{"id":"https://openalex.org/W4378745189","doi":"https://doi.org/10.1002/cnr2.1840","title":"Examining the effect of Medicaid expansion on early detection of head and neck cancer of the oral cavity and pharynx by HPV \u2010type and generosity of dental benefits","display_name":"Examining the effect of Medicaid expansion on early detection of head and neck cancer of the oral cavity and pharynx by HPV \u2010type and generosity of dental benefits","publication_year":2023,"publication_date":"2023-05-29","ids":{"openalex":"https://openalex.org/W4378745189","doi":"https://doi.org/10.1002/cnr2.1840","pmid":"https://pubmed.ncbi.nlm.nih.gov/37248803","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10432424"},"language":"en","primary_location":{"id":"doi:10.1002/cnr2.1840","doi":"https://doi.org/10.1002/cnr2.1840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/cnr2.1840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cnr2.1840","source":{"id":"https://openalex.org/S4210241191","display_name":"Cancer Reports","issn_l":"2573-8348","issn":["2573-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cnr2.1840","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012521067","display_name":"Jason Semprini","orcid":"https://orcid.org/0000-0002-0375-8090","observed_orcids":["https://orcid.org/0000-0002-0375-8090"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jason Semprini","raw_affiliation_strings":["Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA"],"raw_orcid":"https://orcid.org/0000-0002-0375-8090","affiliations":[{"raw_affiliation_string":"Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA","institution_ids":["https://openalex.org/I126307644"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5012521067"],"corresponding_institution_ids":["https://openalex.org/I126307644"],"apc_list":{"value":2970,"currency":"USD","value_usd":2970},"apc_paid":{"value":2970,"currency":"USD","value_usd":2970},"fwci":1.8446,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.84016443,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"6","issue":"8","first_page":"e1840","last_page":"e1840"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.7660999894142151,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"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/T10307","display_name":"Head and Neck Cancer Studies","score":0.7660999894142151,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"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/T10556","display_name":"Global Cancer Incidence and Screening","score":0.10220000147819519,"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/T10391","display_name":"Healthcare Policy and Management","score":0.05649999901652336,"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/medicaid-expansion","display_name":"Medicaid expansion","score":1.0},{"id":"https://openalex.org/keywords/head-and-neck-cancer","display_name":"head and neck cancer","score":0.9309999942779541},{"id":"https://openalex.org/keywords/oral-cancer","display_name":"oral cancer","score":0.8989999890327454},{"id":"https://openalex.org/keywords/pharyngeal-cancer","display_name":"pharyngeal cancer","score":0.9520000219345093},{"id":"https://openalex.org/keywords/hpv-positive-cancer","display_name":"HPV-positive cancer","score":0.7570000290870667},{"id":"https://openalex.org/keywords/hpv-negative-tumors","display_name":"HPV-negative tumors","score":0.8220000267028809},{"id":"https://openalex.org/keywords/early-cancer-detection","display_name":"early cancer detection","score":0.8259999752044678},{"id":"https://openalex.org/keywords/dental-insurance","display_name":"dental insurance","score":0.6919999718666077},{"id":"https://openalex.org/keywords/dental-insurance-coverage","display_name":"dental insurance coverage","score":0.6460000276565552},{"id":"https://openalex.org/keywords/tumor-staging","display_name":"tumor staging","score":0.8379999995231628},{"id":"https://openalex.org/keywords/low-income-individuals","display_name":"low-income adults","score":0.7129999995231628},{"id":"https://openalex.org/keywords/wild-cluster-bootstrap","display_name":"wild cluster bootstrap","score":0.7480000257492065},{"id":"https://openalex.org/keywords/seer","display_name":"SEER","score":0.6930000185966492}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.8961159586906433},{"id":"https://openalex.org/C2779861158","wikidata":"https://www.wikidata.org/wiki/Q1549811","display_name":"Generosity","level":2,"score":0.6487584710121155},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5694734454154968},{"id":"https://openalex.org/C2776530083","wikidata":"https://www.wikidata.org/wiki/Q1783924","display_name":"Head