Table 1.
Patient Characteristics.
| Characteristic | Total Number of Patients | Medicare N (%), Median [Range] |
Private Insurance N (%), Median [Range] |
Medicaid N (%), Median [Range] |
Not insured N (%), Median [Range] |
Other gov. ins. N (%), Median [Range] |
|---|---|---|---|---|---|---|
| Total Number | 115,099 | 62,340 (53) | 41,340 (35) | 6410 (5.4) | 3796 (3.2) | 1213 (1) |
| Age at diagnosis | 67 (19–90) | 74 (23–90) | 57 (21–90) | 58 (19–90) | 57 (21–90) | 61 (27–90) |
| Gender | ||||||
| Male | 62,798 (55) | 33,071 (53) | 23,438 (57) | 3338 (52) | 2155 (57) | 796 (66) |
| Female | 52,301(45) | 29,269 (47) | 17,902 (43) | 3072 (48) | 1641 (43) | 417 (34) |
| Race | ||||||
| White | 87,263 (77) | 49,313 (79) | 31,472 (76) | 3446 (54) | 2214 (58) | 818 (67) |
| Black | 22,976 (20) | 10,982 (18) | 7910 (19) | 2432 (38) | 1347 (35) | 305 (25) |
| Other | 3616 (3) | 1489 (2) | 1416 (3) | 449 (7) | 193 (5) | 69 (6) |
| Median income (zip-code-based) * | ||||||
| <30 k | 16,419 (15) | 9178 (15) | 4497 (11) | 1712 (27) | 858 (23) | 174 (14) |
| 30–34.9 k | 19,878 (18) | 11,258 (18) | 6341 (15) | 1258 (20) | 784 (21) | 237 (20) |
| 35–45.9 k | 30,160 (27) | 16,717 (27) | 10,394 (25) | 1687 (26) | 951 (25) | 411 (34) |
| ≥46 k | 44,367 (40) | 23,000 (37) | 18,419 (45) | 1567 (24) | 1044 (28) | 337 (28) |
| Education level (zip-code-based) ^ | ||||||
| Level 1 | 20,276 (18) | 10,731 (17) | 6021 (15) | 2156 (34) | 1175 (31) | 193 (16) |
| Level 2 | 25,513 (23) | 14,000 (22) | 8546 (21) | 1700 (27) | 997 (26) | 270 (22) |
| Level 3 | 25,223 (23) | 14,011 (22) | 9054 (22) | 1215 (19) | 623 (16) | 320 (26) |
| Level 4 | 39,807 (36) | 21,410 (34) | 16,026 (39) | 1153 (18) | 842 (22) | 376 (31) |
| Area of residence | ||||||
| Metro | 92,236 (83) | 48,638 (78) | 34,110 (83) | 5437 (85) | 3147 (83) | 904 (75) |
| Urban | 16,795 (15) | 10,172 (16) | 5159 (12) | 739 (12) | 485 (13) | 240 (20) |
| Rural | 2357 (2) | 1502 (2) | 689 (2) | 83 (1) | 55 (1) | 28 (2) |
| Facility location | ||||||
| Northeast | 24,688 (22) | 13,135 (21) | 9466 (23) | 1560 (24) | 459 (12) | 68 (6) |
| Midwest | 29,936 (26) | 17,379 (28) | 10,342 (25) | 1331 (21) | 678 (18) | 206 (17) |
| West | 18,113 (16) | 9032 (14) | 7071 (17) | 1252 (20) | 482 (13) | 276 (23) |
| South | 40,834 (36) | 22,722 (36) | 13,479 (33) | 1950 (30) | 2036 (54) | 647 (53) |
| Disease | ||||||
| Primary | 97,693 (65) | 49,969 (80) | 37,167 (90) | 5929 (92) | 3564 (94) | 1064 (88) |
| Secondary | 17,394 (15) | 12,366 (20) | 4167 (10) | 481 (8) | 231 (6) | 149 (12) |
| Durie–Salmon Stage | ||||||
| 1 | 2118 (1.8) | 954 (2) | 1010 (2) | 92 (1) | 36 (1) | 26 (2) |
| 2 | 2970 (2.5) | 1371 (2) | 1326 (3) | 152 (2) | 85 (2) | 36 (3) |
| 3 | 7502 (6.4) | 3297 (5) | 3334 (8) | 518 (8) | 258 (7) | 95 (8) |
| Not available | 105,336 (89.3) | 56,718 (91) | 35,670 (87) | 5648 (89) | 3417 (90) | 1056 (87) |
| Charlson/Deyo comorbidity score | ||||||
| 0 | 87,121 (76) | 44,534 (71) | 33,963 (82) | 4683 (73) | 2998 (79) | 943 (78) |
| 1 | 18,799 (16) | 11,626 (19) | 5347 (13) | 1110 (17) | 538 (14) | 178 (15) |
| 2 | 6405 (6) | 4303 (7) | 1477 (4) | 403 (6) | 158 (4) | 64 (5) |
| 3 or more | 2774 (2) | 1877 (3) | 553 (1) | 214 (3) | 102 (3) | 28 (2) |
| Hematopoietic stem cell transplant | ||||||
| Yes | 18,213 (16) | 4651 (7) | 11,942 (29) | 1075 (17) | 272 (7) | 273 (23) |
| No | 94,354 (84) | 56,606 (91) | 28,244 (68) | 5175 (81) | 3414 (90) | 915 (75) |
| Facility type £ | ||||||
| Community | 10,460 (9) | 6789 (11) | 2713 (7) | 573 (9) | 270 (7) | 115 (9) |
| Comprehensive community | 45,428 (40) | 28,007 (45) | 13,962 (34) | 1687 (26) | 1292 (34) | 480 (40) |
| Academic | 45,990 (41) | 20,791 (33) | 19,834 (48) | 3190 (50) | 1677 (44) | 498 (41) |
| Integrated network cancer program | 11,693 (10) | 6681 (11) | 3849 (9) | 643 (10) | 416 (11) | 104 (9) |
| Facility volume | ||||||
| <10 patient/year | 44,040 (38) | 27,113 (43) | 12,697 (31) | 2271 (35) | 1538 (41) | 421 (35) |
| 10–50 patient/year | 55,648 (48) | 29,354 (47) | 20,390 (49) | 3287 (51) | 1978 (52) | 639 (53) |
| >50 patient/year | 15,411 (14) | 5873 (9) | 8253 (20) | 852 (13) | 280 (7) | 153 (13) |
| Distance traveled | ||||||
| Distance traveled (miles) | 10 (0–4961) | 8 (0–4961) | 12 (0–3367) | 7 (0–2439) | 9 (0–2424) | 14 (0–3329) |
| Traveled > 120 miles | 4711 (4) | 1964 (3) | 2384 (5.7) | 184 (2.8) | 97 (2.4) | 82 (6.7) |
* <46 k vs. >46 k; ^ Level 1: >29%, level 2: 20–28.9%, level 3: 14–19.9%, level 4: <14%; £ was categorized as comprehensive community cancer program (500 or more new cancer cases per year), community cancer program (100–500 new cancer cases per year), integrated network cancer program (part of a network that offers comprehensive services), and academic comprehensive cancer program (more than 500 new cancer cases per year).