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Adjusting for age explains most of the gender differences in average Medicare expenditures. Mean illness duration did not differ significantly by gender within age group. Deductibles, co-insurance, durable medical equipment, expenditures by other insurance, and out-of-pocket expenses were not included.



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We included the number of comorbidities 0 to 14 as a control for burden of illness. In our previous work focusing on the general population, we found that age is much more important than gender in explaining variation in end of life care Shugarman, Campbell, Bird, Gabel et al. We derived age, gender, race, and Medicaid enrollment from the Medicare Denominator files.

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Adjusting for age explains most of the gender differences in average Medicare expenditures. Mean illness duration did not differ significantly by gender within age group. Deductibles, co-insurance, durable medical equipment, expenditures by other insurance, and out-of-pocket expenses were not included.

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  1. Moreover in both genders, lung cancer represents the second most common cancer diagnosis and the leading cause of cancer death: Moreover, our previous work demonstrates that gender differences in total Medicare expenditures narrow over the last three years of life.

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