Anon. Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2019 to 2029 | Congressional Budget Office. Available at: https://www.cbo.gov/publication/55085. Accessed September 2, 2022.

Salazar MC, Gross CP. Improving Surgical Cancer Care: A Rising Tide May Lift All Boats, Yet Inequity Persists. JAMA Netw Open American Medical Association 2020;3:e2027809–e2027809.

Google Scholar 

Nizam W, Yeo HL, Obeng-Gyasi S, et al. Disparities in Surgical Oncology: Management of Advanced Cancer. Ann Surg Oncol Springer Science and Business Media Deutschland GmbH 2021;28:8056–8073.

Google Scholar 

Ghaffarpasand E, Welten VM, Fields AC, et al. Racial and Socioeconomic Disparities After Surgical Resection for Rectal Cancer. J Surg Res J Surg Res 2020;256:449–457.

Article  PubMed  Google Scholar 

Cairns AL, Schlottmann F, Strassle PD, et al. Racial and Socioeconomic Disparities in the Surgical Management and Outcomes of Patients with Colorectal Carcinoma. World J Surg World J Surg 2019;43:1342–1350.

Article  PubMed  Google Scholar 

Abraham A, Al-Refaie WB, Parsons HM, et al. Disparities in pancreas cancer care. Ann Surg Oncol Springer 2013;20:2078–2087.

Article  Google Scholar 

Mouch CA, Regenbogen SE, Revels SL, et al. The quality of surgical care in safety net hospitals: a systematic review. Surgery Surgery 2014;155:826–838.

Article  PubMed  Google Scholar 

Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ British Medical Journal Publishing Group 2021;372.

Google Scholar 

Page MJ, Shamseer L, Tricco AC. Registration of systematic reviews in PROSPERO: 30,000 records and counting. Syst Rev BioMed Central 2018;7.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev 2016;5:210.

Article  PubMed  PubMed Central  Google Scholar 

Althans AR, Brady JT, Times ML, et al. Colorectal Cancer Safety Net: Is It Catching Patients Appropriately? Dis Colon Rectum Wolters Kluwer 2018;61:115–123.

Article  Google Scholar 

Winton LM, Nodora JN, Martinez ME, et al. Factors associated with surgical management in an underinsured, safety net population. Surgery Surgery 2016;159:580–590.

Article  PubMed  Google Scholar 

Leal IM, Kao LS, Karanjawala B, et al. Understanding Patients’ Experiences of Diagnosis and Treatment of Advanced Colorectal Cancer in a Safety-Net Hospital System: A Qualitative Study. Dis Colon Rectum Dis Colon Rectum 2018;61:504–513.

Article  PubMed  Google Scholar 

Komenaka IK, Nodora JN, Madlensky L, et al. Participation of low-income women in genetic cancer risk assessment and BRCA 1/2 testing: the experience of a safety-net institution. J Community Genet J Community Genet 2016;7:177–183.

Article  PubMed  Google Scholar 

Komenaka IK, Djenic B, Walters J, et al. The benefit of preoperative chemotherapy in an underinsured hispanic population with poor use of screening mammography. Cancer Res I.K. Komenaka 2016;76.

Jaiswal K, Hull M, Furniss AL, et al. Delays in Diagnosis and Treatment of Breast Cancer: A Safety-Net Population Profile. J Natl Compr Canc Netw J Natl Compr Canc Netw 2018;16:1451–1457.

Article  PubMed  Google Scholar 

Tang A, Mittal A, Mooney CM, et al. Factors delaying chemotherapy in patients with breast cancer at a safety-net hospital. J Natl Med Assoc J Natl Med Assoc 2022;113:706–712.

PubMed  Google Scholar 

Ekeh AP, Alleyne RS, Duncan AO. Role of mammography in diagnosis of breast cancer in an inner-city hospital. J Natl Med Assoc National Medical Association 2000;92:372.

CAS  Google Scholar 

Tang A, Mooney CM, Beattie G, et al. Health Equity Within Inequity: Timing of Diagnostic Breast Cancer Care in an Underserved Medical Population. Anticancer Res Anticancer Res 2021;41:3607–3613.

