoma Health Sciences Center","ror":"https://ror.org/0457zbj98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I49332381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohamad Cherry","raw_affiliation_strings":["Oklahoma University Health Sciences Center, Oklahoma city, OK","University of Oklahoma Health Sciences Center, Oklahoma City, OK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oklahoma University Health Sciences Center, Oklahoma city, OK","institution_ids":["https://openalex.org/I4390039271","https://openalex.org/I49332381"]},{"raw_affiliation_string":"University of Oklahoma Health Sciences Center, Oklahoma City, OK","institution_ids":["https://openalex.org/I49332381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":5500,"currency":"USD","value_usd":5500},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":93},"biblio":{"volume":"124","issue":"21","first_page":"2274","last_page":"2274"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10309","display_name":"Acute Myeloid Leukemia Research","score":0.76419997215271,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10309","display_name":"Acute Myeloid Leukemia Research","score":0.76419997215271,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.14470000565052032,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.053199999034404755,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-myeloid-leukemia","display_name":"acute myeloid leukemia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.9700000286102295},{"id":"https://openalex.org/keywords/uninsured-patients","display_name":"uninsured patients","score":0.9399999976158142},{"id":"https://openalex.org/keywords/day-of-admission","display_name":"day of admission","score":0.746999979019165},{"id":"https://openalex.org/keywords/weekend-effect","display_name":"weekend effect","score":0.722000002861023},{"id":"https://openalex.org/keywords/induction-chemotherapy","display_name":"induction chemotherapy","score":0.6290000081062317},{"id":"https://openalex.org/keywords/overall-survival","display_name":"overall survival","score":0.9430000185966492},{"id":"https://openalex.org/keywords/complete-remission","display_name":"complete remission","score":0.9980000257492065},{"id":"https://openalex.org/keywords/relapse","display_name":"relapse","score":0.8849999904632568},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.5609999895095825},{"id":"https://openalex.org/keywords/socioeconomic-inequality","display_name":"socioeconomic disparities","score":0.5799999833106995},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.5799999833106995},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.9829999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8010656833648682},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.5661026239395142},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.5169522166252136},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46759742498397827},{"id":"https://openalex.org/C10515644","wikidata":"https://www.wikidata.org/wiki/Q543310","display_name":"Survival analysis","level":2,"score":0.43360552191734314},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3351670205593109},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.24103495478630066},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1182/blood.v124.21.2274.2274","doi":"https://doi.org/10.1182/blood.v124.21.2274.2274","is_oa":false,"landing_page_url":"https://doi.org/10.1182/blood.v124.21.2274.2274","pdf_url":null,"source":{"id":"https://openalex.org/S200071133","display_name":"Blood","issn_l":"0006-4971","issn":["0006-4971","1528-0020"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Blood","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2612847443","https://openalex.org/W2578579700","https://openalex.org/W2964547001","https://openalex.org/W2514775182","https://openalex.org/W7204705334","https://openalex.org/W2253713779","https://openalex.org/W1994570597","https://openalex.org/W4241492891","https://openalex.org/W3198355152","https://openalex.org/W1978478567"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"In":[2],"patients":[3,49,87,119,130,253,265,309,320,333,341,375,388,404,436,454,468,480],"with":[4,50,95,107,232,240,250,262,315,342,396,423,437],"acute":[5,51],"myeloid":[6],"leukemia":[7],"(AML),":[8],"insurance":[9,20,75,144,176,195,219,242,300,322,343,416,430],"status":[10,21,177,301,323],"has":[11],"not":[12,408,421],"been":[13],"demonstrated":[14],"to":[15,23,70,91,169,180,191,210,361,386,444,477,495,512],"adversely":[16],"impact":[17,498],"outcomes.":[18,82],"However