Table 2. Factors Independently Associated With Delayed Surgical Treatment.
Variablea | OR (95% CI) | P value |
---|---|---|
Age, y | 1.005 (0.998-1.012) | .16 |
Female vs male sex | 0.993 (0.768-1.284) | .96 |
Race | ||
White | [1 Reference] | NA |
Black | 1.267 (1.112-1.444) | <.001 |
Otherb | 1.361 (0.918-2.018) | .35 |
BMI | 0.992 (0.983-1.001) | .09 |
Smoking status | ||
Current | [1 Reference] | NA |
Former | 1.031 (0.931-1.141) | .46 |
Never | 1.307 (0.766-2.230) | .35 |
CCI score | 0.980 (0.956-1.004) | .10 |
ADI score | 1.005 (1.002-1.007) | .002 |
Surgical treatment year | 0.900 (0.884-0.915) | <.001 |
Yearly hospital caseloadc | 0.998 (0.998-0.999) | .001 |
Endobronchial ultrasound or mediastinoscopy vs none | 1.385 (1.226-1.564) | <.001 |
Histology | ||
Adenocarcinoma | [1 Reference] | NA |
Squamous cell carcinoma | 0.923 (0.829-1.028) | .78 |
Other | 0.880 (0.751-1.033) | .27 |
Tumor grade | ||
I | [1 Reference] | NA |
II | 0.906 (0.781-1.051) | .94 |
III | 0.883 (0.753-1.036) | .74 |
IV | 0.827 (0.535-1.276) | .58 |
Tumor size, mm | ||
0-10 | [1 Reference] | NA |
11-20 | 1.132 (0.943-1.359) | .07 |
21-30 | 1.212 (1.003-1.465) | .004 |
31-40 | 0.991 (0.804-1.222) | .55 |
≥40 | 0.999 (0.782-1.277) | .71 |
Unknown | 0.885 (0.585-1.339) | .35 |
Abbreviations: ADI, area deprivation index; CCI, Charlson Comorbidity Index; NA, not applicable; OR, odds ratio.
ORs for continuous variables are per 1-unit increase.
Other category includes any code other than White or Black in the American College of Surgery Facility Oncology Registry Data Standards manual.
Hospital caseload was measured as the number of patients with a lung cancer diagnosis at that institution in the year prior to a patient’s surgical procedure.