Table 3.
Factors Affecting Receipt of at Least Guideline-Recommended Care*
| Variable | Univariate |
Multivariate |
||||
|---|---|---|---|---|---|---|
| OR | 95% CI | P | OR | 95% CI | P | |
| Colonoscopy | ||||||
| Age group, years | ||||||
| ≥ 75 | 1.00 | — | — | 1.00 | — | — |
| 65-74 | 2.87 | 1.88 to 4.37 | < .001 | 2.7 | 1.80 to 4.20 | < .001 |
| 50-64 | 6.89 | 4.13 to 11.49 | < .001 | 5.6 | 3.30 to 9.50 | < .001 |
| < 50 | 10.71 | 3.24 to 35.38 | < .001 | 9.0 | 2.70 to 29.90 | < .001 |
| Sex | ||||||
| Male | 1.00 | — | — | 1.00 | — | — |
| Female | 0.75 | 0.53 to 1.06 | .0984 | 0.90 | 0.60 to 1.40 | .7153 |
| No. of comorbidities | ||||||
| 0 | 1.00 | — | — | 1.00 | — | — |
| 1 | 0.66 | 0.43 to 1.04 | .0710 | 0.90 | 0.60 to 1.50 | .8205 |
| ≥ 2 | 0.36 | 0.24 to 0.54 | < .001 | 0.60 | 0.40 to 0.90 | .020 |
| Stage | ||||||
| II | 1.00 | — | — | 1.00 | — | — |
| III | 1.50 | 1.06 to 2.13 | .0234 | 1.30 | 0.90 to 1.90 | .1635 |
| Location | ||||||
| Rectum | 1.00 | — | — | 1.00 | — | — |
| Colon | 0.58 | 0.9 to 0.87 | .0079 | 0.70 | 0.50 to 1.20 | .1935 |
| Physician visits† | ||||||
| Age group, years | ||||||
| ≥ 75 | 1.00 | — | — | 1.00 | — | — |
| 65-74 | 1.75 | 1.08 to 2.83 | .0223 | 1.70 | 1.10 to 2.80 | .0311 |
| 50-64 | 2.10 | 1.32 to 3.33 | .0016 | 2.30 | 1.40 to 3.70 | < .001 |
| < 50 | 2.09 | 0.10 to 4.40 | .0509 | 2.20 | 1.00 to 4.70 | .0512 |
| Social deprivation index‡ | ||||||
| Q0 | 1.00 | — | — | 1.00 | — | — |
| Q1 | 1.02 | 0.55 to 1.90 | .9512 | 0.90 | 0.50 to 1.70 | .7660 |
| Q2 | 1.70 | 0.93 to 3.09 | .0838 | 1.60 | 0.80 to 2.90 | .1555 |
| Q3 | 1.65 | 0.92 to 2.98 | .0958 | 1.40 | 0.80 to 2.60 | .2510 |
| Q4 | 0.97 | 0.51 to 1.87 | .9343 | 0.90 | 0.50 to 1.80 | .7731 |
| Material deprivation index‡ | ||||||
| Q0 | 1.00 | — | — | 1.00 | — | — |
| Q1 | 0.95 | 0.54 to 1.67 | .8601 | 0.90 | 0.50 to 1.70 | .7982 |
| Q2 | 1.42 | 0.84 to 2.40 | .1892 | 1.50 | 0.8 to 2.50 | .1736 |
| Q3 | 1.28 | 0.73 to 2.23 | .3938 | 1.20 | 0.70 to 2.10 | .5540 |
| Q4 | 0.50 | 0.25 to 1.01 | .0537 | 0.50 | 0.30 to 1.10 | .0962 |
| Continuity of care: PCP | ||||||
| 0 | 1.00 | — | — | 1.00 | — | — |
| 1 | 0.70 | 0.39 to 1.27 | .2442 | 0.80 | 0.40 to 1.40 | .4110 |
| 2 | 1.39 | 0.82 to 2.35 | .2235 | 1.60 | 0.90 to 2.70 | .1172 |
| 3 | 0.34 | 0.08 to 1.50 | .1547 | 0.40 | 0.10 to 1.90 | .2737 |
| 4 | 1.23 | 0.77 to 1.95 | .3853 | 1.30 | 0.80 to 2.20 | .2576 |
Abbreviations: CRC, colorectal cancer; OR, odds ratio; PCP, primary care physician.
*
Recommended plus above recommended.
†
Includes all oncologist, surgeon, and gastroenterologist visits, along with primary care visits with CRC-related diagnosis codes.
‡
Deprivation index values were divided in quintiles such that Q0 = most deprived and Q4 = least deprived.