Article  PubMed  Google Scholar 

Breen N, Yabroff KR, Meissner HI. What proportion of breast cancers are detected by mammography in the United States? Cancer Detect Prev 2007;31:220–224.

Article  PubMed  Google Scholar 

Althans AR, Brady JT, Keller DS, et al. Are we catching women in the safety net? Colorectal cancer outcomes by gender at a safety net hospital. Am J Surg Am J Surg 2017;214:715–720.

Article  PubMed  Google Scholar 

National Cancer Institute. Colon Cancer Screening. Cancer Trends Progress Report 2023.

Bradley CJ, Dahman B, Shickle LM, Lee W. Surgery Wait Times and Specialty Services for Insured and Uninsured Breast Cancer Patients: Does Hospital Safety Net Status Matter? Health Serv Res Health Research & Educational Trust 2012;47:677.

Google Scholar 

Roland CL, Schwarz RE, Tong L, et al. Is timing to delivery of treatment a reliable measure of quality of care for patients with colorectal adenocarcinoma? Surgery Surgery 2013;154:421–428.

Article  PubMed  Google Scholar 

Hrebinko KA, Rieser C, Nassour I, et al. Patient Factors Limit Colon Cancer Survival at Safety-Net Hospitals: A National Analysis. J Surg Res J Surg Res 2021;264:279–286.

Article  PubMed  Google Scholar 

Duininck G, Lopez-Aguiar AG, Lee RM, et al. Optimizing cancer care for hepatocellular carcinoma at a safety-net hospital: The value of a multidisciplinary disease management team. J Surg Oncol J Surg Oncol 2019;120:1365–1370.

Article  PubMed  Google Scholar 

Popescu I, Fingar KR, Cutler E, et al. Comparison of 3 Safety-Net Hospital Definitions and Association With Hospital Characteristics. JAMA Netw Open American Medical Association 2019;2:e198577–e198577.

Google Scholar 

Mokdad AA, Murphy CC, Pruitt SL, et al. Effect of hospital safety net designation on treatment use and survival in hepatocellular carcinoma. Cancer Cancer 2018;124:743–751.

Article  PubMed  Google Scholar 

Hoehn RS, Hanseman DJ, Dhar VK, et al. Opportunities to Improve Care of Hepatocellular Carcinoma in Vulnerable Patient Populations. J Am Coll Surg J Am Coll Surg 2017;224:697–704.

Article  PubMed  Google Scholar 

Ballard TNS, Zhong L, Momoh AO, et al. Improved Rates of Immediate Breast Reconstruction at Safety Net Hospitals. Plast Reconstr Surg Plast Reconstr Surg 2017;140:1–10.

Article  CAS  PubMed  Google Scholar 

Wang W, Hoyler MM, White RS, et al. Hospital Safety-Net Burden Is Associated With Increased Inpatient Mortality and Perioperative Complications After Colectomy. J Surg Res J Surg Res 2021;259:24–33.

Article  PubMed  Google Scholar 

Offodile AC, Boukovalas S, Muldoon L, Lee CN. Assessing the Quality of Microvascular Breast Reconstruction Performed in the Urban Safety-Net Setting: A Doubly Robust Regression Analysis. Plast Reconstr Surg Lippincott Williams and Wilkins 2019;143:361–370.

Article  CAS  Google Scholar 

Whitaker RG, Reiter KL, Weinberger M, Stearns SC. Colorectal cancer surgery outcomes for vulnerable patients in safety-net versus non-safety-net hospitals. J Health Care Poor Underserved J Health Care Poor Underserved 2013;24:718–729.

Article  PubMed  Google Scholar 

Vitiello GA, Wang A, Lee RM, et al. Surgical resection of early stage hepatocellular carcinoma improves patient survival at safety net hospitals. J Surg Oncol J Surg Oncol 2021;123:963–969.

Article  PubMed  Google Scholar 

Sabik LM, Bradley CJ. Differences in Mortality for Surgical Cancer Patients by Insurance and Hospital Safety Net Status. Med Care Res Rev NIH Public Access 2013;70:84.

Article  Google Scholar 

Cooper University Health Care. About Academic Health Systems.

