Table 1.
Patient Characteristics Six Months Prior to Index: Pre‐ and Post‐Match.
Characteristic | Pre‐match CMM (N = 3188) | Pre‐match IDD (N = 142) | Pre‐match p value* | Post‐match p value* (n = 73 pairs) | |
---|---|---|---|---|---|
Age | Mean | 51.55 | 51.92 | 0.6755 | 0.7552 |
Emergency room visits† | Mean | 0.96 | 1.42 | 0.01‡ | 0.5266 |
Inpatient hospital visits† | Mean | 0.25 | 1.13 | <0.0001‡ | 0.9125 |
Outpatient hospital visits | Mean | 9.36 | 13.55 | <0.0001‡ | 0.1171 |
Physician office visits | Mean | 14.31 | 18.97 | <0.0001‡ | 0.1739 |
Days in hospital† | Mean | 1.18 | 7.35 | <0.0001‡ | 0.7954 |
Total payments† | Mean | 38409.7 | 77393.3 | <0.0001‡ | 0.7711 |
Home health visits | Mean | 1.07 | 3.62 | <0.0001‡ | 0.0400‡ |
Hospice days | Mean | 0.04 | 0.43 | 0.0024‡ | 0.1566 |
Laboratory services | Mean | 1.43 | 1.55 | 0.6416 | 0.0204‡ |
Gender | |||||
Males | N | 1168 | 55 | 0.6124 | 0.2038 |
Females | N | 2020 | 87 | ||
Year of index date | |||||
2006 | N | 302 | 19 | 0.0286‡ | 0.0176‡ |
2007 | N | 607 | 32 | ||
2008 | N | 741 | 31 | ||
2009 | N | 852 | 44 | ||
2010† | N | 686 | 16 | ||
Health plan type | |||||
Comprehensive | N | 158 | 8 | 0.3265 | 0.5173 |
Exclusive provider organization | N | 29 | 0 | ||
Health maintenance organization | N | 546 | 23 | ||
Place of service | N | 226 | 11 | ||
Preferred provider organization | N | 1994 | 82 | ||
Place of service with capitation | N | 16 | 1 | ||
Consumer‐directed health plan | N | 80 | 5 | ||
High‐deductible health plan | N | 21 | 3 | ||
Unknown | N | 118 | 9 | ||
Region† | |||||
Northeast | N | 239 | 10 | <0.0001‡ | 0.2989 |
North Central | N | 892 | 55 | ||
South | N | 1574 | 39 | ||
West | N | 476 | 38 | ||
Unknown | N | 7 | 0 | ||
Multiple cancers† | |||||
No | N | 1177 | 12 | <0.0001‡ | 0.7852 |
Yes | N | 2011 | 130 | ||
Any diabetes prescription§ | Sum | 380 | 18 | 0.7857 | 0.0706 |
Antihypertensive use§ | Sum | 1001 | 42 | 0.6470 | 0.4761 |
Tumor ablation, endoscopic# | Sum | 10 | 2 | 0.0332‡ | 0.5596 |
Tumor ablation, external | Sum | 0 | 0 | NA | NA |
Tumor ablation, open | Sum | 0 | 0 | NA | NA |
Tumor ablation, percutaneous | Sum | 4 | 0 | 0.6728 | 0.3156 |
Tumor ablation, percutaneous endoscopic | Sum | 0 | 0 | NA | NA |
Tumor ablation via body | Sum | 2 | 0 | 0.7653 | NA |
Anticonvulsant use† | Sum | 358 | 44 | <0.0001‡ | 0.1313 |
Antidepressant use | Sum | 1013 | 64 | 0.0009‡ | 0.0325‡ |
Antiemetic use† | Sum | 1603 | 83 | 0.0568 | 0.7400 |
Anxiolytic use | Sum | 1499 | 84 | 0.0046‡ | 0.6162 |
Biopsy, endoscopic# ,† | Sum | 699 | 17 | 0.0047‡ | 0.6552 |
Biopsy, external† | Sum | 126 | 2 | 0.1229 | 1.0000 |
Biopsy, open | Sum | 241 | 11 | 0.9343 | 0.7539 |
Biopsy, percutaneous† | Sum | 705 | 27 | 0.3828 | 1.0000 |
Biopsy, percutaneous endoscopic | Sum | 23 | 2 | 0.3534 | 0.3156 |
Biopsy, via body† | Sum | 126 | 0 | 0.0157‡ | NA |
Chemotherapy | Sum | 1372 | 89 | <0.0001‡ | 0.8685 |
Corticosteroid use | Sum | 1111 | 56 | 0.2623 | 0.1668 |
Tumor destruction, endoscopic# | Sum | 0 | 0 | NA | NA |
Tumor destruction, open | Sum | 1 | 0 | 0.8328 | NA |
Tumor destruction, via body | Sum | 0 | 0 | NA | NA |
Appetite enhancer use | Sum | 754 | 54 | <0.0001‡ | 0.2727 |
Tumor excision, endoscopic# | Sum | 150 | 5 | 0.5123 | 0.2452 |
Tumor excision, external | Sum | 44 | 1 | 0.4949 | 0.3156 |
