TABLE 1—
Characteristics of Cervical Cancer Patients by Insurance Status: National Cancer Database, United States, 2000–2007
| Characteristic | Total, No. (%) | Uninsured, No. (%) | Medicaid, No. (%) | Younger Medicare,a No. (%) | Older Medicare,b No. (%) | Private, No. (%) | Missing, No. (%) |
| Total | 69 739 (100.0) | 7056 (10.12) | 12 234 (17.54) | 2050 (2.94) | 8886 (12.74) | 36 429 (52.24) | 3084 (4.42) |
| Stage | |||||||
| I | 32 666 (46.84) | 2566 (36.37) | 4912 (40.15) | 867 (42.29) | 2744 (30.88) | 20 201 (55.45) | 1376 (44.62) |
| II | 16 282 (23.35) | 2005 (28.42) | 3099 (25.33) | 513 (25.02) | 2473 (27.83) | 7474 (20.52) | 718 (23.28) |
| III | 13 679 (19.61) | 1601 (22.69) | 2845 (23.25) | 416 (20.29) | 2198 (24.74) | 5980 (16.42) | 639 (20.72) |
| IV | 7112 (10.2) | 884 (12.53) | 1378 (11.26) | 254 (12.39) | 1471 (16.55) | 2774 (7.61) | 351 (11.38) |
| Age,c y | |||||||
| 21–34 | 9727 (13.95) | 932 (13.21) | 2180 (17.82) | 126 (6.15) | … | 6055 (16.62) | 434 (14.07) |
| 35–39 | 8847 (12.69) | 910 (12.9) | 1867 (15.26) | 156 (7.61) | … | 5492 (15.08) | 422 (13.68) |
| 40–44 | 10 346 (14.84) | 1237 (17.53) | 2101 (17.17) | 239 (11.66) | … | 6346 (17.42) | 423 (13.72) |
| 45–49 | 9461 (13.57) | 1171 (16.6) | 1731 (14.15) | 296 (14.44) | … | 5815 (15.96) | 448 (14.53) |
| 50–54 | 7828 (11.22) | 968 (13.72) | 1485 (12.14) | 300 (14.63) | … | 4669 (12.82) | 406 (13.16) |
| 55–59 | 6521 (9.35) | 792 (11.22) | 1175 (9.6) | 447 (21.8) | … | 3816 (10.48) | 291 (9.44) |
| 60–64 | 5057 (7.25) | 655 (9.28) | 1005 (8.21) | 486 (23.71) | … | 2662 (7.31) | 249 (8.07) |
| 65–69 | 4120 (5.91) | 184 (2.61) | 309 (2.53) | … | 2769 (31.16) | 711 (1.95) | 147 (4.77) |
| 70–85 | 7832 (11.23) | 207 (2.93) | 381 (3.11) | … | 6117 (68.84) | 863 (2.37) | 264 (8.56) |
| Race/ethnicity | |||||||
| Non-Hispanic White | 40 903 (58.65) | 3088 (43.76) | 5585 (45.65) | 1147 (55.95) | 5475 (61.61) | 24 265 (66.61) | 1343 (43.55) |
| Hispanic | 8571 (12.29) | 1796 (25.45) | 2355 (19.25) | 20510 | 614 (6.91) | 2933 (8.05) | 668 (21.66) |
| African American | 11 042 (15.83) | 1409 (19.97) | 2752 (22.49) | 465 (22.68) | 1571 (17.68) | 4282 (11.75) | 563 (18.26) |
| Other/Asian | 3598 (5.16) | 410 (5.81) | 781 (6.38) | 74 (3.61) | 423 (4.76) | 1696 (4.66) | 214 (6.94) |
| Missing | 5625 (8.07) | 3535 | 761 (6.22) | 159 (7.76) | 803 (9.04) | 3253 (8.93) | 296 (9.6) |
| Histology | |||||||
| Adenocarcinoma | 13 484 (19.33) | 866 (12.27) | 1391 (11.37) | 295 (14.39) | 1640 (18.46) | 8736 (23.98) | 556 (18.03) |
| Adenosquamous/GC | 2798 (4.01) | 265 (3.76) | 441 (3.6) | 81 (3.95) | 254 (2.86) | 1629 (4.47) | 128 (4.15) |
| Other specified carcinoma | 1025 (1.47) | 73 (1.03) | 138 (1.13) | 31 (1.51) | 173 (1.95) | 578 (1.59) | 32 (1.04) |
| SCC | 50 381 (72.24) | 5645 (80) | 9904 (80.95) | 1583 (77.22) | 6438 (72.45) | 24 542 (67.37) | 2269 (73.57) |
