Table 1.
Characteristic | Overall | Receipt of Postoperative CRT | Multivariable Analysis of Postoperative CRT | ||
---|---|---|---|---|---|
| |||||
No. (Column %) |
No. (Row % Compared With Data Not Shown: No Postoperative CRT)a |
pb | Adjusted OR (95% C.I.) | pb | |
Patients | 4833 | 2120 (43.9%) | |||
| |||||
Extracapsular spread | p<0.0001 | ||||
Yes | 1208 (25%) | 814 (67.4%) | 2.75 (2.31 – 3.27) | p<0.0001 | |
No | 3625 (75%) | 1306 (36%) | 1 [Reference] | ||
Margins positive | p<0.0001 | ||||
Yes | 1168 (24.2%) | 692 (59.2%) | 1.96 (1.66 – 2.32) | p<0.0001 | |
No | 3665 (75.8%) | 1428 (39%) | 1 [Reference] | ||
Nodal classificationc | p<0.0001 | ||||
N0 | 1230 (25.5%) | 156 (12.7%) | 1 [Reference] | ||
N1 | 921 (19.1%) | 368 (40%) | 3.67 (2.88 – 4.67) | p<0.0001 | |
N2 | 2544 (52.6%) | 1497 (58.8%) | 7.50 (6.02 – 9.35) | p<0.0001 | |
N3 | 138 (2.9%) | 99 (71.7%) | 11.85 (7.47 – 18.80) | p<0.0001 | |
Pathologic T-classificationd | p=0.013 | ||||
T1 | 2287 (47.3%) | 956 (41.8%) | 1 [Reference] | ||
T2 | 2227 (46.1%) | 1009 (45.3%) | 1.09 (0.95 – 1.27) | p=0.223 | |
T3 | 208 (4.3%) | 95 (45.7%) | 1.35 (0.94 – 1.94) | p=0.102 | |
T4 | 111 (2.3%) | 60 (54.1%) | 1.09 (0.68 – 1.73) | p=0.732 | |
Age at diagnosis, y | p<0.0001 | ||||
<50 | 959 (19.8%) | 512 (53.4%) | 5.43 (2.89 – 10.21) | p<0.0001 | |
50–64 | 2682 (55.5%) | 1263 (47.1%) | 4.44 (2.40 – 8.21) | p<0.0001 | |
65–79 | 1057 (21.9%) | 329 (31.1%) | 3.66 (2.00 – 6.71) | p<0.0001 | |
≥80 | 135 (2.8%) | 16 (11.9%) | 1 [Reference] | ||
Sex | p<0.0001 | ||||
Male | 3786 (78.3%) | 1761 (46.5%) | 1.24 (1.04 – 1.48) | ||
Female | 1047 (21.7%) | 359 (34.3%) | 1 [Reference] | p=0.017 | |
Race | p<0.0001 | ||||
White | 4429 (91.6%) | 1984 (44.8%) | 1 [Reference] | ||
Black | 268 (5.5%) | 79 (29.5%) | 0.63 (0.45 – 0.88) | p=0.007 | |
Other | 136 (2.8%) | 57 (41.9%) | 0.94 (0.62 – 1.44) | p=0.776 | |
Insurance status | p<0.0001 | ||||
Private | 3310 (68.5%) | 1623 (49%) | 1.54 (1.23 – 1.93) | p<0.0001 | |
Uninsured | 187 (3.9%) | 93 (49.7%) | 1.76 (1.16 – 2.67) | p=0.008 | |
Governmente | 1336 (27.6%) | 404 (30.2%) | 1 [Reference] | ||
Charlson-Deyo Comorbidity Index | p<0.0001 | ||||
0 | 3908 (80.9%) | 1769 (45.3%) | 1 [Reference] | ||
1 | 754 (15.6%) | 293 (38.9%) | 0.91 (0.74 – 1.11) | p=0.330 | |
2 | 171 (3.5%) | 58 (33.9%) | 0.71 (0.48 – 1.07) | p=0.106 | |
Year diagnosed | p<0.0001 | ||||
2004 | 225 (4.7%) | 76 (33.8%) | 1 [Reference] | ||
2005 | 235 (4.9%) | 112 (47.7%) | 2.07 (1.33 – 3.23) | p=0.001 | |
2006 | 299 (6.2%) | 149 (49.8%) | 2.39 (1.56 – 3.65) | p<0.0001 | |
2007 | 306 (6.3%) | 175 (57.2%) | 3.52 (2.30 – 5.38) | p<0.0001 | |
2008 | 480 (9.9%) | 285 (59.4%) | 3.37 (2.28 – 4.99) | p<0.0001 | |
2009 | 569 (11.8%) | 313 (55%) | 3.30 (2.25 – 4.84) | p<0.0001 | |
2010 | 580 (12%) | 235 (40.5%) | 2.33 (1.58 – 3.44) | p<0.0001 | |
2011 | 647 (13.4%) | 267 (41.3%) | 2.19 (1.50 – 3.21) | p<0.0001 | |
2012 | 719 (14.9%) | 265 (36.9%) | 1.89 (1.30 – 2.75) | p=0.001 | |
2013 | 773 (16%) | 243 (31.4%) | 1.46 (1.00 – 2.13) | p=0.051 | |
Facility type | p<0.0001 | ||||
Academic/ NCI CCC | 2848 (58.9%) | 1083 (38.0%) | 1 [Reference] | ||
Community | 1985 (41.1%) | 1037 (52.2%) | 1.49 (1.18 – 1.87) | p=0.001 | |
Hospital volume | p<0.0001 | ||||
1–10 pts | 1360 (28.1%) | 704 (51.8%) | 1.41 (0.99 – 2.01) | p=0.055 | |
11–20 pts | 847 (17.5%) | 359 (42.4%) | 0.99 (0.70 – 1.42) | p=0.973 | |
21–50 pts | 1107 (22.9%) | 454 (41%) | 1.02 (0.72 – 1.45) | p=0.911 | |
>50 pts | 1519 (31.4%) | 603 (39.7%) | 1 [Reference] |
“No postoperative CRT” includes patients who underwent surgery alone, or surgery followed by radiation. For ease of visualization, this column of data is not shown in the table.
p-values in bold type are <.05
Nodal stage defined as pathologic N-stage if available, otherwise clinical stage.
Pathologic T stage used because all patients in table had primary surgery; pathologic stage related to use of adjuvant therapy
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