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Background <p>The impact of health insurance on dentition status in patients undergoing hematopoietic stem cell transplantation (HCT) is poorly understood, despite evidence that social determinants influence cancer care disparities. The primary objective of this study is to examine the association between health insurance coverage and pre–HCT dentition status at our institution.</p> Patients and Methods <p>A retrospective study was conducted on 2045 adults who underwent pre-HCT dental evaluation at the Dental Service, Memorial Sloan Kettering Cancer Center, New York between 2013 and 2023. Demographic data, health insurance type (commercial, Medicare, Medicaid) and medical comorbidities such as diabetes and hypertension were retrieved from their medical records. Dentition status including decayed (D), missing (M), filled (F) teeth and combined DMFT scores were collected from their dental charts. Associations between health insurance type and dentition and comorbidities were analysed using Kruskal–Wallis, Pearson’s Chi-squared, and Fisher’s exact tests.</p> Results <p>Majority patients were male (58%), of White race (77%) and non-Hispanic ethnicity (89%), with a median age of 57&#xa0;years (range, 18–81). Commercial insurance was the most common (66%), followed by Medicare (24%) and Medicaid (10%). Patients with Medicaid had the highest number of D and lowest number of F teeth (p &lt; 0.001<b>)</b>. Patients with Medicare had the highest DMFT scores (β = 4.4, 95% CI: 3.7–5.2; p &lt; 0.001), adjusting for clinically relevant covariates.</p> Conclusion <p>Health insurance type was significantly associated with dentition status in HCT patients, highlighting the need for targeted interventions to improve dental care access and reduce disparities in this population.</p>

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Impact of health insurance coverage on dentition status prior to hematopoietic cell transplant: A 10-year single-institution observational study

  • 期刊论文

  • 发表日期：

    2026年5月25日

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  • Kevin Chung,
  • Annu Singh,
  • Charlie White,
  • Elyn R. Riedel,
  • Edward Christopher Dee,
  • Francisca Onyiuke,
  • Dana M. Bergenfeld,
  • SaeHee K. Yom,
  • Joseph M. Huryn,
  • Cherry L. Estilo

摘要

Background

The impact of health insurance on dentition status in patients undergoing hematopoietic stem cell transplantation (HCT) is poorly understood, despite evidence that social determinants influence cancer care disparities. The primary objective of this study is to examine the association between health insurance coverage and pre–HCT dentition status at our institution.

Patients and Methods

A retrospective study was conducted on 2045 adults who underwent pre-HCT dental evaluation at the Dental Service, Memorial Sloan Kettering Cancer Center, New York between 2013 and 2023. Demographic data, health insurance type (commercial, Medicare, Medicaid) and medical comorbidities such as diabetes and hypertension were retrieved from their medical records. Dentition status including decayed (D), missing (M), filled (F) teeth and combined DMFT scores were collected from their dental charts. Associations between health insurance type and dentition and comorbidities were analysed using Kruskal–Wallis, Pearson’s Chi-squared, and Fisher’s exact tests.

Results

Majority patients were male (58%), of White race (77%) and non-Hispanic ethnicity (89%), with a median age of 57 years (range, 18–81). Commercial insurance was the most common (66%), followed by Medicare (24%) and Medicaid (10%). Patients with Medicaid had the highest number of D and lowest number of F teeth (p < 0.001). Patients with Medicare had the highest DMFT scores (β = 4.4, 95% CI: 3.7–5.2; p < 0.001), adjusting for clinically relevant covariates.

Conclusion

Health insurance type was significantly associated with dentition status in HCT patients, highlighting the need for targeted interventions to improve dental care access and reduce disparities in this population.