Insured cancer patients treated at Kaiser Permanente have better survival rates
Among cancer patients with health coverage in Southern California, those who were diagnosed and treated at Kaiser Permanente, an integrated health care organization, had better survival rates, especially Black and Latino patients, according to Kaiser Permanente research published in
The American Journal of Managed Care. Kaiser Permanente is committed to finding and addressing health care inequities, said the study s senior author, Reina Haque, PhD, a cancer epidemiologist in the Kaiser Permanente Southern California Department of Research & Evaluation. We investigated survival among insured patients with cancer to help pinpoint factors associated with mortality. We found that although Kaiser Permanente Southern California had a higher proportion of minority patients and those from lower socioeconomic status groups, the overall mortality rate among Kaiser Permanente members was still lower than in t
Neighborhood quality may affect a person s longevity after heart attack
Black patients from disadvantaged neighborhoods were significantly more likely to die within five years of surviving a heart attack compared with Black heart attack patients from wealthier neighborhoods and white patients of any socioeconomic means who survive a heart attack, according to a study being presented at the American College of Cardiology s 70th Annual Scientific Session.
The researchers analyzed data from nearly 32,000 patients with health insurance treated for a heart attack within the Kaiser Permanente Southern California hospital system between 2006-2016. The researchers assigned each patient a neighborhood disadvantage score based on their home address using the Area Deprivation Index, a validated index for assessing neighborhood disadvantage based on 17 variables reflecting education, income, employment and household characteristics.
Black patients from disadvantaged neighborhoods were significantly more likely to die within five years of surviving a heart attack compared with Black heart attack patients from wealthier neighborhoods and white patients of any socioeconomic means who survive a heart attack, according to a study being presented at the American College of Cardiology s 70th Annual Scientific Session.
May 05, 2021
The combination of living in a disadvantaged neighborhood and being Black significantly raises the risk of death in the years after being discharged for an acute MI, new research shows.
“Patients from worse neighborhoods tended to have worse outcomes after acute myocardial infarction. This was seen across all races,” the study’s lead author, Jesse Goitia, MD (Kaiser Permanente Los Angeles Medical Center, CA), told TCTMD. “What particularly stood out was that African-American patients tended to have worse outcomes, but African-American patients from good neighborhoods did not. It seemed that the neighborhood was the mediating factor.”
“It makes sense,” Quinn Capers IV, MD (University of Texas Southwestern Medical Center, Dallas), chair of the ACC’s diversity and inclusion committee, commented to TCTMD. The study adds evidence, he said, to support the idea that the same social determinants of health that increase risks for having an MI things like crowde
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