Table 3.
Receipt of Lung Cancer Surgery and Associations With Patient Demographic Characteristics, Clinical Information, and Patient Attitudes
| No. (%) Patients (N = 386)a
|
P Value | |||
|---|---|---|---|---|
| Surgery | No Surgery | |||
| Race | ||||
| Black | 62 (55) | 51 (45) |
|
.05 |
|
| ||||
| White | 179 (66) | 94 (34) | ||
|
| ||||
| Age, y | ||||
| ≥73 | 53 (48) | 57 (42) |
|
>.001 |
|
| ||||
| <73 | 188 (68) | 88 (32) | ||
|
| ||||
| Married | ||||
| Yes | 160 (65) | 86 (35) |
|
.16 |
|
| ||||
| No | 81 (58) | 59 (42) | ||
|
| ||||
| Education, y | ||||
| 1–12 | 154 (62) | 96 (38) |
|
.68 |
|
| ||||
| ≥13 | 86 (64) | 49 (36) | ||
|
| ||||
| Sex | ||||
| Male | 130 (60) | 85 (40) |
|
.37 |
|
| ||||
| Female | 111 (65) | 60 (35) | ||
|
| ||||
| Income | ||||
| Lowest tertile | 68 (54) | 57 (46) |
|
.02 |
|
| ||||
| Upper 2 tertiles | 173 (66) | 88 (34) | ||
|
| ||||
| Insurance | ||||
| Private | 113 (70) | 49 (30) |
|
.01 |
|
| ||||
| Other | 128 (57) | 96 (43) | ||
|
| ||||
| Regular source of health care | ||||
| Yes | 211 (63) | 125 (37) |
|
.70 |
|
| ||||
| No | 30 (60) | 20 (40) | ||
|
| ||||
| Comorbidities | ||||
| ≥2 | 16 (31) | 35 (69) |
|
<.001 |
|
| ||||
| <2 | 225 (68) | 108 (32) | ||
|
| ||||
| Diagnosis | ||||
| Biopsy-confirmed | 159 (62) | 98 (38) |
|
.74 |
|
| ||||
| CT-defined probable disease | 82 (64) | 47 (36) | ||
|
| ||||
| Hospitalized in last year | ||||
| Yes | 104 (56) | 83 (44) |
|
.007 |
|
| ||||
| No | 137 (69) | 62 (31) | ||
|
| ||||
| Score for mental component of SF-12 | ||||
| Lowest quartile | 51 (54) | 44 (46) |
|
.04 |
|
| ||||
| Upper 3 quartiles | 190 (65) | 101 (35) | ||
|
| ||||
| Score for physical component of SF-12 | ||||
| Lowest quartile | 46 (51) | 44 (49) |
|
.01 |
|
| ||||
| Upper 3 quartiles | 195 (66) | 101 (34) | ||
|
| ||||
| Belief in diagnosis | ||||
| ≥90% | 127 (69) | 56 (31) |
|
.005 |
|
| ||||
| <90% | 109 (55) | 88 (45) | ||
|
| ||||
| Physician discusses pros and cons of surgery | ||||
| Agree | 154 (64) | 86 (36) |
|
.40 |
|
| ||||
| Disagree | 85 (60) | 57 (40) | ||
|
| ||||
| Believe exposure to air during surgery spreads cancer | ||||
| Agree | 93 (53) | 82 (47) |
|
<.001 |
|
| ||||
| Disagree | 148 (70) | 63 (30) | ||
|
| ||||
| Family must approve surgery | ||||
| Agree | 93 (57) | 69 (43) |
|
.08 |
|
| ||||
| Disagree | 148 (66) | 76 (34) | ||
|
| ||||
| Want surgery even if end up in nursing home | ||||
| Agree | 95 (61) | 60 (39) |
|
.70 |
|
| ||||
| Disagree | 146 (63) | 85 (37) | ||
|
| ||||
| Faith alone cures disease | ||||
| Agree | 84 (52) | 78 (48) |
|
<.001 |
|
| ||||
| Disagree | 157 (70) | 67 (30) | ||
|
| ||||
| Prayer will cure cancer | ||||
| Agree | 114 (57) | 86 (43) |
|
.02 |
|
| ||||
| Disagree | 127 (68) | 59 (32) | ||
|
| ||||
| Plan to have surgery if worse in 1 y | ||||
| Agree | 57 (41) | 83 (59) |
|
<.001 |
|
| ||||
| Disagree | 183 (75) | 62 (25) | ||
|
| ||||
| Want surgery even if chair-bound postoperatively | ||||
| Agree | 85 (62) | 53 (38) |
|
.79 |
|
| ||||
| Disagree | 156 (63) | 92 (37) | ||
|
| ||||
| Believe patients receive worse care due to race | ||||
| Agree or mildly disagree | 128 (58) | 92 (42) |
|
.05 |
|
| ||||
| Strongly disagree | 113 (68) | 53 (32) | ||
|
| ||||
| Mean (SD) | ||||
| Trust scoreb | 80.5 (11.9) | 78.3 (13.1) | .09 | |
|
| ||||
| Communication scoreb | 20.1 (3.2) | 18.7 (3.1) | <.001 | |
|
| ||||
| Mental adjustment to cancerc | ||||
| Anxious or preoccupied | 43.3 (18.8) | 45.0 (16.3) | .36 | |
|
| ||||
| Fighting spirit | 73.2 (13.9) | 71.5 (12.6) | .22 | |
|
| ||||
| Fatalism | 58.2 (15.1) | 61.9 (12.5) | .02 | |
Abbreviations: CT, computed tomographic; SF-12, Short Form 12.
a
Unless otherwise indicated. Patients have been diagnosed with early-stage non–small cell lung cancer.
b
Based on responses to Primary Care Assessment Survey.
c
Based on Mental Adjustment to Cancer Scale.