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In this report, the authors provide comprehensive data on the associations of health insurance coverage type with stage at diagnosis and long\u2010term survival in individuals aged 18\u201364\u2009years who were diagnosed between 2010 and 2013 with 19 common cancers from the National Cancer Database, with survival follow\u2010up through December 31, 2019. Compared with privately insured patients, Medicaid\u2010insured and uninsured patients were significantly more likely to be diagnosed with late\u2010stage (III\/IV) cancer for all stageable cancers combined and separately. For all stageable cancers combined and for six cancer sites\u2014prostate, colorectal, non\u2010Hodgkin lymphoma, oral cavity, liver, and esophagus\u2014uninsured patients with Stage I disease had worse survival than privately insured patients with Stage II disease. Patients without private insurance coverage had worse short\u2010term and long\u2010term survival at each stage for all cancers combined; patients who were uninsured had worse stage\u2010specific survival for 12 of 17 stageable cancers and had worse survival for leukemia and brain tumors. Expanding access to comprehensive health insurance coverage is crucial for improving access to cancer care and outcomes, including stage at diagnosis and survival.<\/jats:p>","DOI":"10.3322\/caac.21732","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T09:57:30Z","timestamp":1657706250000},"page":"542-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":109,"title":["Health insurance status and cancer stage at diagnosis and survival in the United States"],"prefix":"10.3322","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2733-2000","authenticated-orcid":false,"given":"Jingxuan","family":"Zhao","sequence":"first","affiliation":[{"name":"Surveillance and Health Equity Science American Cancer Society  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuesong","family":"Han","sequence":"additional","affiliation":[{"name":"Surveillance and Health Equity Science American Cancer Society  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-3660","authenticated-orcid":false,"given":"Leticia","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Surveillance and Health Equity Science American Cancer Society  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey A.","family":"Fedewa","sequence":"additional","affiliation":[{"name":"Department of Hematology and Oncology Emory University  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmedin","family":"Jemal","sequence":"additional","affiliation":[{"name":"Surveillance and Health Equity Science American Cancer Society  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T.","family":"Halpern","sequence":"additional","affiliation":[{"name":"National Cancer Institute at the National Institutes of Health  Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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