America’s Essential Hospitals. Our Members.

Ko NY, Battaglia TA, Gupta-Lawrence R, et al. Burden of socio-legal concerns among vulnerable patients seeking cancer care services at an urban safety-net hospital: a cross-sectional survey. BMC Health Serv Res BioMed Central 2016;16.

Desai A, Gyawali B. Financial toxicity of cancer treatment: Moving the discussion from acknowledgement of the problem to identifying solutions. EClinicalMedicine Elsevier 2020;20:100269.

Article  Google Scholar 

Figueroa JF, Joynt KE, Zhou X, et al. Safety-Net Hospitals Face More Barriers Yet Use Fewer Strategies to Reduce Readmissions. Med Care NIH Public Access 2017;55:229.

Google Scholar 

Cassim S, Chepulis L, Keenan R, et al. Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: A systematic review 11 Medical and Health Sciences 1117 Public Health and Health Services 11 Medical and Health Sciences 1112 Oncology and Carcinogenesis. BMC Cancer BioMed Central Ltd. 2019;19:1–14.

Google Scholar 

Hendren S, Chin N, Fisher S, et al. Patients’ Barriers to Receipt of Cancer Care, and Factors Associated with Needing More Assistance from a Patient Navigator. J Natl Med Assoc NIH Public Access 2011;103:701.

Google Scholar 

McLaughlin JM, Anderson RT, Ferketich AK, et al. Effect on Survival of Longer Intervals Between Confirmed Diagnosis and Treatment Initiation Among Low-Income Women With Breast Cancer. Journal of Clinical Oncology American Society of Clinical Oncology 2012;30:4493.

Article  Google Scholar 

Hanna TP, King WD, Thibodeau S, et al. Mortality due to cancer treatment delay: systematic review and meta-analysis. BMJ British Medical Journal Publishing Group 2020;371:m4087.

Google Scholar 

Tang A, Ugarte S, Cohan CM, et al. Factors Delaying Chemotherapy for Breast Cancer Patients in an Underserved Community. J Am Coll Surg 2020;231:e84.

Article  Google Scholar 

Stanley S, Arriola KJ, Smith S, et al. Reducing barriers to breast cancer care through Avon patient navigation programs. J Public Health Manag Pract United States 2013;19:461–7.

Article  Google Scholar 

Haideri NA, Moormeier JA. Impact of patient navigation from diagnosis to treatment in an urban safety net breast cancer population. J Cancer J Cancer 2011;2:467–473.

Article  PubMed  Google Scholar 

Richards MA, Smith P, Ramirez AJ, et al. The influence on survival of delay in the presentation and treatment of symptomatic breast cancer. British Journal of Cancer 1999 79:5 Nature Publishing Group 1999;79:858–864.

Luu S, Hsu C, Silberfein EJ. Demographic and Clinicopathologic Factors of Patients With Hepatocellular Carcinoma in a Safety Net Hospital. J Surg Res J Surg Res 2020;256:374–380.

Article  PubMed  Google Scholar 

Chan C, Lopez A, Castaneda G, et al. Black Patients with Colorectal Cancer Have More Advanced Cancer Stage at Time of Diagnosis: A Community-Based Safety-Net Hospital Experience. Journal of Community Health 2016 42:4 Springer 2016;42:724–729.

Hadley J, Cunningham P. Availability of Safety Net Providers and Access to Care of Uninsured Persons. Health Serv Res Health Research & Educational Trust 2004;39:1527.

Google Scholar 

Antunez AG, Kanters AE, Regenbogen SE. Evaluation of Access to Hospitals Most Ready to Achieve National Accreditation for Rectal Cancer Treatment. JAMA Surg JAMA Surg 2019;154:516–523.

Article  PubMed  Google Scholar 

Sarkar RR, Courtney PT, Bachand K, et al. Quality of care at safety-net hospitals and the impact on pay-for-performance reimbursement. Cancer Cancer 2020;126:4584–4592.

Article  PubMed  Google Scholar 

McHugh M, Kang R, Hasnain-Wynia R. Understanding the safety net: Inpatient quality of care varies based on h