TABLE 3.
Association between patient characteristics and whether a patient's stage at presentation was more advanced than the stage at diagnosis among non‐analytic cancer patients at Moffitt Cancer Center (MCC) diagnosed between 2008 and 2020, by cancer type.
| Baseline characteristics | Odds Ratio (95% confidence interval) | ||||
|---|---|---|---|---|---|
| Breast cohort | Lung cohort | melanoma cohort | Colon cohort | Prostate cohort | |
| Age | |||||
| 18–64 | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| 65 or higher | 0.70 (0.55–0.90) a | 0.87 (0.70–1.08) | 0.71 (0.55–0.92) | 1.14 (0.87–1.51) | 0.94 (0.72–1.22) |
| Age | |||||
| 18–39 | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | NA |
| 40–64 | 0.75 (0.53–1.05) | 2.01 (0.71–8.43) | 0.82 (0.51–1.34) | 1.17 (0.67–2.16) | 1.00 (reference) |
| 65 or higher | 0.55 (0.38–0.80) | 1.72 (0.61–7.22) | 0.60 (0.38–0.97) | 1.32 (0.75–2.45) | 0.94 (0.72–1.22) |
| Gender | |||||
| Female | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Male | 0.62 (0.18–1.72) | 1.11 (0.89–1.37) | 1.01 (0.76–1.34) | 1.18 (0.90–1.55) | NA |
| Race | |||||
| White | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Asian | 1.16 (0.59–2.18) | 2.02 (0.96–3.96) | 0.96 (0.04–10.01) | 0.17 (0.01–0.83) | 4.08 (1.20–12.89) |
| Black | 1.39 (1.01–1.89) a | 0.97 (0.54–1.62) | 0.32 (0.02–1.87) | 0.96 (0.61–1.47) | 1.08 (0.69–1.63) |
| Other/multiple | 1.49 (0.91–2.39) | 0.74 (0.28–1.61) | 1.53 (0.38–5.81) | 0.90 (0.41–1.78) | 0.90 (0.41–1.76) |
| Ethnicity | |||||
| Non‐Hispanic | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Hispanic or Spanish origin | 1.59 (1.16–2.18) | 0.88 (0.54–1.37) | 0.96 (0.44–1.95) | 1.44 (0.91–2.23) | 1.19 (0.69–1.94) |
| Payment method (all ages) | |||||
| Private/Manage | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Self‐pay/not insured | 1.80 (0.59–4.58) | 1.07 (0.31–2.84) | 0.91 (0.20–2.99) | 1.81 (0.61–4.73) | 3.14 (0.46–13.18) |
| Medicaid | 1.39 (0.54–3.09) | 0.46 (0.11–1.32) | 2.84 (0.36–17.80) | 1.13 (0.36–3.01) | NA |
| Medicare | 1.28 (0.78–2.11) | 0.89 (0.59–1.37) | 1.17 (0.73–1.89) | 1.30 (0.76–2.27) | 2.09 (1.04–4.56) |
| Tricare/VA | NA | 0.56 (0.09–1.94) | 1.60 (0.34–5.86) | 0.90 (0.05–5.41) | 2.76 (0.59–9.64) |
| Payment method (age 18–64) | |||||
| Private/Manage | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Self pay/Not insured | 1.47 (0.42–4.00) | 1.31 (0.37–3.57) | 0.67 (0.10–2.61) | 1.87 (0.63–4.96) | 2.99 (0.44–12.61) |
| Medicaid | 1.23 (0.45–2.87) | 0.49 (0.11–1.43) | 2.92 (0.37–18.37) | 1.06 (0.33–2.83) | NA |
| Medicare | 3.58 (1.78–6.96) a | 1.50 (0.71–2.99) | 2.05 (0.73–5.30) | 1.66 (0.67–3.84) | 2.76 (0.90–7.77) |
| Tricare/VA | NA | 1.35 (0.21–5.04) | 1.25 (0.18–5.49) | NA | 2.99 (0.44–12.61) |
| Payment method (age 65 and above) | |||||
| Private/Manage | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Self pay/Not insured | NA | NA | 3.00 (0.10–94.48) | NA | NA |
| Medicaid | 7.00 (0.22–239.93) | NA | NA | NA | NA |
| Medicare | 0.56 (0.14–3.74) | 0.68 (0.30–1.82) | 0.78 (0.22–3.59) | 3.04 (0.59–55.91) | NA |
| Tricare/VA | NA | NA | 3.00 (0.10–94.48) | 5.33 (0.18–164.46) | NA |
| Cigarettes use | |||||
| Never | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
| Former | 1.17 (0.93–1.48) | 1.54 (1.11–2.19) | 0.88 (0.66–1.18) | 0.99 (0.73–1.35) | 0.93 (0.71–1.23) |
| Current | 1.28 (0.87–1.85) | 1.01 (0.66–1.55) | 0.94 (0.57–1.52) | 0.82 (0.49–1.31) | 0.68 (0.38–1.13) |
| Whether address at diagnosis inside MCC catchment area (15 counties in FL b ) | |||||
| No | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Yes | 0.78 (0.52–1.19) | 0.99 (0.68–1.44) | 0.75 (0.50–1.11) | 1.00 (0.63–1.61) | 0.79 (0.45–1.43) |
a
Factors remained significant in a multivariable logistic regression with backward elimination process.
b
The 15‐county MCC catchment area included the following counties in Florida: Charlotte, Citrus, Desoto, Hardee, Hernando, Highlands, Hillsborough, Lake, Lee, Manatee, Pasco, Pinellas, Polk, Sarasota, or Sumter.