{"id":"https://openalex.org/W4367674948","doi":"https://doi.org/10.1016/j.jss.2023.03.046","title":"Insurance-Based Disparities in Guideline-Concordant Thyroid Cancer Care in the Era of De-escalation","display_name":"Insurance-Based Disparities in Guideline-Concordant Thyroid Cancer Care in the Era of De-escalation","publication_year":2023,"publication_date":"2023-05-02","ids":{"openalex":"https://openalex.org/W4367674948","doi":"https://doi.org/10.1016/j.jss.2023.03.046","pmid":"https://pubmed.ncbi.nlm.nih.gov/37141704","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10229451"},"language":"en","primary_location":{"id":"doi:10.1016/j.jss.2023.03.046","doi":"https://doi.org/10.1016/j.jss.2023.03.046","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jss.2023.03.046","pdf_url":"http://www.journalofsurgicalresearch.com/article/S0022480423001567/pdf","source":{"id":"https://openalex.org/S45161156","display_name":"Journal of Surgical Research","issn_l":"0022-4804","issn":["0022-4804","1095-8673"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Journal of Surgical Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.journalofsurgicalresearch.com/article/S0022480423001567/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070569279","display_name":"Sara P. Ginzberg","orcid":"https://orcid.org/0000-0003-1657-0617","observed_orcids":["https://orcid.org/0000-0003-1657-0617"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I4210143392","display_name":"University of Pennsylvania Health System","ror":"https://ror.org/04h81rw26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sara P. Ginzberg","raw_affiliation_strings":["Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: sara.ginzberg@pennmedicine.upenn.edu","Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":"https://orcid.org/0000-0003-1657-0617","affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: sara.ginzberg@pennmedicine.upenn.edu","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I4210143392","https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052553329","display_name":"Jacqueline M. Soegaard Ballester","orcid":"https://orcid.org/0000-0002-5826-8275","observed_orcids":["https://orcid.org/0000-0002-5826-8275"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacqueline M. Soegaard Ballester","raw_affiliation_strings":["Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069697530","display_name":"Chris J. Wirtalla","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chris J. Wirtalla","raw_affiliation_strings":["Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074054064","display_name":"Daniel A. Pryma","orcid":"https://orcid.org/0000-0001-8978-4419","observed_orcids":["https://orcid.org/0000-0001-8978-4419"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel A. Pryma","raw_affiliation_strings":["Department of Radiology, Division of Nuclear Medicine, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Division of Nuclear Medicine, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111630451","display_name":"Susan J. Mandel","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan J. Mandel","raw_affiliation_strings":["Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056688528","display_name":"Rachel Rapaport Kelz","orcid":"https://orcid.org/0000-0001-6635-5961","observed_orcids":["https://orcid.org/0000-0001-6635-5961"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel R. Kelz","raw_affiliation_strings":["Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034614155","display_name":"Heather Wachtel","orcid":"https://orcid.org/0000-0003-3786-3638","observed_orcids":["https://orcid.org/0000-0003-3786-3638"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Wachtel","raw_affiliation_strings":["Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5070569279"],"corresponding_institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I4210143392","https://openalex.org/I79576946"],"apc_list":{"value":3240,"currency":"USD","value_usd":3240},"apc_paid":null,"fwci":2.6479,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.91037033,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":98},"biblio":{"volume":"289","issue":null,"first_page":"211","last_page":"219"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10329","display_name":"Thyroid Cancer Diagnosis and Treatment","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.02879999950528145,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T10391","display_name":"Healthcare Policy and Management","score":0.002199999988079071,"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/differentiated-thyroid-cancer","display_name":"differentiated thyroid cancer","score":0.9380000233650208},{"id":"https://openalex.org/keywords/insurance-disparities","display_name":"insurance disparities","score":0.828000009059906},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.9900000095367432},{"id":"https://openalex.org/keywords/private-insurance","display_name":"private insurance","score":0.6010000109672546},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.628000020980835},{"id":"https://openalex.org/keywords/guideline-concordant-care","display_name":"guideline-concordant