Key Points:
- Insurance status was significantly associated with the odds of
receiving definitive treatment only among patients with T4a oral
cavity cancer.
- Patients who were Uninsured or on Medicaid are less likely to receive
definitive surgical treatment.
- Insured patients were more likely to be male, of older age at
presentation, married, and White.
- Characteristics associated with significantly lower odds of receiving
definitive treatment included female sex; unmarried, separated,
divorced, or widowed; T4b disease; Medicaid insurance; and uninsured
patients.
- Patients with T4a disease during the post-ACA period were more likely
to receive definitive treatment compared to those who received
treatment pre-ACA.