Table 1.
Demographic and clinical characteristics by time-to-surgery category, racial/ethnic background, and surgery type (N = 2069)
| Characteristic | Total sample, n (%) | Time from cancer diagnosis to initial surgical therapy | Racial/ethnic background | Surgical treatment type | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Less than 1 month, n = 1130 (55%) | Between 1 and 2 months, n = 604 (29%) | More than 2 months, n = 335 (16%) | P-value | Non-hispanic White (n = 1750) | Non-hispanic Black (n = 158) | Hispanic (n = 161) | P-value | Mastectomy (n = 856) 41.4% | BCS (n = 1213) 58.6% | P-value | ||
| Age at survey | ||||||||||||
| Median | 75.0 | 74.7 | 75.6 | 74.6 | 0.592 | 75.2 | 73.0 | 73.8 | <0.001 | 75.9 | 74.3 | 0.004 |
| Mean (SD) | 75.6 (6.4) | 75.5 (6.5) | 75.8 (6.0) | 75.7 (6.6) | 75.8 (6.4) | 73.9 (6.0) | 74.9 (5.9) | 76.1 (6.4) | 75.3 (6.3) | |||
| 66–69 | 471 (22.8) | 276 (24.4) | 118 (19.5) | 77 (23.0) | 0.172 | 379 (21.7) | 49 (31.0) | 43 (26.7) | 0.027 | 180 (21.0) | 291 (24.0) | 0.019 |
| 70–74 | 577 (27.9) | 311 (27.5) | 169 (28.0) | 97 (29.0) | 483 (27.6) | 49 (31.0) | 45 (27.9) | 218 (25.5) | 359 (29.6) | |||
| 75–79 | 501 (24.2) | 256 (22.7) | 171 (28.3) | 74 (22.1) | 424 (24.2) | 36 (22.8) | 41 (25.5) | 231 (27.0) | 270 (22.3) | |||
| 80–84 | 338 (16.3) | 187 (16.6) | 98 (16.2) | 53 (15.8) | 303 (17.3) | < 11% | < 12% | 142 (16.6) | 196 (16.2) | |||
| 85 + | 182 (8.8) | 100 (8.8) | 48 (8.0) | 34 (10.1) | 161 (9.2) | < 7% | < 7% | 85 (9.9) | 97 (8.0) | |||
| Race/ethnicity | 0.037 | – | 0.797 | |||||||||
| Non-hispanic White | 1,750 (84.6) | 973 (86.1) | 505 (83.6) | 272 (81.2) | – | – | – | 719 (84.0) | 1,031 (85.0) | |||
| Non-hispanic Black | 158 (7.6) | 83 (7.4) | 51 (8.4) | 24 (7.2) | – | – | – | 69 (8.1) | 89 (7.3) | |||
| Hispanic | 161 (7.8) | 74 (6.5) | 48 (8.0) | 39 (11.6) | – | – | – | 68 (7.9) | 93 (7.7) | |||
| Marital status | 0.971 | 0.006 | 0.714 | |||||||||
| Not married | 1,120 (54.1) | 610 (54.0) | 325 (53.8) | 185 (55.2) | 927 (53.0) | 108 (68.3) | 85 (52.8) | 462 (54.0) | 658 (54.3) | |||
| Married | 871 (42.1) | 475 (42.0) | <43% | <42% | 755 (43.1) | < 29% | < 42% | 365 (42.6) | 506 (41.7) | |||
| Unknown | 78 (3.8) | 45 (4.0) | <4% | <4% | 68 (3.9) | < 7% | < 7% | 29 (3.4) | 49 (4.0) | |||
| Education level | 0.165 | <0.001 | 0.024 | |||||||||