and neck cancer","level":3,"score":0.4830480217933655},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4829694330692291},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4198251962661743},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3790382742881775},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18436077237129211},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.13874870538711548},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.12860041856765747},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000094302","descriptor_name":"Human Papillomavirus Viruses","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006258","descriptor_name":"Head and Neck Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D009055","descriptor_name":"Mouth","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010614","descriptor_name":"Pharynx","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D030361","descriptor_name":"Papillomavirus Infections","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D030361","descriptor_name":"Papillomavirus Infections","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1002/cnr2.1840","doi":"https://doi.org/10.1002/cnr2.1840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/cnr2.1840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cnr2.1840","source":{"id":"https://openalex.org/S4210241191","display_name":"Cancer Reports","issn_l":"2573-8348","issn":["2573-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10432424","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10432424","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10432424/pdf/CNR2-6-e1840.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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Rep (Hoboken)","raw_type":"Text"},{"id":"pmid:37248803","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37248803","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":"Cancer reports (Hoboken, N.J.)","raw_type":"Journal Article"},{"id":"pmh:oai:digitalcommons.dmu.edu:fac_ph-1001","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.dmu.edu/fac_ph/2","pdf_url":null,"source":{"id":"https://openalex.org/S7407097582","display_name":"DigitalCommons@DMU","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I94975175","host_organization_name":"Des Moines University","host_organization_lineage":["https://openalex.org/I94975175"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Public Health","raw_type":"text"},{"id":"pmh:oai:doaj.org/article:dad201b34ace4328852fcc690ceda300","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/dad201b34ace4328852fcc690ceda300","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Cancer Reports, Vol 6, Iss 8, Pp n/a-n/a (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/cnr2.1840","doi":"https://doi.org/10.1002/cnr2.1840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/cnr2.1840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cnr2.1840","source":{"id":"https://openalex.org/S4210241191","display_name":"Cancer Reports","issn_l":"2573-8348","issn":["2573-8348"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G4400346228","display_name":"Evaluating the Impact of Medicaid Dental Coverage on Early-Stage Oral Cancer Detection","funder_award_id":"F31DE032250","funder_id":"https://openalex.org/F4320337365","funder_display_name":"National Institute of Dental and Craniofacial Research"}],"funders":[{"id":"https://openalex.org/F4320337365","display_name":"National Institute of Dental and Craniofacial Research","ror":"https://ror.org/004a2wv92"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4378745189.pdf"},"referenced_works_count":45,"referenced_works":["https://openalex.org/W180802004","https://openalex.org/W1919216911","https://openalex.org/W2030239327","https://openalex.org/W2069179442","https://openalex.org/W2081214165","https://openalex.org/W2097636528","https://openalex.org/W2102453194","https://openalex.org/W2108836663","https://openalex.org/W2118836230","https://openalex.org/W2138779768","https://openalex.org/W2145951062","https://openalex.org/W2162493034","https://openalex.org/W2273947045","https://openalex.org/W2409456981","https://openalex.org/W2560461345","https://openalex.org/W2579941249","https://openalex.org/W2595997027","https://openalex.org/W2769326865","