Table 3.
Odds of receiving selected rectal cancer pre-treatment and treatment services by hospital characteristics, adjusted for patient characteristics*
| NCI Designation | Resident Program | Medical School Affiliation | ||||||
|---|---|---|---|---|---|---|---|---|
| Yes vs. No | Yes vs. No | Major vs. None | Limited vs. None | |||||
| Service | ORa | 95% CIa | ORa | 95% CIa | ORa | 95% CIa | ORa | 95% CIa |
| Clinical Staging | ||||||||
| TRUS or Pelvic MRI | 3.51 | 2.60–4.73 | 1.75 | 1.44–2.14 | 2.19 | 1.75–2.74 | 1.20 | 0.94–1.52 |
| Pelvic CT | 1.57 | 1.01–2.45 | 1.18 | 0.92–1.52 | 1.68 | 1.23–2.31 | 1.16 | 0.87–1.55 |
| PET | 1.52 | 1.08–2.12 | 1.37 | 1.08–1.73 | 1.41 | 1.08–1.86 | 1.33 | 1.01–1.75 |
| Abdominal CT or MRI | 1.80 | 1.10–2.93 | 1.20 | 0.93–1.55 | 1.72 | 1.24–2.40 | 1.15 | 0.85–1.54 |
| Chest CT or X-ray | 1.28 | 0.91–1.79 | 1.00 | 0.81–1.23 | 1.07 | 0.84–1.37 | 0.92 | 0.72–1.17 |
| Any imaging above | 2.30 | 0.82–6.42 | 1.03 | 0.64–1.64 | 1.15 | 0.65–2.04 | 0.95 | 0.55–1.61 |
| CEA Test | 1.90 | 1.39–2.61 | 1.38 | 1.15–1.66 | 1.34 | 1.08–1.67 | 1.18 | 0.95–1.47 |
| Chemotherapy | ||||||||
| Any chemotherapy received | 1.79 | 1.20–2.69 | 1.14 | 0.92–1.43 | 1.18 | 0.91–1.54 | 1.02 | 0.79–1.31 |
| Neoadjuvant chemotherapy received | 2.32 | 1.71–3.16 | 1.45 | 1.20–1.75 | 1.52 | 1.21–1.90 | 1.15 | 0.92–1.44 |
| Radiation Therapy | ||||||||
| Any radiation received | 1.72 | 1.18–2.51 | 1.15 | 0.93–1.42 | 1.31 | 1.01–1.68 | 1.09 | 0.86–1.39 |
| Neoadjuvant radiation | 2.66 | 1.93–3.67 | 1.60 | 1.32–1.94 | 1.76 | 1.40–2.20 | 1.24 | 0.99–1.55 |
| Sphincter preserving surgery | 1.06 | 0.78–1.44 | 1.13 | 0.93–1.37 | 1.16 | 0.92–1.46 | 1.00 | 0.80–1.25 |
Adjusted for age, gender, race, marital status, stage, Charlson count, rurality and registry; P values calculated using a two-sided Wald test.
OR=Odds Ratio, 95% CI=95% Confidence Interval