TABLE 3.
Multivariable Multilevel Modela of Patient Characteristics Associated With Care Received Out of Their Residential HRRb
| RP OR (95% CI) | RN OR (95% CI) | PN OR (95% CI) | RC OR (95% CI) | TURP OR (95% CI) | |
|---|---|---|---|---|---|
| Age (vs <50 y) | |||||
| 50-59 y | 0.67 (0.48-0.93) | 1.05 (0.74-1.48) | 1.23 (0.75-2.00) | 0.43 (0.14-1.35) | 0.57 (0.34-0.97) |
| 60-69 y | 0.65 (0.47-0.91) | 0.78 (0.53-1.14) | 1.16 (0.68-1.99) | 0.63 (0.21-1.91) | 0.67 (0.41-1.11) |
| ≥70 y | 0.38 (0.26-0.57) | 0.65 (0.41-1.01) | 0.71 (0.36-1.38) | 0.48 (0.15-1.50) | 0.40 (0.24-0.67) |
| Female sex (vs male) | NA | 0.88 (0.69-1.12) | 1.17 (0.83-1.65) | 0.54 (0.29-1.00) | NA |
| Primary payer (vs Medicare) | |||||
| Commercial | 1.38 (1.10-1.73) | 0.89 (0.57-1.38) | 1.20 (0.67-2.16) | 1.23 (0.50-3.06) | 0.87 (0.64-1.19) |
| HMO | 1.11 (0.91-1.35) | 0.77 (0.54-1.10) | 0.86 (0.51-1.44) | 1.13 (0.60-2.12) | 1.03 (0.85-1.25) |
| Other | 1.33 (0.92-1.92) | 0.65 (0.39-1.10) | 1.48 (0.73-3.01) | 0.56 (0.19-1.66) | 1.30 (0.94-1.81) |
| No. of comorbidities (vs 0) | |||||
| 1 | 1.05 (0.90-1.23) | 1.12 (0.82-1.53) | 0.91 (0.60-1.39) | 0.89 (0.44-1.80) | 0.95 (0.81-1.12) |
| 2 | 0.87 (0.71-1.05) | 1.03 (0.76-1.40) | 0.82 (0.53-1.27) | 0.51 (0.26-1.00) | 0.86 (0.72-1.03) |
Abbreviations: 95% CI, 95% confidence interval; HMO, health maintenance organization; HRR, hospital referral region; NA, not applicable; OR, odds ratio; PN, partial nephrectomy; RC, radical cystectomy; RN, radical nephrectomy; RP, radical prostatectomy; TURP, transurethral resection of the prostate.
a
Included patient characteristics as the fixed effects and patient hospital service area of residence as the random effect in the model; model was adjusted for all variables shown in the table.
b
Bold type indicates a statistically significant result.