Table 2. Percentage of patients receiving guideline-based care and mean number of fractions delivered.
Cancer Type | Measure | 2011 Fee-For-Service | 2013 Case Rate | RR | 95% CI | P-Value of Change in Mean |
---|---|---|---|---|---|---|
Bone mets. | 2.0† | (1.21–3.24) | ||||
% | 30.2% | 60.0% | ||||
n | 43 | 75 | ||||
Mean | 13.7 | 11.4 | 0.03† | |||
±SD | 5.5 | 5.6 | ||||
Breast | 1.0 | (0.94–1.04) | ||||
% | 95.9%‡ | 95.1%§ | ||||
n | 123 | 143 | ||||
Mean | 29.7 | 30.4 | 0.31 | |||
±SD | 5.1 | 6.0 | ||||
Lung | 1.0 | (0.89–1.09) | ||||
% | 91.5% | 91.5% | ||||
n | 59 | 71 | ||||
Mean | 27.4 | 27.1 | 0.84 | |||
±SD | 9.3 | 9.2 | ||||
Prostate | 1.1† | (1.01–1.15) | ||||
% | 88.5% | 95.2% | ||||
N | 157 | 189 | ||||
2D3D mean | n/a | n/a | n/a | |||
2D3D ±SD | n/a | n/a | ||||
2D3D n | 0 | 0 | ||||
IMRT mean | 37.4 | 41.1 | 0.00† | |||
IMRT ±SD | 8.7 | 6.1 | ||||
IMRT n | 157 | 189 | ||||
Skin | ||||||
% | 100.0% | 91.9% | 0.9 | (0.84–1.01) | ||
n | 51 | 37 | ||||
2D3D mean | 22.6 | 24.2 | 0.20 | |||
2D3D ±SD | 4.0 | 6.5 | ||||
2D3D n | 50 | 34 | ||||
IMRT mean | Redacted | Redacted | Redacted | |||
IMRT ±SD | Redacted | Redacted | ||||
IMRT n | 1 | 3 | ||||
Overall | 1.0 | (0.98–1.08) | ||||
% | 86.6 | 89.3 | ||||
n | 433 | 515* |
Results redacted for groups with n<10.
CI = confidence interval, mets. = metastases, RR = relative risk, SD = standard deviation.
*An intent-to-treat approach was used for this population where case rates were introduced, yet not all patients were covered under the case rate arrangement. Results for 2D3D and IMRT fractionation are displayed separately for prostate and skin cancer due to the differences in the guidelines.
†P < .05.
‡16–21 fractions were delivered to 8% of those who received guideline-based care (9/118).
§16–21 fractions were delivered to 10% of those who received guideline-based care (13/136).