Table 2:
Independent Predictors | AOR | 95% Confidence Interval | P-Valueb |
---|---|---|---|
Age, year: [≥65] | Reference | ||
[50–64] | 1.97 | 1.70–2.28 | <0.001 |
[18–49] | 3.14 | 2.67–3.69 | <0.001 |
Race: White | Reference | ||
Black | 0.48 | 0.42–0.55 | <0.001 |
Other/unknown | 0.44 | 0.35–0.57 | <0.001 |
Ethnicity H/L vs. non-H/L | 0.54 | 0.44–0.65 | <0.001 |
Education: % of No HSDc: [≥21] | Reference | ||
[13–20.9] | 1.06 | 0.93–1.21 | 0.238 |
[7–12.9] | 1.17 | 1.03–1.32 | 0.002 |
[< 7] | 1.24 | 1.09–1.42 | <0.001 |
Insurance status: None | Reference | ||
Medicare | 1.21 | 0.95–1.54 | 0.122 |
Medicaid | 1.09 | 0.86–1.36 | 0.485 |
Other Government | 1.60 | 1.04–2.47 | 0.034 |
Private | 1.57 | 1.28–1.94 | <0.001 |
Facility type: CCP | Reference | ||
Academic/research | 0.97 | 0.84–1.13 | 0.724 |
CCCP | 1.24 | 1.08–1.42 | 0.002 |
INCP | 1.37 | 1.16–1.63 | <0.001 |
Clinical AJCC T4abc | Reference | ||
Clinical AJCC T4d | 1.35 | 1.23–1.48 | <0.001 |
Clinical AJCC NOS | 1.00 | 0.90–1.11 | 0.939 |
Tumor size ≤20 vs >20 mm | 1.23 | 1.09–1.38 | 0.001 |
Clinical AJCC N Status: 0 | Reference | ||
1 | 1.04 | 0.94–1.14 | 0.502 |
2 | 0.95 | 0.84–1.08 | 0.413 |
3 | 0.93 | 0.80–1.07 | 0.306 |
ER Positive vs negative | 1.05 | 0.94–1.18 | 0.409 |
PR Positive vs negative | 0.91 | 0.81–1.02 | 0.111 |
HER2 Positive vs negative | 1.09 | 0.96–1.25 | 0.190 |
Chemotherapy: None | |||
Neoadjuvant | 3.79 | 2.79–5.13 | <0.001 |
Adjuvant | 2.51 | 1.83–3.43 | <0.001 |
PMRT: None | Reference | ||
Yes | 1.17 | 1.07–1.29 | 0.001 |
IBR vs no IBR | 2.24 | 2.01–2.50 | <0.001 |
AllT4 = Tabc+T4+NOS (not otherwise specified)
Adjusted for age, race, ethnicity, education, payer and facility type, tumor size, T4d and nodal status, chemotherapy, radiotherapy, and IBR
No HSD: Percentage of no high school degree by zip codes
CPM, contralateral prophylactic mastectomy; AOR, adjusted odds ratio; H/L Hispanic/Latino; HSD, high-school degree; CCP, community cancer program; CCCP, comprehensive community cancer program; INCP, integrated network cancer program, AJCC, American Joint Committee on Cancer, ER, estrogen receptor; PR, progesterone receptor; HER2, human epidermal growth factor receptor 2; PMRT Post-mastectomy radiotherapy; IBR Immediate b