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. 2014 Jan 7;110(4):908–915. doi: 10.1038/bjc.2013.812

Table 3. Factors associated with completing ⩾4 cycles in patients who started chemotherapy.

  Total N=8768a % Received ⩾4 cycles N=5540 (63%) % OR for completing ⩾4 cycles 95% CI Adjusted ORb 95% CI
Sex
Female 4166 47.5 2641 63.4 1.00   1.00  
Male
4602
52.5
2899
63.0
0.98
0.90–1.07
0.99
0.91–1.09
Age group
<55 895 10.2 618 69.1 1.41 1.19–1.68 1.29 1.07–1.54
55–59 1106 12.6 755 68.3 1.36 1.16–1.60 1.26 1.07–1.49
60–64 1620 18.5 1058 65.3 1.19 1.03–1.38 1.15 0.99–1.34
65–69 1777 20.3 1169 65.8 1.22 1.06–1.40 1.21 1.05–1.40
70–74 1625 18.5 995 61.2 1.00   1.00  
75–79 1147 13.1 645 56.2 0.81 0.70–0.95 0.83 0.71–0.98
80–84 496 5.7 244 49.2 0.61 0.50–0.75 0.63 0.52–0.78
⩾85
102
1.2
56
54.9
0.77
0.52–1.15
0.80
0.53–1.21
Townsend quintile (socio-economic status)
1 (Least deprived) 1241 14.2 801 64.5 1.00   1.00  
2 1590 18.1 1032 64.9 1.02 0.87–1.19 0.99 0.84–1.16
3 1743 19.9 1102 63.2 0.94 0.81–1.10 0.93 0.80–1.09
4 1932 22.0 1213 62.8 0.93 0.80–1.08 0.90 0.77–1.05
5 (Most deprived) 2152 24.5 1348 62.6 0.92 0.80–1.07 0.89 0.76–1.04
Missing
110
1.3
44
40.0
0.37
0.25–0.55
0.37
0.25–0.56
Performance status
0 1626 18.5 1243 76.4 1.00   1.00  
1 3208 36.6 2168 67.6 0.64 0.56–0.74 0.71 0.62–0.82
2 1664 19.0 903 54.3 0.37 0.31–0.42 0.45 0.38–0.52
3 683 7.8 279 40.8 0.21 0.18–0.26 0.27 0.22–0.33
4 53 0.6 20 37.7 0.19 0.11–0.33 0.23 0.13–0.41
Missing
1534
17.5
927
60.4
0.47
0.40–0.55
0.56
0.48–0.66
Charlson co-morbidity index
0 3318 37.8 2298 69.3 1.00   1.00  
1 1641 18.7 1076 65.6 0.85 0.75–0.96 0.93 0.81–1.05
2-3 1092 12.5 669 61.3 0.70 0.61–0.81 0.81 0.70–0.94
>3
2717
31.0
1497
55.1
0.54
0.49–0.61
0.69
0.62–0.77
Stage
Extensive 4550 51.9 2712 59.6 1.00   1.00  
Limited 2646 30.2 1889 71.4 1.69 1.53–1.87 1.44 1.29–1.61
Missing
1572
17.9
939
59.7
1.01
0.89–1.13
0.95
0.84–1.08
Time to treatment
<18 days 4305 49.1 2773 64.4 1.00   1.00  
⩾18 days
4463
50.9
2767
62.0
0.90
0.83–0.98
0.81
0.74–0.89
Route of referral
Emergency admission 1157 13.2 626 54.1 0.56 0.49–0.64 0.68 0.59–0.78
General Practitioner 4666 53.2 3166 67.9 1.00   1.00  
Consultant referral 1556 17.7 950 61.1 0.74 0.66–0.84 0.85 0.75–0.97
Other (inc private) 464 5.3 282 60.8 0.73 0.60–0.89 0.80 0.66–0.98
Emergency Department 514 5.9 269 52.3 0.52 0.43–0.63 0.63 0.52–0.77
Missing
411
4.7
247
60.1
0.71
0.58–0.88
0.82
0.66–1.01
Trust first seen
Non-chemotherapy trust 2064 23.5 1260 61.0 1.00   1.00  
Chemotherapy trust 6688 76.3 4271 63.9 1.13 1.02–1.25 1.14 1.03–1.27
Missing/trust which saw <20 cases
16
0.2
9
56.3
0.82
0.30–2.21
0.63
0.23–1.72
Radiotherapy
No chemo-radiotherapy 7978 91.0 4919 61.7 1.00   1.00  
Chemo-radiotherapy 790 9.0 621 78.6 2.29 1.92–2.72 1.74 1.44–2.09

Abbreviations: CI=confidence interval; OR=odds ratio

a

Analysis restricted to people with SCLC who had record of chemotherapy in the Hospital Episodes Statistics databasel.

b

Adjusted for age, sex, socio-economic status, co-morbidity index, performance status and stage.