| Unspecified carcinoma | 2051 (2.94) | 207 (2.93) | 360 (2.94) | 60 (2.93) | 381 (4.29) | 944 (2.59) | 99 (3.21) |
| Region | |||||||
| Northwest | 13 222 (18.96) | 1009 (14.3) | 2147 (17.55) | 395 (19.27) | 1894 (21.31) | 7290 (20.01) | 487 (15.79) |
| Midwest | 15 915 (22.82) | 1290 (18.28) | 2488 (20.34) | 436 (21.27) | 2225 (25.04) | 8868 (24.34) | 608 (19.71) |
| South | 27 847 (39.93) | 3715 (52.65) | 4494 (36.73) | 844 (41.17) | 3603 (40.55) | 13 897 (38.15) | 1294 (41.96) |
| West | 12 755 (18.29) | 1042 (14.77) | 3105 (25.38) | 375 (18.29) | 1164 (13.1) | 6374 (17.5) | 695 (22.54) |
| Diagnosis year | |||||||
| 2000 | 9811 (14.07) | 1026 (14.54) | 1426 (11.66) | 264 (12.88) | 1270 (14.29) | 5205 (14.29) | 620 (20.1) |
| 2001 | 9547 (13.69) | 1028 (14.57) | 1418 (11.59) | 231 (11.27) | 1255 (14.12) | 5069 (13.91) | 546 (17.7) |
| 2002 | 9223 (13.23) | 91713 | 1523 (12.45) | 268 (13.07) | 1237 (13.92) | 4783 (13.13) | 495 (16.05) |
| 2003 | 8377 (12.01) | 869 (12.32) | 1511 (12.35) | 211 (10.29) | 1057 (11.9) | 4346 (11.93) | 383 (12.42) |
| 2004 | 8129 (11.66) | 840 (11.9) | 1556 (12.72) | 245 (11.95) | 1061 (11.94) | 4110 (11.28) | 317 (10.28) |
| 2005 | 8274 (11.86) | 838 (11.88) | 1561 (12.76) | 261 (12.73) | 1033 (11.63) | 4291 (11.78) | 290 (9.4) |
| 2006 | 8307 (11.91) | 788 (11.17) | 1626 (13.29) | 277 (13.51) | 995 (11.2) | 4376 (12.01) | 245 (7.94) |
| 2007 | 8071 (11.57) | 750 (10.63) | 1613 (13.18) | 293 (14.29) | 978 (11.01) | 4249 (11.66) | 188 (6.1) |
| Median no high school diploma, by zip code, % | |||||||
| ≥ 29 | 18 050 (25.88) | 2612 (37.02) | 4567 (37.33) | 640 (31.22) | 2285 (25.71) | 6804 (18.68) | 1142 (37.03) |
| 20–28.9 | 17 340 (24.86) | 1825 (25.86) | 3392 (27.73) | 568 (27.71) | 2345 (26.39) | 8455 (23.21) | 755 (24.48) |
| 14–19.9 | 13 915 (19.95) | 1126 (15.96) | 2047 (16.73) | 412 (20.1) | 1925 (21.66) | 7907 (21.71) | 498 (16.15) |
| < 14 | 16 397 (23.51) | 1125 (15.94) | 159113 | 329 (16.05) | 1852 (20.84) | 10 954 (30.07) | 546 (17.7) |
| Missing | 4037 (5.79) | 368 (5.22) | 637 (5.21) | 101 (4.93) | 479 (5.39) | 2309 (6.34) | 143 (4.64) |
| Residence type | |||||||
| Urban | 63 351 (90.84) | 6350 (89.99) | 11 172 (91.32) | 1879 (91.66) | 8091 (91.05) | 33 014 (90.63) | 2845 (92.25) |
| Rural | 1267 (1.82) | 96 (1.36) | 264 (2.16) | 55 (2.68) | 220 (2.48) | 571 (1.57) | 61 (1.98) |
| Missing | 5121 (7.34) | 610 (8.65) | 798 (6.52) | 116 (5.66) | 575 (6.47) | 2844 (7.81) | 178 (5.77) |
Note. GC = glassy cell carcinoma; SCC = squamous cell carcinoma. Ellipses indicate not applicable. All comparisons were significant (P < .001).
a
Aged 18–64 years.
b
Aged ≥ 65 years.
c
Mean age (SD) by insurance: uninsured, 47.17 (11.17); Medicaid recipient, 45.69 (11.79); younger Medicare recipient, 51.26 (9.52); older Medicare recipient, 73.43 (5.70); privately insured, 45.71 (11.10); missing data, 48.81 (13.32).