Table 2.
Surgery Choice Model Specification | ||||
---|---|---|---|---|
Patient Groups per Instrument | ||||
2 | 4 | 8 | 12 | |
Instrument Groups | ||||
Area BCSI rate | 8.57*** | 5.19*** | 3.43** | 3.00*** |
Covariate Groups | ||||
Ageb | 6.55*** | 6.49*** | 6.38*** | 6.78*** |
Tumor sizeb | 14.67*** | 15.10*** | 15.73*** | 15.52*** |
Positive nodesb | 12.86*** | 12.76*** | 13.15*** | 12.99*** |
Gradeb | 0.98 | 0.93 | 0.98 | 0.94 |
Tumor locationb | 5.77*** | 5.59*** | 5.58*** | 5.52*** |
Comorbidity indexb | 0.96 | 0.91 | 0.96 | 0.76 |
Povertyb | 4.02*** | 3.78*** | 3.96*** | 3.37*** |
Hospital accessb | 0.65 | 0.55 | 0.56 | 1.07 |
Payerb | 3.12*** | 3.32*** | 3.30*** | 3.29*** |
Yearb | 2.46** | 2.31** | 1.79 | 2.06* |
Statistically significant at .99 confidence.
Statistically significant at .95 confidence.
Statistically significant at .90 confidence.
Against the null hypothesis that the groups defined by the instrumental variables do not describe a significant portion of treatment variation.
Binary variables for age groups (<50, 50–64, 65–69, 70–74, 75–79, 80–84, 85+), tumor sizes (<2 cm, 2–5 cm, 5+cm), positive lymph node involvement, tumor grade groups (1, 2, 3, 4, 9–unknown), tumor location groups (nipple, central portion, upper-inner quad, lower-inner quad, upper-outer quad, lower-outer quad, axillary tail, overlapping lesion, not stated), Charlson comorbidity index (0, 1, 2, 3+), residence zip code poverty percentage (#7, 7–10, 10–13, 13–20,>20), distance from residence to nearest hospital (#2.83, 2.83–9, 9–15, >15), payer (Medicaid, Medicare, Blue Cross/Blue Shield, other private, other government, self-pay), and year of diagnosis (1989, 1990, 1991, 1992, 1993, 1994).