{"id":"https://openalex.org/W2591455252","doi":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","title":"Gynecologic cancer outcomes of Medicare's elderly poor: A population-based study of North Carolina.","display_name":"Gynecologic cancer outcomes of Medicare's elderly poor: A population-based study of North Carolina.","publication_year":2014,"publication_date":"2014-10-20","ids":{"openalex":"https://openalex.org/W2591455252","doi":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","mag":"2591455252"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2014.32.30_suppl.290","doi":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"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/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"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/A5078610385","display_name":"Kemi Morenikeji Doll","orcid":"https://orcid.org/0000-0002-3040-2962","observed_orcids":["https://orcid.org/0000-0002-3040-2962"]},"institutions":[{"id":"https://openalex.org/I4390039329","display_name":"UNC Lineberger Comprehensive Cancer Center","ror":"https://ror.org/043ehm030","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I114027177","https://openalex.org/I4390039329"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kemi Morenikeji Doll","raw_affiliation_strings":["UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC","institution_ids":["https://openalex.org/I4390039329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004390593","display_name":"Ke Meng","orcid":"https://orcid.org/0000-0002-2460-4728","observed_orcids":["https://orcid.org/0000-0002-2460-4728"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ke Meng","raw_affiliation_strings":["The University of North Carolina at Chapel Hill, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of North Carolina at Chapel Hill, Chapel Hill, NC","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091400921","display_name":"Ethan Basch","orcid":"https://orcid.org/0000-0003-3813-9318","observed_orcids":["https://orcid.org/0000-0003-3813-9318"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I4390039329","display_name":"UNC Lineberger Comprehensive Cancer Center","ror":"https://ror.org/043ehm030","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I114027177","https://openalex.org/I4390039329"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ethan M Basch","raw_affiliation_strings":["UNC Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC","institution_ids":["https://openalex.org/I114027177","https://openalex.org/I4390039329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063523041","display_name":"Paola A. Gehrig","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4390039329","display_name":"UNC Lineberger Comprehensive Cancer Center","ror":"https://ror.org/043ehm030","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I114027177","https://openalex.org/I4390039329"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paola A. Gehrig","raw_affiliation_strings":["UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC","institution_ids":["https://openalex.org/I4390039329"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015432678","display_name":"Wendy R. Brewster","orcid":"https://orcid.org/0000-0001-6150-3160","observed_orcids":["https://orcid.org/0000-0001-6150-3160"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wendy R. Brewster","raw_affiliation_strings":["The University of North Carolina at Chapel Hill, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of North Carolina at Chapel Hill, Chapel Hill, NC","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058532042","display_name":"Anne\u2010Marie Meyer","orcid":"https://orcid.org/0000-0003-4312-4727","observed_orcids":["https://orcid.org/0000-0003-4312-4727"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anne-Marie Meyer","raw_affiliation_strings":["The University of North Carolina at Chapel Hill, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of North Carolina at Chapel Hill, Chapel Hill, NC","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"30_suppl","first_page":"290","last_page":"290"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.86080002784729,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T10556","display_name":"Global Cancer Incidence and Screening","score":0.86080002784729,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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":0.05490000173449516,"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":0.02590000070631504,"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/gynecologic-cancer","display_name":"gynecologic cancer","score":0.9589999914169312},{"id":"https://openalex.org/keywords/dual-enrollment","display_name":"dual enrollment","score":0.4180000126361847},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.5849999785423279},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.9959999918937683},{"id":"https://openalex.org/keywords/older-women","display_name":"older women","score":0.6420000195503235},{"id":"https://openalex.org/keywords/health-insurance-disparities","display_name":"health insurance disparities","score":0.6779999732971191},{"id":"https://openalex.org/keywords/cancer-mortality","display_name":"cancer mortality","score":0.972000002861023},{"id":"https://openalex.org/keywords/stage-at-diagnosis","display_name":"stage at diagnosis","score":0.9430000185966492},{"id":"https://openalex.org/keywords/uterine-cancer","display_name":"uterine cancer","score":0.9620000123977661},{"id":"https://openalex.org/keywords/ovarian-cancer","display_name":"ovarian cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cervical-cancer","display_name":"cervical cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/access-to-surgical-care","display_name":"access to surgical care","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9347897171974182},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.7028181552886963},{"id":"https://openalex.org/C2778527826","wikidata":"https://www.wikidata.org/wiki/Q1787017","display_name":"Cancer registry","level":3,"score":0.5080525875091553},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.5028802752494812},{"id":"https://openalex.org/C2778515176","wikidata":"https://www.wikidata.org/wiki/Q1209744","display_name":"Uterine cancer","level":3,"score":0.49569571018218994},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49505773186683655},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.43769651651382446},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4371459484100342},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.42626142501831055},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.42559102177619934},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.41396060585975647},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4063410460948944},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3530639410018921},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3316528797149658},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.24244606494903564},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.1602390706539154},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.07076755166053772},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2014.32.30_suppl.290","doi":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2014.32.30_suppl.290","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"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/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","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"},{"id":"https://metadata.un.org/sdg/10","score":0.7390999794006348,"display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1495329360","https://openalex.org/W2954964862","https://openalex.org/W4399280907","https://openalex.org/W4298188875","https://openalex.org/W7204058277","https://openalex.org/W2028833783","https://openalex.org/W4242202696","https://openalex.org/W7214763001","https://openalex.org/W4387142296","https://openalex.org/W7221171120"],"abstract_inverted_index":{"290":[0],"Background:":[1],"Women":[2],"\u2265":[3,64],"65":[4,65],"years":[5],"dually":[6],"enrolled":[7,222],"in":[8,17,75,121,193,266],"Medicare":[9,112,130,135,157],"and":[10,47,84,103,114,132,147,162,179,215,250],"Medicaid":[11,137],"(\u2018Duals\u2019)":[12],"represent":[13],"an":[14],"at-risk":[15],"group":[16],"cancer":[18,55,165,195,224],"care,":[19],"yet":[20],"their":[21],"outcomes":[22],"across":[23],"the":[24,38,122,203,240,253],"spectrum":[25],"of":[26,40,49,62,143,189,242,255,260],"gynecologic":[27,54,69,223],"cancers":[28,70],"have":[29,226],"not":[30],"been":[31],"studied.":[32],"Our":[33],"goal":[34],"was":[35],"to":[36,43,233,268],"compare":[37],"association":[39],"insurance":[41],"type":[42],"stage":[44,145,191,210,213,217,237],"at":[45,239],"diagnosis":[46,192],"mortality":[48,154,230],"older":[50],"women":[51,63,207],"after":[52],"a":[53,227],"diagnosis.":[56,243],"Methods:":[57],"Population-based,":[58],"retrospective":[59],"cohort":[60],"study":[61],"years,":[66],"diagnosed":[67],"with":[68,93,208],"from":[71,86],"2003":[72],"\u2013":[73],"2009":[74],"North":[76],"Carolina":[77],"Central":[78],"Cancer":[79],"Registry":[80],"files.":[81],"Medicare,":[82,111],"Medicaid,":[83],"claims":[85],"privately":[87],"insured":[88],"health":[89],"plans":[90],"were":[91,108,140],"linked":[92],"census":[94],"data.":[95],"Multiple":[96],"logistic":[97],"regression,":[98],"Cox":[99],"proportional":[100],"hazard":[101],"models,":[102],"Kaplan":[104],"Meier":[105],"survival":[106,200],"curves":[107,201],"constructed":[109],"comparing":[110],"HMO,":[113,131],"Medicare/Medicaid":[115],"populations.":[116],"Results:":[117],"Among":[118],"4,554":[119],"patients":[120,225],"cohort,":[123],"3,403":[124],"(74%)":[125],"Medicare+/-":[126],"supplemental":[127],"private,":[128],"531(11%)":[129],"620":[133],"(14%)":[134],"+":[136],"(Dual).":[138],"There":[139],"2,215(49%)":[141],"cases":[142],"early":[144,209,216],"disease":[146],"1,447(32%)":[148],"deaths.":[149],"Dual":[150],"enrollees":[151],"had":[152,186],"increased":[153,187,229],"rates":[155],"vs.":[156],"overall":[158],"(HR":[159],"1.61,":[160],"95%CI:1.4\u20131.8),":[161],"within":[163],"each":[164],"site:":[166],"uterine":[167,194],"HR":[168,172,176,181],"1.50":[169],"(95%CI:1.2-1.9);":[170],"ovarian":[171],"1.46":[173],"(95%CI:1.1-1.9);":[174],"cervical":[175],"1.54":[177],"(95%CI:1.0\u20132.3);":[178],"vulvar/vaginal":[180,218],"2.84":[182],"(95%CI:1.9\u20134.2).":[183],"Duals":[184],"also":[185],"odds":[188],"advanced":[190,212],"(OR":[196],"1.48,":[197],"95%CI:1.1\u20132.0).":[198],"Stratified":[199],"demonstrate":[202],"largest":[204],"disparities":[205],"amongst":[206],"uterine,":[211],"ovarian,":[214],"cancers.":[219],"Conclusions:":[220],"Dually":[221],"60%":[228],"rate":[231],"compared":[232],"non-duals":[234],"despite":[235],"equivalent":[236],"distribution":[238],"time":[241],"Specific":[244],"site/stage":[245],"subgroups":[246],"drive":[247],"these":[248,261],"results":[249],"should":[251],"be":[252],"focus":[254],"future":[256],"studies":[257],"elucidating":[258],"mediators":[259],"disparate":[262],"outcomes,":[263],"including":[264],"barriers":[265],"access":[267],"specialty":[269],"surgical":[270],"care.":[271]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2017-03-03T00:00:00"}