Table 4.

Receipt of Lung Cancer Surgery for Treatment of Early-Stage Non–Small Cell Cancer by Race (N = 386)

	No. (%) of Black Patientsa			P Value	No. (%) of White Patientsa			P Value
	Surgery	No Surgery			Surgery	No Surgery
Age, y
≥73	9 (39)	14 (61)		.09	44 (51)	43 (49)		<.001
<73	53 (59)	37 (41)			135 (73)	51 (27)
Married
Yes	29 (55)	24 (45)		.98	131 (68)	62 (32)		.21
No	33 (55)	27 (45)			48 (60)	32 (40)
Education, y
1–12	48 (53)	42 (47)		.63	106 (66)	54 (34)		.78
≥13	13 (59)	9 (41)			73 (65)	40 (35)
Sex
Male	36 (54)	31 (46)		.77	94 (64)	54 (36)		.44
Female	26 (57)	20 (43)			85 (68)	40 (32)
Income
Lowest tertile	31 (53)	27 (47)		.76	37 (55)	30 (45)		.04
Upper 2 tertiles	31 (56)	24 (44)			142 (69)	64 (31)
Insurance
Private	18 (55)	15 (45)		.96	95 (74)	34 (26)		.008
Other	44 (55)	36 (45)			84 (58)	60 (42)
Regular source of health care
Yes	54 (57)	40 (43)		.22	157 (65)	85 (35)		.50
No	8 (42)	11 (58)			22 (71)	9 (29)
Comorbidities
≥2	2 (13)	13 (87)		<.001	14 (39)	22 (61)		.003
<2	60 (62)	37 (38)			165 (70)	71 (30)
Diagnosis
Biopsy-confirmed	45 (55)	37 (45)		>.99	114 (65)	61 (35)		.84
CT-defined probable disease	17 (55)	14 (45)			65 (66)	33 (34)
Hospitalized in last year
Yes	30 (52)	28 (48)		.49	74 (57)	55 (43)		.007
No	32 (58)	23 (42)			105 (73)	39 (27)
Score for mental component of SF-12
Lowest quartile	12 (46)	14 (54)		.31	39 (57)	30 (43)		.07
Upper 3 quartiles	50 (57)	37 (43)			140 (69)	64 (31)
Score for physical component of SF-12
Lowest quartile	13 (46)	15 (54)		.30	33 (53)	29 (47)		.02
Upper 3 quartiles	49 (58)	36 (42)			146 (69)	65 (31)
Belief in diagnosis
≥90%	25 (60)	17 (40)		.37	102 (72)	39 (28)		.01
<90%	35 (51)	34 (49)			74 (58)	54 (42)
Physician discusses pros and cons of surgery
Agree	35 (57)	26 (43)		.56	119 (66)	60 (34)		.74
Disagree	27 (52)	25 (48)			58 (64)	32 (36)
Believe exposure to air during surgery spreads cancer
Agree	34 (53)	30 (47)		.67	59 (53)	52 (47)		.001
Disagree	28 (57)	21 (43)			120 (74)	42 (26)
Family must approve surgery
Agree	19 (46)	22 (54)		.17	74 (61)	47 (39)		.17
Disagree	43 (60)	29 (40)			105 (69)	47 (31)
Want surgery even if end up in nursing home
Agree	21 (53)	19 (48)		.71	74 (64)	41 (36)		.72
Disagree	41 (56)	32 (44)			105 (66)	53 (34)
Faith alone cures disease
Agree	31 (49)	32 (51)		.17	53 (54)	46 (46)		.002
Disagree	31 (62)	19 (38)			126 (72)	48 (28)
Prayer will cure cancer
Agree	42 (50)	42 (50)		.08	72 (62)	44 (38)		.30
Disagree	20 (69)	9 (31)			107 (68)	50 (32)
Plan to have surgery if worse in 1 y
Agree	18 (38)	29 (62)		.003	39 (42)	54 (58)		<.001
Disagree	44 (67)	22 (33)			139 (78)	40 (22)
Want surgery even if chair-bound postoperatively
Agree	20 (50)	20 (50)		.44	65 (66)	33 (34)		.84
Disagree	42 (58)	31 (42)			114 (65)	61 (35)
Believe patients receive worse care due to race
Agree or mildly disagree	44 (54)	38 (46)		.67	84 (61)	54 (39)		.10
Strongly disagree	18 (58)	13 (42)			95 (70)	40 (30)
	Mean (SD)			Mean (SD)
Trust scoreb	75.6 (13.0)	77.0 (14.0)		.60	82.3 (11.0)	79.1 (12.6)		.03
Communication scoreb	19.7 (3.4)	18.5 (2.9)		.04	20.3 (3.2)	18.9 (3.2)		.002
Mental adjustment to cancerc
Anxious or preoccupied	45.2 (20.3)	44.1 (16.1)		.75	42.6 (18.3)	45.4 (16.5)		.22
Fighting spirit	72.8 (15.3)	72.0 (11.9)		.74	73.4 (13.4)	71.3 (13.0)		.22
Fatalism	62.3 (17.4)	64.4 (13.3)		.48	56.8 (14.0)	60.5 (11.9)		.03

Abbreviations: CT, computed tomographic; SF-12, Short Form 12.

^aUnless otherwise indicated.

^bBased on responses to Primary Care Assessment Survey.

^cBased on Mental Adjustment to Cancer Scale.