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. Author manuscript; available in PMC: 2014 Sep 10.
Published in final edited form as: Med Care. 2014 Sep;52(9):809–817. doi: 10.1097/MLR.0000000000000180

Table 3.

Multi-Level Adjusted Associations Between Select Patient Attributes and All Cancer Outcomes (N=93,332)

Patient-Level Attributes
Breast Outcomes Black vs. White 95% CI Poverty 95% CI No Prior Claims 95% CI
Stage local vs. regional/metastatic 0.80* 0.75-0.87 0.78* 0.78-0.89 0.59* 0.56-0.62
Stage regional vs. metastatic 0.98 0.85-1.12 0.78* 0.69-0.89 0.44* 0.40-0.48
Local Control 0.81* 0.71-0.92 0.78* 0.69-0.78 0.52* 0.43-0.63
Adjuvant Chemotherapy 1.09 0.88-1.35 0.69* 0.54-0.78 0.88 0.69-1.13
Post-Operative Surveillance 0.76* 0.66-0.88 0.61* 0.54-0.69 0.28* 0.23-0.34
Five Year Survival 0.92 0.82-1.04 0.69* 0.69-0.78 0.48* 0.41-0.56
Patient-Level Attributes
Colon Outcomes Black vs. White 95% CI Poverty 95% CI No Prior Claims 95% CI
Stage local vs. regional/metastatic 0.90* 0.83-0.97 0.89* 0.89-1.00 0.78 0.74-0.83
Stage regional vs. metastatic 0.76* 0.69-0.83 0.89* 0.89-1.00 0.71* 0.66-0.76
Local Control 0.87 0.71-1.06 0.89* 0.69-1.00 0.88 0.65-1.19
Adjuvant Chemotherapy 0.82* 0.68-1.00 0.69* 0.61-0.78 0.42* 0.34-0.53
Post-Operative Surveillance 0.72* 0.59-0.87 1.13* 1.00-1.43 0.27* 0.23-0.33
Five Year Survival 0.92 0.82-1.04 0.78* 0.78-0.89 0.45* 0.38-0.52
Patient-Level Attributes
Rectal Outcomes Black vs. White 95% CI Poverty 95% CI No Prior Claims 95% CI
Stage local vs. regional/metastatic 0.99 0.85-1.14 0.89* 0.78-1.00 0.77* 0.70-0.85
Stage regional vs. metastatic 1.11 0.91-1.36 0.78* 0.69-1.00 0.65* 0.57-0.74
Local Control 0.81 0.63-1.05 0.89 0.69-1.00 0.62* 0.47-0.81
Adjuvant Chemotherapy 0.56* 0.39-0.81 0.78 0.61-1.13 0.39* 0.27-0.56
Post-Operative Surveillance 0.76 0.52-1.11 1.00 0.69-1.27 0.35* 0.26-0.49
Five Year Survival 0.76* 0.60-0.97 0.89 0.78-1.00 0.44* 0.34-0.55

Legend: Patient-level ORs from three-level multivariable logistic regressions of SEER-Medicare patients with breast cancer or colorectal cancer. Estimates are adjusted for the following other patient (level I) attributes: age, sex, marital status, comorbidity, and social (Level II) attributes: ZCTA % black and college educated and, ethnic isolation and deprivation scores; and health care (Level III) attributes: hospital beds per 100K people, JCAHO-accredited hospitals per 100K people, screening MDs per 100K people, CRC screening per 100K people, medical oncologists per 100K people, surgeons per 100k people, and radiation oncologists per 100k people; and Census Region. Asterisk (*) indicates statistical significance to p<0.05.