Table 2.
N | (%)1 | Univariate OR | Multivariate OR | ||
---|---|---|---|---|---|
19,897 | (78.9) | ||||
Age | |||||
<60 years | 9111 | (81.3) | Referent | Referent | |
≥60 years | 10,786 | (77.0) | 0.77 (0.72–0.82)* | 0.89 (0.81–0.98)* | |
Gender | |||||
Male | 8057 | (80.8) | Referent | Referent | |
Female | 11,840 | (77.6) | 0.82 (0.77–0.88)* | 0.82 (0.75–0.90)* | |
Year of diagnosis | |||||
2000–2003 | 5563 | (75.1) | Referent | Referent | |
2004–2006 | 5807 | (78.9) | 1.24 (1.15–1.34)* | 1.17 (1.06–1.28)* | |
2007–2010 | 8527 | (81.5) | 1.46 (1.36–1.57)* | 1.40 (1.27–1.53)* | |
Race | |||||
White | 14,541 | (79.4) | Referent | Referent | |
Black | 1934 | (81.3) | 1.13 (1.01–1.26)* | 1.12 (0.98–1.27) | |
Other | 3422 | (75.5) | 0.80 (0.74–0.87)* | 0.96 (0.87–1.07) | |
Marital status | |||||
Married | 11,293 | (79.4) | Referent | Referent | |
Single | 2974 | (81.5) | 1.14 (1.04–1.25)* | 0.98 (0.87–1.09) | |
Unknown | 5630 | (76.5) | 0.84 (0.79–0.90)* | 0.91 (0.84–0.99)* | |
Insurance status | |||||
Medicare | 8251 | (76.4) | Referent | Referent | |
Medicaid | 1746 | (81.9) | 1.39 (1.24–1.57)* | 1.25 (1.07–1.46)* | |
Commercial | 8928 | (80.5) | 1.27 (1.19–1.36)* | 1.19 (1.08–1.30)* | |
Uninsured | 484 | (83.0) | 1.51 (1.21–1.88)* | 1.39 (1.07–1.80)* | |
Unknown | 488 | (78.0) | 1.09 (0.90–1.32) | 1.03 (0.82–1.30) | |
Location | |||||
Metropolitan | 17,312 | (79.0) | Referent | Referent | |
Non-metropolitan | 2585 | (78.2) | 0.95 (0.87–1.04) | 1.05 (0.91–1.21) | |
Teaching status | |||||
Non-teaching | 10,697 | (76.0) | Referent | Referent | |
Teaching | 9200 | (82.5) | 1.49 (1.40–1.59)* | 1.32 (1.18–1.48)* | |
Hospital size | |||||
<400 beds | 8804 | (76.7) | Referent | Referent | |
400–600 beds | 5799 | (78.7) | 1.12 (1.04–1.20)* | 0.94 (0.84–1.07) | |
>600 beds | 5294 | (82.9) | 1.47 (1.36–1.59)* | 0.97 (0.82–1.13) | |
Hospital location | |||||
Eastern | 2706 | (82.9) | Referent | Referent | |
Midwest | 4076 | (81.0) | 0.88 (0.79–0.99)* | 0.90 (0.76–1.06) | |
Southern | 10,535 | (78.2) | 0.74 (0.67–0.81)* | 0.74 (0.64–0.86)* | |
West | 2580 | (74.6) | 0.60 (0.54–0.68)* | 0.77 (0.64–0.92)* | |
Comorbidity | |||||
<2 | 2662 | (79.6) | Referent | Referent | |
2 | 3267 | (79.2) | 0.98 (0.87–1.09) | 0.94 (0.82–1.07) | |
>2 | 13,968 | (78.6) | 0.94 (0.86–1.03) | 0.89 (0.79–0.99)* | |
Physician specialty | |||||
Medical oncology | 12,741 | (79.5) | Referent | Referent | |
Internal medicine | 3916 | (79.1) | 0.98 (0.91–1.06) | 1.12 (0.99–1.26) | |
Family practice | 1084 | (76.0) | 0.82 (0.72–0.93)* | 0.98 (0.83–1.17) | |
Hospitalist | 715 | (82.8) | 1.24 (1.04–1.49)* | 1.49 (1.18–1.88)* | |
Other | 863 | (72.1) | 0.67 (0.59–0.76)* | 0.76 (0.63–0.93)* | |
Unknown | 578 | (76.4) | 0.84 (0.70–0.99)* | 1.02 (0.74–1.40) | |
Physician volume | |||||
Low | 6417 | (77.2) | Referent | Referent | |
Intermediate | 6664 | (78.6) | 1.09 (1.01–1.17)* | 1.10 (0.98–1.23) | |
High | 6816 | (80.8) | 1.24 (1.15–1.34)* | 1.19 (1.03–1.38)* | |
Hospital volume | |||||
Low | 6256 | (74.8) | Referent | Referent | |
Intermediate | 6527 | (78.4) | 1.23 (1.14–1.32)* | 1.22 (1.08–1.37)* | |
High | 7114 | (83.3) | 1.68 (1.55–1.81)* | 1.56 (1.34–1.81)* | |
Primary tumor site | |||||
Colorectal | 1647 | (76.9) | 0.88 (0.80–0.98)* | 0.87 (0.65–1.16) | |
Other gastrointestinal | 1513 | (78.8) | 1.00 (0.89–1.12) | 0.87 (0.65–1.17) | |
Head and neck | 922 | (82.2) | 1.25 (1.07–1.46)* | 1.06 (0.78–1.44) | |
Lung | 4800 | (77.0) | 0.86 (0.81–0.93)* | 0.83 (0.63–1.10) | |
Breast | 5257 | (78.5) | 0.97 (0.91–1.04) | 0.99 (0.75–1.30) | |
Skin | 180 | (84.5) | 1.47 (1.01–2.13)* | 1.46 (0.91–2.34) | |
Soft tissue | 894 | (88.3) | 2.08 (1.71–2.53)* | 1.74 (1.24–2.44)* | |
Genitourinary | 1104 | (77.3) | 0.91 (0.80–1.03) | 0.77 (0.58–1.03) | |
Gynecologic | 1056 | (72.4) | 0.69 (0.61–0.77) | 0.75 (0.55–1.01) | |
Lymphoma | 2582 | (84.1) | 1.48 (1.34–1.64)* | 1.25 (0.94–1.66) | |
Brain | 169 | (74.1) | 0.77 (0.57–1.03) | 0.60 (0.39–0.93)* | |
Infections | |||||
Sepsis | 2572 | (83.3) | 1.39 (1.25–1.53)* | 1.32 (1.17–1.48)* | |
Pneumonia | 1698 | (83.2) | 1.36 (1.21–1.54)* | 1.40 (1.22–1.61)* | |
Intensive care use | 227 | (14.0) | 1.70 (1.48–1.97)* | 1.62 (1.36–1.93)* | |
Hypotension | 78 | (83.0) | 1.31 (0.76–2.24) | 1.28 (0.70–2.33) | |
Mechanical ventilation | 336 | (86.4) | 1.71 (1.28–2.29)* | 1.17 (0.83–1.65) |
Reflects the percentage of patients who received guideline-concordant care.
p<0.05