Table 4.
Results of models assessing the effect of race/ethnicity on the relation between patient experiences and type of initial surgical treatment (BCS vs mastectomy)
Surgical type | BCS | BCS | BCS | BCS | ||||
---|---|---|---|---|---|---|---|---|
OR | [95% CI] | OR | [95% CI] | OR | [95% CI] | OR | [95% CI] | |
N analyzed | 1578 | 1546 | 1701 | 1763 | ||||
CAHPS measure | Doctor communication | Getting care quickly | Getting needed care | Getting needed Rx | ||||
Less than excellent reports | Ref | Ref | Ref | Ref | ||||
Excellent reports | 0.85 | [0.66–1.10] | 0.86 | [0.68–1.10] | 0.83 | [0.65–1.06] | 1.07 | [0.82–1.40] |
Race/ethnicity | ||||||||
Non-hispanic White | Ref | Ref | Ref | Ref | ||||
Non-hispanic Black | 1.13 | [0.56–2.30] | 0.65 | [0.33–1.27] | 0.71 | [0.37–1.37] | 1.02 | [0.52–2.00] |
Hispanic | 0.95 | [0.44–2.02] | 1.23 | [0.59–2.55] | 1.37 | [0.70–2.68] | 1.04 | [0.48–2.27] |
Race by reports of care interactions | ||||||||
White * less than excellent reports | Ref | Ref | Ref | Ref | ||||
Black * excellent reports | 0.96 | [0.40–2.27] | 2.82 * | [1.16–6.85] | 1.97 | [0.85–4.57] | 1.07 | [0.48–2.42] |
Hispanic * excellent report | 1.26 | [0.51–3.11] | 0.99 | [0.40–2.42] | 0.61 | [0.26–1.39] | 1.05 | [0.43–2.56] |
Modeling odds of BCS (breast conserving surgery vs mastectomy)
Excellent reports consist of scores 90–100, and less than excellent reports consist of scores ≤ 89.99.
Separate logistic regression models were conducted for each patient experience measure
Models were adjusted for: age, race/ethnicity, marital status, SEER geographic region, self-reported comorbidities, tumor stage, medicare plan, survey administration mode, survey year, and time since survey.
Bold represents significant at
p < 0.05, **p < 0.01, ***p < 0.001