Table 4.
Multivariate modeling of relationship of mCRC patient characteristics to receipt of KRAS testing as part of clinical care.
| Treatment Status Characteristics | Demographic Characteristics | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Characteristic | Value | N | % Tested | OR (95% CI) | p-value2 | Characteristic | Value | N | % Tested | OR (95% CI) | p-value |
| Chemotherapy Regimens | 0 | 184 | 7 | 0.02 (0.003, 0.10) | <.0001 | Race | White | 826 | 37 | -- | 0.8221 |
| 1 | 174 | 16 | 0.08 (0.06, 0.10) | Asian | 94 | 45 | 0.6 (0.3, 1.2) | ||||
| 2 | 174 | 43 | 0.43 (0.33, 0.57) | Black | 127 | 29 | 0.8 (0.4, 1.7) | ||||
| 3 | 170 | 69 | 1.05 (0.86, 1.30) | Pacific Is. | 24 | 54 | 1.0 (0.3, 3.0) | ||||
| 4 | 129 | 62 | 0.41 (0.36, 0.44) | Am. Indian | 6 | 33 | 0.8 (0.1, 7.9) | ||||
| ≥5 | 357 | 74 | -- | Other | 41 | 24 | 1.6 (0.4, 2.8) | ||||
| Unknown | 70 | 21 | 1.0 (0.4, 2.5) | ||||||||
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| Surgery1 | No | 456 | 23 | 0.63 (0.40, 0.91) | 0.0187 | Ethnicity | Not Hispanic | 911 | 35 | -- | 0.5002 |
| Yes | 732 | 44 | -- | Hispanic | 72 | 38 | 0.7 (0.3, 1.4) | ||||
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| Referral to Med. Oncology | No | 171 | 3 | 0.77 (0.21, 2.5) | 0.6569 | Gender | Male | 601 | 37 | -- | 0.5899 |
| Yes | 1017 | 40 | -- | Female | 586 | 35 | 0.8 (0.6, 1.2) | ||||
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| Any EGFR inhibitor | No | 936 | 28 | -- | 0.0014 | Household Income | < $40K | 316 | 30 | 0.8 (0.5, 1.4) | 0.4753 |
| Yes | 252 | 65 | 2.0 (1.3, 3.1) | $40K - $59K | 405 | 35 | -- | ||||
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| Health Status Characteristics | $60K - $79K | 231 | 39 | 1.3 (1.1, 1.4) | |||||||
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| Characteristic | Value | N | % Tested | OR (95% CI) | p-value | ≥ $80K | 170 | 37 | 1.2 (1.1, 1.5) | ||
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| Age at diagnosis, years | < 50 | 138 | 46 | 1.4 (0.8, 3.0) | 0.0034 | % High School Education | < 50% | 16 | 25 | 0.7 (0.1, 3.3) | 0.9924 |
| 50-59 | 234 | 53 | 2.4 (2.3, 3.0) | 50-69% | 99 | 36 | 1.4 (1.0, 1.8) | ||||
| 60-69 | 292 | 49 | 1.7 (1.3, 2.5) | 70-89% | 580 | 34 | -- | ||||
| 70-79 | 303 | 24 | -- | ≥ 90% | 426 | 39 | 1.2 (1.0, 1.4) | ||||
| ≥ 80 | 221 | 10 | 0.4 (0.3, 0.7) | ||||||||
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| Charlson Co-morbidity Index | 0 | 647 | 45 | -- | 0.0316 | Year of Metastatic Diagnosis | 2006 | 261 | 19 | 0.06 (0.02, 0.1) | <.0001 |
| 1 | 346 | 49 | 0.5 (0.1, 1.4) | 2007 | 351 | 35 | 0.2 (0.2, 0.5) | ||||
| 2 | 134 | 40 | 0.3 (0.1, 0.8) | 2008 | 373 | 48 | -- | ||||
| 3 | 30 | 41 | 0.5 (0.2, 1.7) | 2009 | 203 | 46 | 0.9 (0.7, 1.1) | ||||
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| 4 | 21 | 38 | 0.6 (0.2, 2.0) | Medicare | No | 855 | 32 | -- | 0.1883 | ||
| ≥ 5 | 10 | 20 | 0.3 (0.1, 0.8) | Yes | 333 | 45 | 1.8 (0.9, 2.2) | ||||
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| BMI Category | <20 | 78 | 22 | 0.9 (0.4, 2.0) | 0.7945 | Organization | A | 101 | 44 | 0.7 (0.4, 1.1) | 0.0220 |
| 20-24 | 254 | 35 | 0.9 (0.8, 1.0) | B | 426 | 40 | -- | ||||
| 25-29 | 304 | 40 | -- | C | 149 | 38 | 0.6 (0.5, 0.8) | ||||
| ≥ 30 | 264 | 43 | 1.2 (1.1, 1.3) | D | 193 | 34 | 0.6 (0.4, 0.8) | ||||
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| Survival Interval, years (if deceased) | 0.5 | 466 | 6 | -- | 0.0010 | E | 124 | 30 | 0.3 (0.2, 0.4) | ||
| 0.5–1 | 130 | 28 | 1.9 (0.8, 4.3) | F | 62 | 29 | 0.6 (0.4, 0.8) | ||||
| 1 – 2 | 204 | 36 | 2.9 (1.4, 6.3) | G | 133 | 28 | 1.0 (0.6, 1.3) | ||||
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| ≥ 2 | 388 | 62 | 5.1 (2.3, 11.4) | Family History of Cancer | No | 349 | 37 | 0.9 (0.6, 1.3) | 0.5208 | ||
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| Cancer Stage | III | 266 | 45 | 1.7 (1.1, 2.5) | 0.0078 | Yes | 510 | 42 | -- | ||
| IV | 922 | 34 | -- | Unknown | 329 | 26 | 0.7 (0.4, 0.9) | ||||
OR=odds ratio. CI= confidence interval. The largest group in each category is used as the basis of the OR.
Colectomy or hemicolectomy
All reported Wald chi-square p-values and ORs are from a logistic regression model including all factors in Table 4, and a binary variable indicating presence or absence of KRAS testing as the response variable. Since the reported percent tested is based on the raw, unadjusted counts, there can be apparent discrepancies between the percent tested and the reported adjusted ORs.