,":[19,339],"appears":[22],"be":[24,59],"an":[25],"independent":[26],"factor":[27],"in":[28,43,328,376,389],"healthcare":[29],"utilization.":[30],"University":[31],"of":[32,46,79,100,173,194,198,216,225,304,307,337,357,403,412,425,440,452,501,510],"Oklahoma":[33,47],"Health":[34],"Sciences":[35],"Center":[36],"(OUHSC)":[37],"is":[38,488],"the":[39,44,62,72,435,438,458,466,473,478],"main":[40],"tertiary":[41],"hospital":[42],"State":[45],"treating":[48],"leukemia.":[52],"We":[53,67,84,222,294],"hypothesized":[54],"that":[55],"treatment":[56],"patterns":[57],"might":[58],"different":[60],"between":[61,74,299],"insured":[63,387,479],"and":[64,81,126,146,163,175,183,200,203,243,259,291,302,415,491,493],"uninsured":[65,308,332,374,453,467],"patients.":[66],"hereby":[68],"attempt":[69],"analyze":[71],"association":[73,193],"status,":[76,196],"week":[77],"day":[78,172,197,215,303,336,411,424],"admission":[80,174,199,217,413,426],"Methods:":[83],"retrospectively":[85],"analyzed":[86,223],"from":[88],"January":[89],"2000":[90],"June":[92],"2012":[93],"diagnosed":[94],"AML":[96,441],"over":[97,457],"18":[98],"years":[99],"age,":[101],"who":[102,120,344,442,469,481],"were":[103,111,121,136,153,208,246,345,470,482],"treated":[104],"at":[105,156,274],"OUHSC":[106],"induction":[108],"chemotherapy.":[109],"Patients":[110,135],"divided":[112],"into":[113],"two":[114],"groups:":[115],"Group":[116,248],"1":[117,249],"included":[118,129],"admitted":[122,131,255,267,311,346,456,471,483],"on":[123,132,256,268,312,335,347,363,472,484,499],"weekdays":[124,257,348],"(Monday-Thursday)":[125],"group":[127,260],"2":[128,261],"weekends":[133,364],"(Friday-Sunday).":[134,270],"also":[137],"sub-classified":[138],"as":[139,384,475],"having":[140,235],"private":[141,241],"insurance,":[142,237],"public":[143,236],"(Medicaid":[145],"Medicare)":[147],"or":[148,428],"no":[149,326],"insurance.":[150],"Primary":[151],"outcomes":[152,330],"overall":[154,370,461],"survival":[155,212,329,371,462],"follow":[157],"up":[158],"(OS),":[159],"complete":[160],"remission":[161],"(CR)":[162],"Relapse.":[164,184],"Chi-Square":[165],"analysis":[166],"was":[167,178,189,254,266,276,325,379,420,448,463],"utilized":[168],"assess":[170],"if":[171],"related":[179],"OS,":[181],"CR":[182,406],"Cox":[185],"Proportional":[186],"hazards":[187],"model":[188],"used":[190,209],"measure":[192],"their":[201],"interaction":[202,298],"Kaplan":[204],"Meir":[205],"Survival":[206],"curves":[207],"estimate":[211],"rates":[213],"for":[214,331,340,373,465],"by":[218,321,410,429],"status.":[220],"Results:":[221],"total":[224],"161":[226],"patients,":[227],"157":[228],"met":[229],"inclusion":[230],"criteria":[231],"69":[233],"(44%)":[234],"58":[238],"(37%)":[239],"30":[244],"(19%)":[245],"uninsured.":[247],"94":[251],"(60%)":[252],"(Monday\u2013Thursday),":[258],"63":[263],"(40%)":[264],"weekend":[269,313,474],"The":[271,401,460],"median":[272],"age":[273],"diagnosis":[275,439],"49":[277],"years,":[278],"63.7%":[279],"male":[280],"36.3%":[281],"female.":[282],"77.0%":[283],"white,":[284],"10.6%":[285],"African":[286],"American,":[287],"6.2%":[288],"Native":[289],"American":[290],"3.7%":[292],"Hispanic.":[293],"found":[295],"a":[296,353,397,449],"significant":[297,492],"admission,":[305],"63%":[306],"being":[310,455],"(Fri-Sun)":[314],"(p-value=0.0292).":[316],"When":[317],"we":[318],"stratified":[319],"there":[324,447],"difference":[327],"based":[334],"admission.":[338],"Mon-Thurs":[349],"(Group":[350,366,377,390],"1)":[351,391],"had":[352],"hazard":[354],"ratio":[355],"(HR)":[356],"death":[358],"0.487":[359],"relative":[360],"those":[362],"Fri-Sun":[365],"2)":[367,378],"(p=0.0238).":[368],"Median":[369],"(OS)":[372],"147.5":[380],"days":[381,393],"(95%":[382,394],"CI=79-252)":[383],"compare":[385,476],"252":[392],"CI=116-459)":[395],"P":[398],"value":[399],"0.0182.":[400],"proportion":[402],"achieving":[405],"did":[407],"differ":[409],"(p=0.3275)":[414],"type":[417,431],"(0.5678).":[418],"Relapse":[419],"associated":[422],"(p=0.2284)":[427],"(p=0.4057).":[432],"Conclusions:":[433],"For":[434],"presented":[443],"our":[445],"institution,":[446],"noticeable":[450],"trend":[451,487],"weekend.":[459],"lower":[464],"weekdays.":[485],"This":[486],"both":[489],"noteworthy":[490],"due":[494],"its":[496],"possible":[497],"standard":[500],"care":[502],"warrants":[503],"further":[504],"investigation.":[505],"Disclosures":[506],"No":[507],"relevant":[508],"conflicts":[509],"interest":[511],"declare.":[513]},"counts_by_year":[{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2016-06-24T00:00:00"}