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. 2019 Aug 21;154(10):e193019. doi: 10.1001/jamasurg.2019.3019

Table 4. Patient Demographic, Clinicopathologic, and Treatment Characteristics by Value.

Value Levela P Value
Low (n = 568) Intermediate (n = 1694) High (n = 524)
Age, mean (SD), y 69.4 (10.1) 66.5 (10.6) 65.7 (11.2) <.001b
Male 313 (55.1) 841 (49.6) 240 (45.8) .008c
Race
White 464 (81.7) 1410 (83.2) 434 (82.8) .52d
Black 37 (6.5) 88 (5.2) 27 (5.2)
Asian/Pacific Islander 67 (11.8) 186 (11.0) 60 (11.5)
Other/unknown 0 10 (0.6) 3 (0.6)
Socioeconomic status
Low (first quintile) 125 (22.0) 331 (19.5) 75 (14.3) .001c
Low to middle (second quintile) 119 (21.0) 323 (19.1) 85 (16.2)
Middle (third quintile) 111 (19.5) 333 (19.7) 101 (19.3)
Middle to high (fourth quintile) 108 (19.0) 323 (19.1) 114 (21.8)
High (fifth quintile) 105 (18.5) 384 (22.7) 149 (28.4)
Elixhauser comorbidity index, mean (SD)e 17.7 (10.9) 13.8 (8.5) 10.4 (5.9) <.001b
T category
T1 25 (4.4) 111 (6.6) 68 (13.0) <.001c
T2 78 (13.7) 232 (13.7) 125 (23.9)
T3 465 (81.9) 1351 (79.8) 331 (63.2)
N category
N0 171 (30.1) 618 (36.5) 265 (50.6) <.001d
N1 396 (69.7) 1072 (63.3) 257 (49.1)
NX 1 (0.2) 4 (0.2) 2 (0.4)
Stage
I 57 (10.0) 197 (11.6) 145 (27.7) <.001c
II 511 (90.0) 1497 (88.4) 379 (72.3)
Grade
Well differentiated 41 (7.2) 180 (10.6) 74 (14.1) <.001c
Moderately differentiated 275 (48.4) 820 (48.4) 278 (53.1)
Poorly differentiated or undifferentiated 218 (38.4) 600 (35.4) 131 (25.0)
Unknown 34 (6.0) 94 (5.5) 41 (7.8)
Pancreatic resection
Pancreaticoduodenectomy 473 (83.3) 1386 (81.8) 348 (66.4) <.001c
Distal pancreatectomy 56 (9.9) 194 (11.5) 137 (26.1)
Total pancreatectomy 29 (5.1) 62 (3.7) 7 (1.3)
Other pancreatectomy 10 (1.8) 52 (3.1) 32 (6.1)
Chemotherapy
None 335 (59.0) 570 (33.6) 165 (31.5) <.001c
Preoperative 20 (3.5) 53 (3.1) 16 (3.1)
Postoperative 154 (27.1) 822 (48.5) 262 (50.0)
Sequence unknown/other 59 (10.4) 249 (14.7) 81 (15.5)
Radiotherapy 115 (20.2) 596 (35.2) 163 (31.1) <.001c
NCI-designated cancer center 209 (36.8) 671 (39.6) 247 (47.1) .001c
Teaching hospital 290 (51.1) 853 (50.4) 285 (54.4) .27c
High-volume centerf 265 (46.7) 760 (44.9) 272 (51.9) .02c
Survival, median (IQR), mo 8 (4-11) 20 (12-34) 51 (33-105) <.001g
Costs, mean (SD), $h 106 613 (79 218) 55 568 (46 219) 28 792 (7371) <.001g
Length of stay, median (IQR), d 19 (14-28) 12 (9-17) 9 (8-11) <.001g
Complication within 30 d 372 (65.5) 601 (35.5) 64 (12.2) <.001c
Readmission within 30 d 199 (35.0) 321 (18.9) 45 (8.6) <.001c
In-hospital death 82 (14.4) 22 (1.3) 0 <.001c

Abbreviations: IQR, interquartile range; NCI, National Cancer Institute.

a

Unless otherwise indicated, data are expressed as number (percentage) of patients. Percentages have been rounded and may not total 100. High value was defined as the fourth quintile or higher for survival (≥26 months) and second quintile or less for costs (≤$40 674). Low value was defined as the second quintile or lower for survival (≤15 months) and fourth quintile or higher for costs (≥$53 971).

b

Calculated using analysis of variance.

c

Calculated using χ2 test.

d

Calculated using Fisher exact text.

e

Scores range from −11 to 62, with higher scores indicating a greater number of comorbidities.

f

Indicates 20 or more cases annually.

g

Calculated using Kruskal-Wallis test.

h

Includes the index surgical hospitalization and readmissions within 30 days.