Table 5.
Age-stratified multivariable adjusted analysis for late-stage epithelial ovarian cancer diagnosis and mortality, SEER 2000–2010
| Late Stage Diagnosis AOR (95% CI) | p-interactionb | Mortality AHR (95% CI)a | p-interactionc | |||
|---|---|---|---|---|---|---|
| <65 years | > = 65 years | <65 years | > = 65 years | |||
| Race | ||||||
| Blacks | 1.20 (1.07–1.35) | 1.00 (0.87–1.15) | 1.27 (1.17–1.37) | 1.14 (1.06–1.22) | ||
| Whites | Ref | Ref | Ref | Ref | ||
| Healthcare Availability | ||||||
| % Uninsured | 0.5071 | 0.6687 | ||||
| < 25th percentile | 0.96 (0.82–1.13) | 0.96 (0.78–1.18) | 1.04 (0.94–1.16) | 0.99 (0.91–1.08) | ||
| 25 – 75th percentile | 1.01 (0.90–1.13) | 1.02 (0.88–1.18) | 1.02 (0.94–1.11) | 0.97 (0.90–1.03) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
| # Hospitals | 0.8476 | 0.2352 | ||||
| < 25th percentile | 1.11 (0.98–1.26) | 0.94 (0.81–1.10) | 0.99 (0.90–1.10) | 0.92 (0.85–1.00) | ||
| 25 – 75th percentile | 1.03 (0.93–1.14) | 0.93 (0.82–1.06) | 0.97 (0.90–1.05) | 1.01 (0.95–1.07) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
| # Oncology Hospitals | 0.4025 | 0.4809 | ||||
| < 25th percentile | 0.97 (0.87–1.08) | 1.01 (0.89–1.16) | 0.98 (0.90–1.06) | 0.94 (0.87–1.00) | ||
| 25 – 75th percentile | 0.99 (0.91–1.08) | 1.03 (0.92–1.14) | 0.95 (0.89–1.01) | 0.99 (0.94–1.05) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
| # Medical Doctors | 0.3598 | 0.8026 | ||||
| < 25th percentile | 1.00 (0.86–1.17) | 1.29 (1.06–1.58) | 1.15 (1.03–1.30) | 1.06 (0.96–1.17) | ||
| 25 – 75th percentile | 0.98 (0.87–1.11) | 1.24 (1.07–1.45) | 1.12 (1.02–1.23) | 1.00 (0.93–1.08) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
| # OB/GYN | 0.4963 | 0.9950 | ||||
| < 25th percentile | 0.90 (0.77–1.06) | 0.74 (0.61–0.90) | 0.95 (0.84–1.08) | 1.03 (0.94–1.14) | ||
| 25-75th percentile | 0.96 (0.84–1.09) | 0.76 (0.65–0.89) | 0.95 (0.86–1.05) | 1.04 (0.96–1.13) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
| # Hospitals with Ultrasound | 0.9655 | 0.1684 | ||||
| < 25th percentile | 1.00 (0.87–1.15) | 1.03 (0.87–1.22) | 0.93 (0.84–1.03) | 1.07 (0.99–1.17) | ||
| 25-75th percentile | 0.97 (0.87–1.09) | 1.00 (0.87–1.15) | 0.97 (0.89–1.05) | 0.95 (0.88–1.01) | ||
| > 75th percentile | Ref | Ref | Ref | Ref | ||
Adjusted for county level HCA and SES variables, age, surgery of primary site and seer registry
aAdditionally adjusted for late stage diagnosis
bFor interaction terms between age and each HCA variable with late stage diagnosis as outcome
cFor interaction terms between age and each HCA variable with ovarian cancer mortality as outcome
# Number per million population
Bold indicates significance (p value ≤0.05)