https://openalex.org/W2776522703","https://openalex.org/W2793494511","https://openalex.org/W2806855592","https://openalex.org/W2890671168","https://openalex.org/W2891445448","https://openalex.org/W2943680834","https://openalex.org/W2985936315","https://openalex.org/W3000207578","https://openalex.org/W3012442359","https://openalex.org/W3016020979","https://openalex.org/W3023847065","https://openalex.org/W3037013454","https://openalex.org/W3039346280","https://openalex.org/W3087668258","https://openalex.org/W3100116343","https://openalex.org/W3107533236","https://openalex.org/W3119005666","https://openalex.org/W3164002438","https://openalex.org/W3188249951","https://openalex.org/W3209985482","https://openalex.org/W4200247705","https://openalex.org/W4205834348","https://openalex.org/W4281560837","https://openalex.org/W4289544418","https://openalex.org/W4308921406","https://openalex.org/W4320498164","https://openalex.org/W4321002319"],"related_works":["https://openalex.org/W6889467294","https://openalex.org/W3039346280","https://openalex.org/W3048500409","https://openalex.org/W4390913677","https://openalex.org/W4392605287","https://openalex.org/W3000207578","https://openalex.org/W4387440206","https://openalex.org/W4403249178","https://openalex.org/W4206656948","https://openalex.org/W3030331275"],"abstract_inverted_index":{"BACKGROUND:":[0],"Over":[1],"a":[2,141,169,184,198],"decade":[3],"of":[4,20,30,36,49,57,74,80,113,123,149,172,203,206,221,249,266,275],"evidence":[5,23],"supports":[6],"the":[7,37,47,72,95,121,146,160,201,219,235,244,264],"claim":[8],"that":[9,228],"increased":[10,214],"access":[11,253,267],"to":[12,27,51,105,119,159,194,254,268],"insurance":[13],"through":[14],"Medicaid":[15,25,75,125,150,190,215,222,231],"expansions":[16,26],"improves":[17],"early":[18,28,78,273],"detection":[19,29,79,111,274],"cancer.":[21],"Yet,":[22],"linking":[24],"head":[31],"and":[32,40,60,98],"neck":[33],"cancers":[34],"(HNC)":[35],"oral":[38],"cavity":[39],"pharynx,":[41],"specifically,":[42],"may":[43],"be":[44,195],"limited":[45],"by":[46],"lack":[48],"attention":[50],"Human":[52],"Papillomavirus":[53],"(HPV)":[54],"etiology,":[55],"generosity":[56,217],"dental":[58,87,153,216,232,256,269],"coverage,":[59],"valid":[61,166],"inference":[62,167],"analyzing":[63,168],"state":[64,173],"cancer":[65,177],"registry":[66,178],"data.":[67],"AIMS:":[68],"This":[69,241],"study":[70,242],"reexamined":[71],"effect":[73,122,148],"expansion":[76],"on":[77,127,155],"HPV+/-":[81],"HNC":[82,239],"in":[83,130,162,176,200],"states":[84,131,212],"offering":[85,132],"extensive":[86,133,230],"benefits.":[88],"MATERIALS":[89],"AND":[90],"METHODS:":[91],"Specialized":[92],"data":[93],"from":[94],"Surveillance,":[96],"Epidemiology,":[97],"End":[99],"Results":[100],"(SEER)":[101],"program":[102],"was":[103,192,234],"analyzed":[104],"account":[106],"for,":[107],"previously":[108],"unmeasurable,":[109],"differential":[110,147],"patterns":[112,129],"HNCs":[114,157],"associated":[115,196],"with":[116,197],"HPV.":[117],"Then,":[118],"identify":[120],"increasing":[124],"eligibility":[126,191],"staging":[128],"benefits":[134,233],"amidst":[135],"potentially":[136],"non-common":[137],"trends":[138],"between":[139],"states,":[140],"\"Triple":[142],"Differences\"":[143],"design":[144],"identifies":[145],"Expansion":[151],"(with":[152],"coverage)":[154],"HPV-negative":[156],"relative":[158],"change":[161],"HPV-positive":[163],"HNCs.":[164,277],"For":[165],"small":[170],"number":[171],"clusters":[174],"(12)":[175],"data,":[179],"each":[180],"regression":[181],"model":[182],"applies":[183],"Wild":[185],"Cluster":[186],"Bootstrap.":[187],"RESULTS:":[188],"Expanding":[189],"found":[193],"decrease":[199],"proportion":[202],"distant-stage":[204],"diagnoses":[205],"HPV(-)":[207],"HNCs,":[208],"but":[209],"only":[210],"among":[211],"which":[213,251],"at":[218],"time":[220],"expansion.":[223],"CONCLUSIONS:":[224],"These":[225],"results":[226],"suggest":[227],"adding":[229],"primary":[236],"mechanism":[237],"impacting":[238],"detection.":[240],"highlights":[243],"potential":[245],"positive":[246],"spillover":[247],"effects":[248],"policies":[250],"increase":[252],"public":[255],"coverage":[257],"for":[258,271],"low-income":[259],"adults,":[260],"while":[261],"also":[262],"showing":[263],"limitation":[265],"services":[270],"improving":[272],"HPV+":[276]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":6}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2023-05-31T00:00:00"}