Grant Abstract

In-Depth Examination of disparities in Cancer Outcomes
(Research conducted by National Cancer Institute)

This proposed research uses 1996 through 2000 Medicare eligibility and claim files for Michigan Residents linked with the Michigan Cancer and Death Certificate Registries to create an inception cohort of newly diagnosed cancer patients. This cohort will be identified by Medicare eligibility status (dually eligible versus Medicare only). This project proposes to examine disparities in the incidence of breast, colorectal, lung, and prostate cancer, the stage of these diseases at diagnosis. This research seeks to expand knowledge regarding the complex interactions among the social, personal, racial, and health system variables that create and influence disparities along the cancer trajectory. For example, does later stage at diagnosis lead to less appropriate care that leads to higher costs and shorter survival? An examination of the impact of disparities in cancer detection and/or treatment on survival is one of the significant additions of research on this state of science. We have four simply stated aims that are analytically highly complex. Their aims are targeted at to populations of interest-persons dually eligible for Medicare and full Medicaid benefits and person eligible for Medicare without Medicaid (for the purposes of this application referred to as 'Medicare Only.") These aims are: 1) measure the cancer incidence rates in dually eligible and Medicare beneficiaries only; 2) Compare stage of diagnosis for dually eligible and Medicare only beneficiaries; 3) Compare treatment delivery between the two groups and estimate the cost of care; 4) Measure survival rates for dually eligible and Medicare only beneficiaries.

MSU is an affirmative-action, equal-opportunity institution.
Copyright © 2000 by Michigan State University Board of Trustees.
If you have questions or comments please contact the WEBMASTER
Last modified on 03/31/2004