What question did this study set out to answer?

This research investigates if racial and ethnic disparities exist in treatment costs and utilization among pediatric and young adult patients with acute lymphoblastic leukemia (ALL).

July 1, 2026Journal of Pediatric Hematology/Oncology

Racial and Ethnic Disparities in Treatment Cost and Utilization in Pediatric and Young Adult Acute Lymphoblastic Leukemia

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Authors

LRL RemmeUniversity of Minnesota Medical Center DWDave WatsonMayo Clinic PRPaige ReimcheChildren’s Minnesota - St. Paul Hospital

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Implication

Randomized trial assesses treatment cost and utilization in pediatric acute lymphoblastic leukemia, suggesting racial disparities contribute to survival differences.

Key Points

This research investigates if racial and ethnic disparities exist in treatment costs and utilization among pediatric and young adult patients with acute lymphoblastic leukemia (ALL).
Analyzed administrative claims data from OptumLabs and SEER for patients diagnosed with ALL from 2000 to 2019 at ages 1 to 24 years.
Collected data on sex, race, ethnicity, age, year, and subtype of ALL diagnosis.
Used regression models to assess associations with demographic characteristics and survival analyses to evaluate race and ethnicity impacts on overall survival.
Treatment costs were 57% lower for Black patients compared to White patients (estimate 0.43, 95% CI: 0.19-0.96; P=0.04).
Black patients had 24% fewer outpatient visits than White patients (estimate 0.76, 95% CI: 0.58-0.99; P=0.04).
No significant differences in survival rates were identified, aligning with previous findings.

Cite This Study

Remme et al. (2026) studied this question.

synapsesocial.com/papers/6a44b0085cd2549c8bc44da9 https://doi.org/10.1097/mph.0000000000003241

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Implication

Randomized trial assesses treatment cost and utilization in pediatric acute lymphoblastic leukemia, suggesting racial disparities contribute to survival differences.

Racial and Ethnic Disparities in Treatment Cost and Utilization in Pediatric and Young Adult Acute Lymphoblastic Leukemia

Discussion

Member takes

Implication

Key Points

Cite This Study

Racial and Ethnic Disparities in Treatment Cost and Utilization in Pediatric and Young Adult Acute Lymphoblastic Leukemia

Discussion

Member takes

Implication

Key Points

Cite This Study

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