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. 2018 Sep 13;144(11):1052–1057. doi: 10.1001/jamaoto.2018.1792

Table 1. Characteristics of Patients Before and After Implementation of the ACA.

Characteristic No. (%) of Patients (N = 89 038)
Prior to ACA (2007-2013) (n = 76 313) After ACA (2014) (n = 12 725)
Age, mean (SD), y 59.8 (7.5) 59.6 (7.7)
Sex
Male 51 130 (67.0) 8524 (67.0)
Female 25 183 (33.0) 4201 (33.0)
Race/ethnicity
White 62 577 (82.0) 10 408 (81.8)
American Indian or Alaskan native 534 (0.7) 101 (0.8)
Asian or Pacific Islander 3053 (4.0) 496 (3.9)
Black 7479 (9.8) 1235 (9.7)
Unknown 2670 (3.5) 485 (3.8)
Insurance status
Insurance 60 258 (79.0) 10 272 (80.7)
Medicaid 11 284 (14.8) 2066 (16.2)
Uninsured 4771 (6.3) 387 (3.0)
Primary site of cancer
Oral cavity 25 195 (33.0) 4091 (32.1)
Oropharynx 19 863 (26.0) 3359 (26.4)
Hypopharynx 4574 (6.0) 774 (6.1)
Larynx 16 003 (21.0) 2685 (21.1)
Nasopharynx 6099 (8.0) 1057 (8.3)
Sinonasal cavity 4579 (6.0) 759 (6.0)
AJCC Stage
I 30 625 (40.1) 5065 (39.8)
II 15 242 (20.0) 2567 (20.2)
III 6868 (9.0) 1158 (9.1)
IV 22 794 (29.9) 3820 (30.0)
Unknown 784 (1.0) 115 (0.9)

Abbreviations: ACA, Patient Protection and Affordable Care Act; AJCC, American Joint Committee on Cancer.