Table 2.
Characteristics associated with undergoing a care transition in receipt of definitive therapy (RC or neoadjuvant chemotherapy)
| Characteristic | aOR [CI] | P Value | Characteristic | aOR [CI] | P Value |
|---|---|---|---|---|---|
| Age (years) | Hospital Category | ||||
| ≤50 | 1.0 | 0.4851 | Comp community | 1.1 [0.92–1.3] | 0.2939 |
| 51 to 60 | 1.02 [0.89–1.17] | 0.8033 | Academic | 2.28 [1.8–2.8] | <0.001 |
| 61 to 70 | 0.97 [0.85–1.1] | 0.696 | Payor Group | ||
| ≥71 | 0.94 [0.81–1.1] | 0.399 | Private/HMO | 1.0 | |
| Gender | Medicaid | 0.83 [0.69–0.99] | 0.0376 | ||
| Male | 1.07 [1.03–1.11] | <0.001 | Medicare | 1.07 [0.99–1.16] | 0.1063 |
| Race | None/Unknown | 0.75[0.64–0.88] | <0.001 | ||
| White | 1.0 | Geographic Location | |||
| AA | 0.86 [0.75–0.99] | 0.0419 | Rural | 0.98 [0.86–1.1] | 0.8043 |
| Other | 1.09 [0.88–1.4] | 0.4302 | Suburban | 0.99 [0.89–1.1] | 0.7694 |
| Charlson-Deyo Score | Small metropolitan | 0.97 [0.89–1.1] | 0.541 | ||
| 0 | 1.0 | Large metropolitan | 1.08 [0.98–1.2] | 0.1401 | |
| 1 | 0.94 [0.87–1.0] | 0.0703 | Unknown | Ref | |
| ≥2 | 0.89 [0.79–1.0] | 0.072 | Facility Location | ||
| Analytic Stage | Northeast | 0.75 [0.59–0.96] | 0.0208 | ||
| II | 0.88 [0.84–0.92] | <0.001 | Atlantic | 1.1 [0.93–1.3] | 0.2406 |
| III | 1.03 [0.99–1.08] | 0.1837 | Southeast | 1.2 [1.0–1.4] | 0.0246 |
| IV | 1.0 | Great Lakes | 0.99 [0.85–1.2] | 0.9219 | |
| Tumor Grade | South | 0.89 [0.72–1.1] | 0.2743 | ||
| Low Grade (1/2) | 0.95 [0.86–1.1] | 0.3186 | Midwest | 0.82 [0.68–0.99] | 0.0428 |
| High Grade (3/4) | 0.88 [0.82–0.94] | <0.001 | West | 0.71 [0.59–0.87] | 0.0006 |
| Unknown | 1.0 | Mountain | 1.16 [0.93–1.4] | 0.195 | |
| Median Income | Pacific | 1.0 | |||
| <$30K | 1.0 | Year of Diagnosis | |||
| $30–34.9K | 1.16 [1.02–1.33] | 0.0245 | 2003 | 0.92 [0.84–1.0] | 0.0607 |
| $35–45.9K | 1.13 [0.98–1.3] | 0.0916 | 2004 | 0.95 [0.88–1.04] | 0.2575 |
| ≥$46K | 1.04 [0.88–1.2] | 0.6454 | 2005 | 0.93 [0.86–1.0] | 0.128 |
| Unknown | 1.14 [0.87–1.5] | 0.3475 | 2006 | 0.97 [0.90–1.1] | 0.5375 |
| Percent less than high school education | 2007 | 1.1 [1.0–1.19] | 0.0187 | ||
| ≥29% | 1.0 | 2008 | 1.0 [0.93–1.1] | 0.7451 | |
| 20–28.9% | 1.0 [0.90–1.1] | 0.9016 | 2009 | 1.1 [0.98–1.2] | 0.1629 |
| 14–19.9% | 1.1 [0.92–1.2] | 0.4304 | 2010 | 1.0 | |
| <14% | 1.0 [0.87–1.2] | 0.9886 | Volume (Tertiles) | ||
| Distance (Mile Quintiles) | T1 | 1.0 | |||
| Q1 | 1.0 | T2 | 1.47 [1.3–1.7] | <0.001 | |
| Q2 | 1.5 [1.3–1.7] | <0.001 | T3 | 3.9 [3.0–5.0] | <0.001 |
| Q3 | 2.1 [1.8–2.3] | <0.001 | |||
| Q4 | 3.7 [3.2–4.2] | <0.001 | |||
| Q5 | 6.9 [5.8–8.2] | <0.001 | |||
| Unknown | 2.4 [1.7–3.5] | <0.001 | |||
Controlling for age, gender, race, Charlson-Deyo score, analytic stage, tumor grade, hospital category, payor group, geographic location, median income, proportion with less than high school education, year, region