Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Sep 15, 2023; 15(9): 1653-1661
Published online Sep 15, 2023. doi: 10.4251/wjgo.v15.i9.1653
Utilization of access to colorectal cancer screening modalities in low-income populations after medicaid expansion
Gerald Fletcher, Joan Culpepper-Morgan, Alvaro Genao, Eric Alatevi
Gerald Fletcher, Joan Culpepper-Morgan, Alvaro Genao, Eric Alatevi, Department of Gastroenterology, NYC Health + Hospitals/Harlem, New York, NY 10037, United States
Gerald Fletcher, College of Public Health/Health Policy and Management, University of Arizona, Tucson, AZ 85006, United States
Author contributions: Fletcher G designed the study and performed the analysis; Fletcher G, Culpepper-Morgan J, Genao A, and Alatevi E were involved in the initial draft and final version of the manuscript.
Institutional review board statement: This study was deemed by our institution’s IRB as exempt. The data used is from the Behavioral Risk Factor Surveillance System (BRFSS) which is a de-identified and a publicly available dataset.
Informed consent statement: Not applicable given that data is de-identified and publically available. Study is deemed IRB exempt.
Conflict-of-interest statement: Disclosures of financial arrangements by authors: No conflicts of interest exist. Funding sources, funding sources or institutional or corporate affiliations by authors: None; Grant support: None Writing Assistance: None.
Data sharing statement: Technical appendix, statistical code and dataset available from corresponding author at pkfletcher@gmail.com.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gerald Fletcher, MD, Doctor, Department of Gastroenterology, NYC Health + Hospitals/Harlem, 506 Lenox Ave, New York, NY 10037, United States. pkfletcher@gmail.com
Received: May 29, 2023
Peer-review started: May 29, 2023
First decision: July 23, 2023
Revised: July 31, 2023
Accepted: August 15, 2023
Article in press: August 15, 2023
Published online: September 15, 2023
Core Tip

Core Tip: While many researchers have shown and studied how the Affordable Care Act through its Medicaid’s expansion increased healthcare access to different categories of potential beneficiaries, little is known about actual utilization of this “newly gained” access. Our paper focuses specifically on examining this specific question.