Treating cervical cancer: Breast and Cervical Cancer Prevention and Treatment Act patients

Li Nien Chien, E. Kathleen Adams, Lisa C. Flowers

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To investigate cervical cancer treatment of patients enrolled under the Breast and Cervical Cancer Prevention and Treatment Act in Georgia. Study Design: Georgia Comprehensive Cancer Registry and Medicaid enrollment/claims were used to identify enrollees with preinvasive disease (n = 1149) and invasive cervical cancer (n = 444). Logistic regressions were used to estimate factors associated with the odds of receiving: (1) cancer workup, (2) precancerous procedure, (3) surgery, (4) radiation, and (5) chemotherapy. Results: Preinvasive disease cases with cervical intraepithelial neoplasia 3, in situ, a comorbidity or without a Commission on Cancer approved hospital nearby were more likely to receive surgery. Among invasive cases, later stage was associated with higher odds of receiving radiation or chemotherapy. Black patients were less likely to have surgery than white patients regardless of preinvasive (P <.01) or invasive status (P = .05). Conclusion: Treatment patterns among Georgia Medicaid cases appear appropriate to stage but 18% with invasive cervical cancer received no cancer treatment, although Medicaid enrolled.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume204
Issue number6
DOIs
Publication statusPublished - Jun 2011
Externally publishedYes

Fingerprint

Uterine Cervical Neoplasms
Medicaid
Breast Neoplasms
Radiation
Cancer Care Facilities
Drug Therapy
Neoplasms
Cervical Intraepithelial Neoplasia
Therapeutics
Registries
Comorbidity
Logistic Models

Keywords

  • BCCPTA
  • cancer treatment
  • cervical cancer
  • Medicaid

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Treating cervical cancer : Breast and Cervical Cancer Prevention and Treatment Act patients. / Chien, Li Nien; Adams, E. Kathleen; Flowers, Lisa C.

In: American Journal of Obstetrics and Gynecology, Vol. 204, No. 6, 06.2011.

Research output: Contribution to journalArticle

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