care","score":0.7990000247955322},{"id":"https://openalex.org/keywords/radioactive-iodine-therapy","display_name":"radioiodine therapy","score":0.8790000081062317},{"id":"https://openalex.org/keywords/undertreatment","display_name":"undertreatment","score":0.8799999952316284},{"id":"https://openalex.org/keywords/time-to-treatment","display_name":"time to treatment","score":0.5170000195503235},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.38499999046325684}],"concepts":[{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.7177926301956177},{"id":"https://openalex.org/C2779761222","wikidata":"https://www.wikidata.org/wiki/Q826522","display_name":"Thyroid cancer","level":3,"score":0.652640163898468},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.650799572467804},{"id":"https://openalex.org/C2776056953","wikidata":"https://www.wikidata.org/wiki/Q1182511","display_name":"De-escalation","level":2,"score":0.6142963767051697},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.4464084506034851},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4458749294281006},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.35277098417282104},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0883481502532959}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007457","descriptor_name":"Iodine Radioisotopes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013964","descriptor_name":"Thyroid Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013964","descriptor_name":"Thyroid Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jss.2023.03.046","doi":"https://doi.org/10.1016/j.jss.2023.03.046","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jss.2023.03.046","pdf_url":"http://www.journalofsurgicalresearch.com/article/S0022480423001567/pdf","source":{"id":"https://openalex.org/S45161156","display_name":"Journal of Surgical Research","issn_l":"0022-4804","issn":["0022-4804","1095-8673"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Journal of Surgical Research","raw_type":"journal-article"},{"id":"pmid:37141704","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37141704","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of surgical research","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10229451","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10229451","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10229451/pdf/nihms-1891353.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Surg Res","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1016/j.jss.2023.03.046","doi":"https://doi.org/10.1016/j.jss.2023.03.046","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jss.2023.03.046","pdf_url":"http://www.journalofsurgicalresearch.com/article/S0022480423001567/pdf","source":{"id":"https://openalex.org/S45161156","display_name":"Journal of Surgical Research","issn_l":"0022-4804","issn":["0022-4804","1095-8673"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Journal of Surgical Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G9000906229","display_name":"Institutional Career Development Core","funder_award_id":"KL2TR001879","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4367674948.pdf","grobid_xml":"https://content.openalex.org/works/W4367674948.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1169848797","https://openalex.org/W1932062959","https://openalex.org/W2145150141","https://openalex.org/W2146419817","https://openalex.org/W2313492784","https://openalex.org/W2405879529","https://openalex.org/W2599076725","https://openalex.org/W2600614137","https://openalex.org/W2610555175","https://openalex.org/W2746798694","https://openalex.org/W2782883345","https://openalex.org/W2794624109","https://openalex.org/W2907577775","https://openalex.org/W2943050522","https://openalex.org/W2949850067","https://openalex.org/W2955500772","https://openalex.org/W2967584231","https://openalex.org/W2979584508","https://openalex.org/W2979624489","https://openalex.org/W3015568800","https://openalex.org/W3037572220","https://openalex.org/W3041363598","https://openalex.org/W3090155297","https://openalex.org/W3095689420","https://openalex.org/W3113246095","https://openalex.org/W3119005666","https://openalex.org/W3124135363","https://openalex.org/W3130502574","https://openalex.org/W3135917060","https://openalex.org/W3136327770","https://openalex.org/W3138257946","https://openalex.org/W3160694822","https://openalex.org/W3215449343","https://openalex.org/W4293537601","https://openalex.org/W4294116629","https://openalex.org/W4319333382","https://openalex.org/W4321997002"],"related_works":["https://openalex.org/W3203964743","https://openalex.org/W7154599091","https://openalex.org/W4319333382","https://openalex.org/W4285393270","https://openalex.org/W2604913079","https://openalex.org/W2503263595","https://openalex.org/W4365443218","https://openalex.org/W2979584508","https://openalex.org/W2115217644","https://openalex.org/W4394008817"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-05-03T00:00:00"}