| High school or less | 1,165 (56.3) | 654 (57.9) | 321 (53.2) | 190 (56.7) | 945 (54.0) | 107 (67.7) | 113 (70.2) | 507 (59.2) | 658 (54.3) | |||
| Some college + | 904 (43.7) | 476 (42.1) | 283 (46.8) | 145 (43.3) | 805 (46.0) | 51 (32.3) | 48 (29.8) | 349 (40.8) | 555 (45.7) | |||
| Self-reported comorbidities | 0.194 | 0.014 | 0.149 | |||||||||
| 0 | 1,624 (78.5) | 899 (79.6) | 476 (78.8) | 249 (74.3) | 1397 (79.8) | 114 (72.2) | 113 (70.2) | 662 (77.3) | 962 (79.3) | |||
| 1 | 318 (15.4) | 166 (14.7) | 95 (15.7) | 57 (17.0) | 254 (14.5) | 31 (19.6) | 33 (20.5) | 131 (15.3) | 187 (15.4) | |||
| 2 + | 127 (6.1) | 65 (5.6) | 33 (5.5) | 29 (8.7) | 99 (5.7) | 13 (8.2) | 15 (9.3) | 63 (7.4) | 64 (5.3) | |||
| Tumor stage | 0.906 | 0.178 | <0.001 | |||||||||
| I | 1212 (58.6) | 662 (58.6) | 357 (59.1) | 193 (57.6) | 1,040 (59.4) | 84 (53.2) | 88 (54.6) | 352 (41.1) | 860 (70.9) | |||
| II–III | 857 (41.4) | 468 (41.4) | 247 (40.9) | 142 (42.4) | 710 (40.6) | 74 (46.8) | 73 (45.4) | 504 (58.9) | 353 (29.1) | |||
| Type of surgery | 0.438 | 0.797 | – | |||||||||
| Breast conserving | 1213 (58.6) | 655 (57.9) | 351 (58.2) | 207 (61.8) | 1,031 (58.9) | 89 (56.3) | 93 (57.8) | – | – | |||
| Mastectomy | 856 (41.4) | 475 (42.1) | 253 (41.8) | 128 (38.2) | 719 (41.1) | 69 (43.7) | 68 (42.2) | – | – | |||
| Medicare plan | <0.001 | <0.001 | 0.783 | |||||||||
| MA PDP | 430 (20.8) | 193 (17.1) | 148 (24.5) | 89 (26.6) | 327 (18.7) | 57 (36.1) | 46 (28.6) | 182 (21.3) | 248 (20.5) | |||
| MA only | 865 (41.8) | 504 (44.6) | 235 (38.9) | 126 (37.6) | 737 (42.1) | 53 (33.5) | 75 (46.6) | 354 (41.4) | 511 (42.1) | |||
| FFS PDP | 314 (15.2) | 162 (14.3) | 96 (15.9) | 56 (16.7) | 275 (15.7) | 22 (13.9) | 17 (10.6) | 136 (15.9) | 178 (14.7) | |||
| FFS only | 460 (22.2) | 271 (24.0) | 125 (20.7) | 64 (19.1) | 411 (23.5) | 26 (16.5) | 23 (14.2) | 184 (21.5) | 276 (22.7) | |||
| Geographic region | <0.001 | <0.001 | <0.001 | |||||||||
| West | 1159 (56.0) | 588 (52.0) | 356 (59.0) | 215 (64.2) | 992 (56.7) | 40 (25.3) | 127 (78.9) | 482 (56.3) | 677 (55.8) | |||
| Midwest | 181 (8.7) | 96 (8.5) | 60 (9.9) | 25 (7.5) | 158 (9.0) | <11% | <7% | 81 (9.5) | 100 (8.2) | |||
| North East | 322 (15.6) | 191 (16.9) | 79 (13.1) | 52 (15.5) | 278 (15.9) | 26 (16.5) | 18 (11.2) | 98 (11.4) | 224 (18.5) | |||
