Medicaid eligible women, who by definition are socioeconomically disadvantaged, represent one of the most vulnerable segments of the population. Women in this group are at a particularly high risk of presenting with advanced stages of cancer, which in turn is associated with adverse outcomes. The study is designed to analyze disparities among breast and cervical cancer patients in stage, treatment, and survival, by Medicaid status, managed care status, race, and the type of hospital where initial cancer treatment is administered. The analysis will use a database that will be constructed by linking records from the state cancer registry, the Ohio Cancer Incidence Surveillance System (OCISS), to those of state Medicaid data and Ohio Death Certificates.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
1F32CA084621-01
Application #
6055005
Study Section
Special Emphasis Panel (ZRG1-SNEM-4 (01))
Program Officer
Lohrey, Nancy
Project Start
2000-06-01
Project End
Budget Start
2000-06-01
Budget End
2001-05-31
Support Year
1
Fiscal Year
2000
Total Cost
$30,916
Indirect Cost
Name
Case Western Reserve University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Koroukian, Siran M; Litaker, David; Dor, Avi et al. (2005) Use of preventive services by Medicare fee-for-service beneficiaries: does spillover from managed care matter? Med Care 43:445-52
Cooper, Gregory S; Chak, Amitabh; Koroukian, Siran (2005) The polyp detection rate of colonoscopy: a national study of Medicare beneficiaries. Am J Med 118:1413
Cooper, Gregory S; Koroukian, Siran M (2004) Geographic variation among Medicare beneficiaries in the use of colorectal carcinoma screening procedures. Am J Gastroenterol 99:1544-50
Cooper, Gregory S; Koroukian, Siran M (2004) Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries. Cancer 100:418-24
Koroukian, Siran M; Cooper, Gregory S; Rimm, Alfred A (2003) Ability of Medicaid claims data to identify incident cases of breast cancer in the Ohio Medicaid population. Health Serv Res 38:947-60
Koroukian, Siran M (2003) Assessing the effectiveness of Medicaid in breast and cervical cancer prevention. J Public Health Manag Pract 9:306-14
Koroukian, Siran M (2002) Racial disparities in health care. JAMA 287:2942; author reply 2943
Koroukian, Siran M; Rimm, Alfred A (2002) The ""Adequacy of Prenatal Care Utilization"" (APNCU) index to study low birth weight: is the index biased? J Clin Epidemiol 55:296-305