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. 2015 Apr 28;11(3):e267–e278. doi: 10.1200/JOP.2015.003673

Table 3.

Subgroup Analyses of Adjusted Associations Between Physician Tumor Board Participation Patterns and All-Cause Patient Mortality*

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Cancer Type All Respondents
Tumor Board Participants Only
Attends Tumor Board Weekly (v < weekly or never)
Serves Treatment Planning Function
Includes Evaluation of Treatment Decisions
Reviews Only Challenging Patient Cases
Reviews Variety of Cancer Sites
Serves As Teaching Session (no patient case review)
No. of Patients No. of Physicians HR 95% CI P No. of Patients No. of Physicians HR 95% CI P No. of Patients No. of Physicians HR 95% CI P No. of Patients No. of Physicians HR 95% CI P No. of Patients No. of Physicians HR 95% CI P No. of Patients No. of Physicians HR 95% CI P
NSCLC, stage
    I 503 226 0.8 0.6 to 1.0 .058 435 201 0.9 0.6 to 1.4 .75 427 200 0.7 0.5 to 1.2 .20 435 201 1.1 0.8 to 1.5 .44 424 199 1.4 1.0 to 1.9 .06 427 199 1.1 0.6 to 2.2 .71
    II 187 131 1.0 0.5 to 1.7 .86 162 117 1.8 0.9 to 3.7 .12 158 115 2.3 0.5 to 10.0 .26 162 117 0.9 0.5 to 1.7 .75 160 116 0.8 0.4 to 1.7 .54 159 115 0.7 0.3 to 1.8 .52
    III 555 289 0.9 0.7 to 1.1 .42 516 266 0.9 0.7 to 1.1 .32 509 264 1.4 1.0 to 2.1 .08 514 264 0.9 0.7 to 1.1 .38 514 264 0.9 0.7 to 1.2 .47 510 262 0.9 0.7 to 1.2 .63
    IV 632 314 1.0 0.9 to 1.3 .69 599 292 1.0 0.8 to 1.3 .82 587 290 1.1 0.8 to 1.4 .64 595 289 0.8 0.7 to 1.0 .03 598 292 1.2 1.0 to 1.6 .09 585 289 0.9 0.6 to 1.2 .37
SCLC
    Limited 105 85 1.4 0.8 to 2.7 .26 98 80 1.5 0.7 to 3.4 .33 94 79 0.4 0.1 to 1.8 .24 97 79 1.8 1.0 to 3.3 .06 98 80 4.1 1.0 to 17.2 .06 93 78 3.0 1.1 to 8.6 .04
    Extensive 116 91 0.6 0.3 to 1.0 .04 115 90 0.8 0.4 to 1.6 .50 113 89 1.8 0.8 to 4.2 .19 113 88 0.6 0.3 to 1.0 .04 115 90 1.1 0.3 to 4.0 .84 110 86 3.9 1.8 to 8.3 < .001
CRC, stage
    I 517 318 0.8 0.5 to 1.2 .22 477 289 1.1 0.6 to 1.8 .85 476 289 1.1 0.5 to 2.2 .89 480 290 0.8 0.5 to 1.2 .35 464 286 2.4 0.7 to 8.6 .16 476 290 0.9 0.4 to 1.8 .74
    II 696 426 0.9 0.6 to 1.2 .38 636 386 0.9 0.6 to 1.4 .73 636 386 0.7 0.4 to 1.4 .33 633 386 1.2 0.9 to 1.7 .15 630 385 1.8 0.8 to 4.0 .13 633 386 1.3 0.8 to 2.0 .32
    III 829 485 1.1 0.9 to 1.5 .32 769 446 1.0 0.7 to 1.3 .87 766 446 1.5 0.9 to 2.4 .10 773 447 0.9 0.7 to 1.1 .33 766 445 0.9 0.5 to 1.5 .56 764 442 0.8 0.5 to 1.2 .30
    IV 415 300 0.7 0.6 to 0.9 .007 395 284 0.9 0.7 to 1.2 .48 390 283 1.2 0.8 to 1.6 .42 389 282 1.0 0.8 to 1.3 .94 391 281 1.3 0.8 to 2.1 .31 386 282 0.8 0.6 to 1.2 .30

NOTE. Bold font indicates significance.

Abbreviations: CRC, colorectal cancer; HR, hazard ratio for mortality; NSCLC, non–small-cell lung cancer; SCLC, small-cell lung cancer.

*

Unit of analysis is patient-specified link to surgeon, medical oncologist, or radiation oncologist. Each set of columns represents a set of models including one tumor board feature, and each row represents model results for specific stage and disease type. Models adjusted for physician age, sex, specialty, practice structure, teaching status, No. of patients seen per month with linked patient's cancer type, and National Cancer Institute cancer center affiliation. Also adjusted for patient age, sex, race, marital status, educational attainment, income, and No. of comorbid conditions. Models for CRC also adjusted for disease site (colon, rectal, or other [eg, both colon and rectal]). For ≤ 25 patients per model, multiple imputation was not performed for some items because of partially completed survey versions; these patients were excluded from multivariable analyses.