Tumor excision, open | Sum | 79 | 5 | 0.4380 | 1.0000 |
Tumor excision, percutaneous | Sum | 8 | 0 | 0.5501 | NA |
Tumor excision, percutaneous endoscopic | Sum | 0 | 0 | NA | NA |
Tumor excision, via body | Sum | 1 | 0 | 0.8328 | NA |
Laxative use | Sum | 226 | 4 | 0.0495‡ | 0.1722 |
Metastatic disease† | Sum | 1401 | 111 | <0.0001‡ | 0.5747 |
Treated by oncologist† | Sum | 1089 | 72 | <0.0001‡ | 0.1268 |
Opioid/tramadol use | Sum | 3188 | 132 | <0.0001‡ | NA |
Treated by pain specialist† | Sum | 88 | 27 | <0.0001‡ | 1.0000 |
Psychostimulant use | Sum | 81 | 6 | 0.2182 | 1.0000 |
Radiation therapy | Sum | 651 | 52 | <0.0001‡ | 0.5528 |
Tumor resection, open# | Sum | 4 | 0 | 0.6728 | NA |
Bone cancer† | Sum | 163 | 25 | <0.0001‡ | 0.7714 |
Breast cancer† | Sum | 568 | 31 | 0.2230 | 0.1748 |
Carcinoma | Sum | 288 | 15 | 0.5352 | 1.0000 |
Colorectal cancer | Sum | 436 | 23 | 0.3939 | 0.7658 |
Digestive system cancer | Sum | 941 | 66 | <0.0001‡ | 0.3548 |
Endocrine cancer | Sum | 34 | 1 | 0.6787 | 0.6129 |
Genitourinary cancer† | Sum | 432 | 27 | 0.0646 | 0.3156 |
Kaposi's sarcoma | Sum | 4 | 1 | 0.0814 | 0.1651 |
Lung cancer† | Sum | 359 | 38 | <0.0001‡ | 0.4335 |
Lymphoma/leukemia | Sum | 1300 | 90 | <0.0001‡ | 0.5060 |
Oral cancer | Sum | 204 | 3 | 0.0385‡ | 1.0000 |
Other type of cancer | Sum | 1778 | 106 | <0.0001‡ | 0.4706 |
Pancreatic cancer† | Sum | 173 | 16 | 0.0032‡ | 0.5962 |
Prostate cancer† | Sum | 99 | 13 | <0.0001‡ | 0.4670 |
Respiratory/thoracic cancer | Sum | 100 | 3 | 0.4904 | 0.1544 |
Skin cancer | Sum | 168 | 7 | 0.8589 | 0.7308 |
Charlson comorbidity Index score components | |||||
Acute myocardial infarction | Sum | 14 | 0 | 0.4287 | 0.3156 |
AIDS | Sum | 13 | 0 | 0.4458 | NA |
Acute ulcer | Sum | 56 | 3 | 0.7530 | 1.0000 |
Congestive heart failure | Sum | 70 | 2 | 0.5280 | 0.4044 |
Cirrhosis | Sum | 34 | 1 | 0.6787 | 1.0000 |
Chronic pulmonary disease | Sum | 386 | 14 | 0.4200 | 0.5740 |
Chronic ulcer | Sum | 14 | 1 | 0.6444 | 0.3156 |
Cardiovascular disease | Sum | 113 | 4 | 0.6450 | 0.4670 |
Dementia | Sum | 4 | 0 | 0.6728 | NA |
Diabetes† | Sum | 456 | 16 | 0.3101 | 0.7852 |
Diabetes with sequelae | Sum | 104 | 3 | 0.4472 | 0.1544 |
Liver disease | Sum | 12 | 0 | 0.4639 | NA |
Myocardial infarction (history) | Sum | 22 | 1 | 0.9841 | 0.3156 |
Plegia (all types)† | Sum | 6 | 3 | <0.0001‡ | 0.3156 |
Peripheral vascular disease | Sum | 46 | 2 | 0.9731 | 0.3156 |
Renal disease | Sum | 111 | 2 | 0.1818 | 0.3156 |
Rheumatoid arthritis | Sum | 56 | 0 | 0.1112 | 0.0801 |
Statistical test performed appropriate to the variable type and underlying data distribution.
Variable remained in stepwise logistic regression for developing propensity score at p < 0.10 level of significance.
Indicates a statistically significant difference at the p < 0.05 level.
Due to the short six‐month baseline period, use of drugs for diabetes and hypertension, as two common comorbidities, was included to increase our chances of identification of these conditions above and beyond the inclusion of the Charlson Comorbidity Index score components.
Tumor biopsy, excision, resection, destruction, and ablation were categorized based on the level of invasiveness of the approach.
CMM, conventional medical management; IDD, intrathecal drug delivery.