Table 1.
Characteristics of the Sample
| Overall | No Care Transition | Care Transition | P-value | |
|---|---|---|---|---|
| 22,251 | 13,370 (60.0) | 8881 (40.0) | ||
| N (%) | Proportion | |||
| Age (years) | <0.001 | |||
| <50 | 1343 (6.0) | 752 (5.6) | 591 (6.7) | |
| ≥50 to 60 | 3943 (17.7) | 2296 (17.2) | 1647 (18.5) | |
| ≥61 to 70 | 6808 (30.6) | 4015 (30.0) | 2793 (31.4) | |
| ≥71 | 10,157 (45.6) | 6307 (47.2) | 3850 (43.4) | |
| Charlson Deyo Score | <0.001 | |||
| 0 | 15,925 (71.6) | 9381 (70.2) | 6544 (73.7) | |
| 1 | 4879 (21.9) | 3056 (22.9) | 1823 (20.5) | |
| ≥2 | 1447 (6.5) | 933 (6.9) | 514 (5.8) | |
| Gender | <0.001 | |||
| Male | 16,457 (74.0) | 9693 (72.5) | 6764 (76.2) | |
| Female | 5794 (26.0) | 3677 (27.5) | 2117 (23.8) | |
| Race | <0.001 | |||
| White | 20,297 (91.2) | 12,135 (90.8) | 8162 (91.9) | |
| African American | 1287 (5.8) | 859 (6.4) | 428 (4.8) | |
| Other | 667 (3.0) | 376 (2.8) | 291 (3.3) | |
| Hispanic | <0.001 | |||
| No | 19,778 (88.9) | 11,779 (88.1) | 7999 (90.1) | |
| Yes | 629 (2.8) | 338 (2.5) | 291 (3.3) | |
| Unknown | 1844 (8.3) | 1253 (9.4) | 591 (6.7) | |
| Median income | <0.001 | |||
| <$30K | 2719 (12.3) | 1579 (11.8) | 1140 (12.8) | |
| $30–34.9K | 4154 (18.7) | 569 (4.3) | 3585 (40.4) | |
| $35–45.9K | 6287 (28.3) | 911 (6.8) | 5376 (60.5) | |
| ≥$46K | 7894 (35.5) | 1086 (8.1) | 6808 (76.7) | |
| Unknown | 1197 (5.4) | 161 (1.2) | 1036 (11.7) | |
| * Education | <0.001 | |||
| ≥29% | 3308 (14.9) | 1896 (14.2) | 1412 (15.9) | |
| 20–28.9% | 5075 (22.7) | 2920 (21.8) | 2155 (24.3) | |
| 14–19.9% | 5461 (24.5) | 3248 (24.3) | 2213 (24.9) | |
| <14% | 7210 (32.4) | 4613 (34.5) | 2597 (29.2) | |
| Unknown | 1197 (5.4) | 693 (5.2) | 504 (5.7) | |
| Payor Group | 0.069 | |||
| Private/HMO | 7432 (33.4) | 4405 (3.3) | 3027 (34.1) | |
| Medicaid | 920 (4.1) | 572 (4.3) | 348 (3.9) | |
| Medicare | 12,479 (56.1) | 7565 (56.6) | 4914 (55.3) | |
| None/other | 1420 (6.4) | 828 (6.2) | 592 (6.7) | |
| Urban/Rural | <0.001 | |||
| Rural | 1768 (7.9) | 863 (6.5) | 905 (10.2) | |
| Suburban | 2754 (12.4) | 1364 (10.2) | 1390 (15.7) | |
| Small metropolitan | 6628 (29.8) | 4328 (32.4) | 2300 (25.9) | |
| Large metropolitan | 9766 (43.9) | 6026 (45.1) | 3740 (42.1) | |
| Unknown | 1335 (6.0) | 789 (5.9) | 546 (6.1) | |
| Tumor Stage | <0.001 | |||
| II | 8483 (38.0) | 5435 (40.7) | 3048 (34.3) | |
| III | 7112 (32.0) | 4251 (31.8) | 2861 (32.2) | |
