Table 3.
Multivariable adjusted odds ratios for post-operative complications stratified by insurance status among surgically treated breast cancer patients, Nationwide Inpatient Sample, 2007-2011.
| All | Medicaid/Medicare | Private | Other | |||||
|---|---|---|---|---|---|---|---|---|
|
|
||||||||
| n | AOR(95%CI) α | n | AOR(95%CI) α | n | AOR(95%CI) α | n | AOR(95%CI) α | |
|
|
||||||||
| Race/Ethnicity | ||||||||
| White | 27350 | Ref | 13809 | Ref | 12814 | Ref | 727 | Ref |
| Black | 4651 | 1.21(1.03-1.42) | 2493 | 1.09(0.87- 1.37) | 1889 | 1.41(1.12-1.78) | 269 | 0.69(0.25- 1.88) |
| Hispanic | 2873 | 0.96(0.78-1.19) | 1451 | 0.90(0.67- 1.22) | 1127 | 0.88(0.63-1.25) | 295 | 2.01(1.00- 4.05) |
| Other | 2541 | 0.93(0.74-1.15) | 1109 | 0.84(0.60- 1.17) | 1289 | 0.93(0.68-1.29) | 143 | 2.10(0.93- 4.74) |
| Area-level Income | ||||||||
| Q4-Highest | 10975 | Ref | 4204 | Ref | 6490 | Ref | 281 | Ref |
| Q3 | 8831 | 1.08(0.94-1.25) | 4215 | 0.91(0.74- 1.12) | 4299 | 1.22(0.99-1.49) | 317 | 1.36(0.62- 2.98) |
| Q2 | 8728 | 0.99(0.85-1.15) | 4896 | 0.86(0.69- 1.07) | 3465 | 1.13(0.90-1.42) | 367 | 1.03(0.45- 2.37) |
| Q1-Lowest | 8881 | 0.86(0.73-1.02) | 5547 | 0.76(0.60- 0.95) | 2865 | 1.03(0.80-1.33) | 469 | 0.56(0.22- 1.41) |
| Region | ||||||||
| Large metro | 21877 | Ref | 10124 | Ref | 10841 | Ref | 912 | Ref |
| Small metro | 9398 | 0.96(0.84-1.09) | 5037 | 0.77(0.64- 0.93) | 4066 | 1.21(1.00-1.45) | 295 | 1.11(0.53- 2.29) |
| Micropolitan | 3702 | 1.06(0.88-1.28) | 2167 | 1.07(0.84- 1.37) | 1402 | 1.02(0.75-1.38) | 133 | 1.04(0.35- 3.14) |
| Not metro or micro | 2438 | 1.12(0.89-1.40) | 1534 | 0.97(0.64- 0.93) | 810 | 1.31(0.91-1.88) | 94 | 1.86(0.59- 5.88) |
| Stage at Presentation | ||||||||
| Non-metastatic | 27066 | Ref | 13617 | Ref | 12446 | Ref | 1003 | Ref |
| Metastatic | 10349 | 0.89(0.79-1.00) | 5245 | 0.84(0.71- 1.00) | 4673 | 0.95(0.80-1.13) | 431 | 0.70(0.37- 1.32) |
| Age at admission-years | 37415 | 1.00(1.00-1.01) | 18862 | 1.00(0.99- 1.01) | 17119 | 1.01(1.00-1.02) | 1434 | 1.01(0.99- 1.04) |
| Number of Co-morbidities | 37415 | 1.39(1.28-1.51) | 18862 | 1.45(1.32- 1.60) | 17119 | 1.34(1.12-1.60) | 1434 | 0.65(0.28- 1.52) |
α
Adjusted for race, age, area-level income, region, stage of presentation and number of comorbidities.
AOR= Adjusted Odds Ratio