| South | 407 (19.7) | 255 (22.6) | 109 (18.5) | 43 (12.8) | 322 (18.4) | <48% | <7% | 195 (22.8) | 212 (17.5) | |||
| Survey administration mode | 0.639 | <0.001 | 0.388 | |||||||||
| 357 (17.3) | 197 (17.4) | 108 (17.9) | 52 (15.5) | 277 (15.8) | 37 (23.4) | 43 (26.7) | 155 (18.1) | 202 (16.7) | ||||
| Phone | 1712 (82.7) | 933 (82.6) | 496 (82.1) | 283 (84.5) | 1,473 (84.2) | 121 (76.6) | 118 (73.3) | 701 (81.9) | 1,011 (83.3) | |||
| Survey year | <0.001 | <0.001 | 0.099 | |||||||||
| 1997–2000 | 360 (17.4) | 234 (20.7) | 90 (14.9) | 36 (10.8) | 308 (17.6) | 23 (14.6) | 29 (18.0) | 167 (19.5) | 193 (15.9) | |||
| 2001–2005 | 787 (38.0) | 450 (39.8) | 217 (35.9) | 120 (35.8) | 689 (39.4) | 43 (27.2) | 55 (34.2) | 314 (36.7) | 473 (39.0) | |||
| 2007–2011 | 922 (44.6) | 446 (39.5) | 297 (49.2) | 179 (53.4) | 753 (44.0) | 92 (58.2) | 77 (47.8) | 375 (43.8) | 547 (45.1) | |||
| Time from survey to cancer diagnosis | 0.619 | 0.581 | 0.619 | |||||||||
| ≤ 6 months | 547 (26.4) | 291 (25.8) | 165 (27.3) | 91 (27.2) | 473 (27.0) | 35 (22.2) | 39 (24.2) | 221 (25.8) | 326 (26.9) | |||
| 6 to < 12 mo | 550 (26.6) | 299 (26.5) | 164 (27.2) | 87 (25.9) | 454 (26.0) | 46 (29.1) | 50 (31.1) | 230 (26.9) | 320 (26.4) | |||
| 12 to< 18 mo | 476 (23.0) | 254 (22.5) | 135 (22.4) | 87 (25.9) | 408 (23.3) | 34 (21.5) | 34 (21.1) | 188 (22.0) | 288 (23.7) | |||
| 18 to 24 mo | 496 (24.0) | 286 (25.3) | 140 (23.1) | 70 (21.0) | 415 (23.7) | 43 (27.2) | 38 (23.6) | 217 (25.3) | 279 (23.0) | |||
| Doctor communication (n = 1578) | 88.5 (16.8) | 88.2 (16.6) | 89.3 (16.4) | 87.8 (18.3) | 0.421 | 88.3 (17.0) | 88.4 (15.6) | 90.2 (16.4) | 0.515 | 89.1 (15.9) | 88.0 (17.4) | 0.186 |
| Getting care quickly (n = 1546) | 83.9 (23.2) | 84.3 (22.6) | 84.2 (23.1) | 82.1 (25.3) | 0.383 | 84.1 (22.7) | 80.0 (28.2) | 85.1 (24.3) | 0.182 | 84.9 (22.4) | 83.3 (23.7) | 0.194 |
| Getting needed care (n = 1701) | 88.3 (21.2) | 88.5 (21.5) | 88.7 (20.5) | 86.7 (21.3) | 0.422 | 89.0 (20.4) | 83.5 (26.2) | 84.4 (24.2) | 0.002 | 89.4 (20.4) | 87.5 (21.7) | 0.072 |
| Getting needed Rx (n = 1763) | 91.0 (20.5) | 90.8 (21.5) | 91.2 (20.0) | 91.6 (18.0) | 0.808 | 91.9 (19.4) | 83.9 (22.8) | 89.0 (22.8) | <0.001 | 90.2 (22.1) | 91.6 (19.3) | 0.134 |
P-value represents a two-sided t-test, chi-square test, or one-way ANOVA
mo months
*
CAHPS means are unadjusted