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Nonbiological factors affecting outcomes in adolescents and young adults with lymphoma.
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  • Aditi Dhir,
  • Narendranath Epperla,
  • Luciano J. Costa,
  • Ana Xavier
Aditi Dhir
University of Miami School of Medicine

Corresponding Author:[email protected]

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Narendranath Epperla
The Ohio State University Comprehensive Cancer Center Arthur G James Cancer Hospital and Richard J Solove Research Institute
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Luciano J. Costa
The University of Alabama at Birmingham Division of Hematology and Oncology
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Ana Xavier
The University of Alabama at Birmingham Department of Pediatrics
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Impact of nonbiological factors (NBF) on survival was investigated in a large cohort of adolescents and young adults (AYA) with lymphoma in the US. We found that uninsured and Medicaid AYA beneficiaries with classical Hodgkin lymphoma (cHL) and non-Hodgkin lymphoma (NHL) are at significantly increased risk of death when compared with their insured counterpart even after adjustment for other factors affecting survival. NHL AYA patients residing in lower income counties are at increased risk of death. The strong association of NBF with survival indicates opportunities to improve survival of AYA lymphoma patients by improving access/quality of care in the US.