Table 3.
Time to surgery | ≤ 1 month | ≤ 2 months | ≤ 3 months | ≤ 1 month | ≤ 2 months | ≤3 months | ≤ 1 month | ≤ 2 months | ≤3 months | ≤ 1 month | ≤ 2 months | ≤ 3 months | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N analyzed | 1578 | 1578 | 1578 | 1546 | 1546 | 1546 | 1701 | 1701 | 1701 | 1763 | 1763 | 1731† | ||||||||||||
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
CAHPS measure | Doctor communication | Getting care quickly | Getting needed care | Getting needed Rx | ||||||||||||||||||||
Less than excellent | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||||||||||
Excellent reports | 0.88 | [0.69–1.12] | 1.19 | [0.86–1.64] | 1.75 | [0.84–3.64] | 0.96 | [0.76–1.20] | 1.08 | [0.80–1.47] | 0.87 | [0.42–1.80] | 1.01 | [0.80–1.27] | 1.15 | [0.85–1.57] | 0.83 | [0.39–1.78] | 1.12 | [0.87–1.45] | 1.33 | [0.95–1.86] | 1.95 | [0.98–3.88] |
Race/ethnicity | ||||||||||||||||||||||||
NH White | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||||||||||
NH Black | 0.98 | [0.49–1.93] | 2.37 | [0.70–8.05] | 1.05 | [0.13–8.56] | 0.79 | [0.42–1.49] | 0.82 | [0.36–1.88] | 0.21 * | [0.06–0.75] | 0.70 | [0.37–1.31] | 0.94 | [0.41–2.15] | 0.24 * | [0.07–0.86] | 0.89 | [0.47–1.69] | 2.30 | [0.78–6.78] | 0.75 | [0.16–3.56] |
Hispanic | 0.74 | [0.36–1.52] | 1.11 | [0.43–2.84] | 1.55 | [0.19–12.6] | 0.50 * | [0.25–0.99] | 0.79 | [0.35–1.74] | 0.98 | [0.12–7.90] | 0.53 * | [0.28–0.99] | 0.61 | [0.30–1.23] | 0.25 * | [0.07–0.86] | 0.83 | [0.39–1.74] | 1.14 | [0.44–2.95] | 0.35 * | [0.14–0.87] |
Interactions | ||||||||||||||||||||||||
White *less than excellent | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref | ||||||||||||
Black *excellent reports | 0.62 | [0.27–1.43] | 0.30 | [0.08–1.17] | 0.31 | [0.03–3.35] | 1.00 | [0.44–2.28] | 1.51 | [0.49–4.67] | 7.67 | [0.71–82.78] | 1.29 | [0.58–2.86] | 1.17 | [0.39–3.50] | 1.86 | [0.32–10.82] | 0.95 | [0.44–2.06] | 0.29 * | [0.09–0.98] | 0.53 | [0.08–3.52] |
Hispanic * excellent reports | 1.02 | [0.43–2.39] | 0.56 | [0.19–1.64] | 0.49 | [0.04–5.59] | 1.81 | [0.78–4.19] | 0.62 | [0.24–1.64] | 0.48 | [0.05–4.88] | 1.28 | [0.58–2.82] | 1.02 | [0.41–2.54] | 8.91 | [0.84–94.65] | 0.93 | [0.39–2.18] | 0.40 | [0.14–1.15] | 1.00 |
Separate logistic regression models for each CAHPS measure were conducted; all models were adjusted for: age, marital status, SEER geographic region, self-reported comorbidities, tumor stage, type of surgery, medicare plan, survey administration mode, survey year, and time since survey
NH non-hispanic, Rx prescriptions
n = 1731 because of low variability of distribution of reports of getting needed drugs by outcome (surgery < 3 months) among Hispanic; Bold represents significant at
p < 0.05, **p < 0.01, ***p < 0.001