| IV | 6656 (30.0) | 3684 (27.6) | 2972 (33.5) | |
| Tumor Grade | <0.001 | |||
| Low Grade (1/2) | 1012 (4.5) | 656 (4.9) | 356 (4.0) | |
| High Grade (3/4) | 20,051 (90.1) | 12,052 (90.1) | 7999 (90.1) | |
| Unknown | 1188 (5.4) | 662 (5.0) | 526 (5.9) | |
| Facility Location | <0.001 | |||
| Northeast | 1389 (6.2) | 1013 (7.6) | 376 (4.2) | |
| Atlantic | 3118 (14.0) | 1717 (12.8) | 1401 (15.8) | |
| Southeast | 4449 (20.0) | 2517 (18.8) | 1932 (21.8) | |
| Great Lakes | 4328 (19.5) | 2803 (21.0) | 1525 (17.2) | |
| South | 1573 (7.1) | 883 (6.6) | 690 (7.8) | |
| Midwest | 2202 (9.9) | 1377 (10.3) | 825 (9.3) | |
| West | 1677 (7.5) | 947 (7.1) | 730 (8.2) | |
| Mountain | 1042 (4.7) | 663 (5.0) | 379 (4.3) | |
| Pacific | 2473 (11.1) | 1450 (10.8) | 1023 (11.5) | |
| Year of Diagnosis | <0.001 | |||
| 2003 | 2759 (12.4) | 1755 (13.1) | 1004 (11.3) | |
| 2004 | 2690 (12.1) | 1718 (12.8) | 972 (10.9) | |
| 2005 | 2784 (12.5) | 1744 (13.0) | 1040 (11.7) | |
| 2006 | 2728 (12.3) | 1641 (12.3) | 1087 (12.2) | |
| 2007 | 2765 (12.4) | 1595 (11.9) | 1170 (13.2) | |
| 2008 | 2819 (12.7) | 1661 (12.4) | 1158 (13.0) | |
| 2009 | 2771 (12.5) | 1595 (11.9) | 1176 (13.2) | |
| 2010 | 2935 (13.2) | 1661 (12.4) | 1274 (14.3) | |
| Distance (Mile Quintiles) | <0.001 | |||
| 0–4.2 | 4259 (19.1) | 3632 (27.2) | 627 (7.1) | |
| 4.3–9.2 | 4266 (19.2) | 3256 (24.3) | 1010 (11.4) | |
| 9.3–18.8 | 4216 (18.9) | 2804 (21.0) | 1412 (15.9) | |
| 18.9–48.2 | 4248 (19.1) | 2085 (15.6) | 2163 (24.4) | |
| 48.3–3217 | 4248 (19.1) | 1004 (7.5) | 3244 (36.5) | |
| Missing | 1014 (4.6) | 589 (4.4) | 425 (4.8) | |
| Facility Type | <0.001 | |||
| Community | 2754 (12.4) | 2279 (17.0) | 475 (5.3) | |
| Comp community | 9715 (43.7) | 7356 (55.0) | 2359 (26.6) | |
| Academic | 9782 (44.0) | 3735 (27.9) | 6047 (68.1) | |
| Volume (Tertiles) | <0.001 | |||
| T1 | 7444 (33.5) | 6091 (45.6) | 1353 (15.2) | |
| T2 | 7561 (34.0) | 5194 (38.8) | 2367 (26.7) | |
| T3 | 7246 (32.6) | 2085 (15.6) | 5161 (58.1) | |
| Mean (median) Time to Definitive Treatment (days) | 66.8 (50.5) | 56 (42) | 77.6 (59) | |
| Community | 56.5 (42) | – | – | |
| Comprehensive Community | 57.9 (43) | – | – | |
| Academic | 73.2 (56) | – | – | |
| T1 | 59 (43) | – | – | |
| T2 | 59.2 (45) | – | – | |
| T3 | 75.7 (58) | – | – | |
*
Education reported as the % of adults in the patient’s zip code who did not receive a high school diploma