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The Relationship Between Hodgkin Lymphoma Survival Rate and Insurance Status

Melissa D. Cooper

July 2015

According to the American Cancer Society, the estimated overall survival rate of patients diagnosed with Stage I Hodgkin lymphoma is 90%, while Stage IV has a 65% survival rate. A study published in Cancer sought to determine how insurance status affects Hodgkin lymphoma survival rate [Cancer. 2015 June 8. DOI: 10.1002/cncr.29518.].

Using the National Cancer Data Base, researchers determined that of the 45,777 eligible Hodgkin lymphoma patients, 66.3% were privately insured, 17.4% received insurance through Medicaid, 8.2% had managed care, 7.1% were uninsured, and 1.1% were insured through Medicare.

Patients who were insured through Medicaid or were not insured were less likely to receive radiotherapy and begin chemotherapy in a timely manner, and were less likely to be treated at an academic/research-based medical center (P<.01). These patients were also at more advanced stages of Hodgkin lymphoma and had higher comorbidity scores (P<.01). Participants who were insured through Medicaid or were not insured had a 5-year overall survival of 54% compared to the other participants who were considered “favorably insured” (87%, P<.01).—Melissa D. Cooper 

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