Table 2.
Diagnosing urologist and hospital characteristics.
| Diagnosing urologist |
||||
|---|---|---|---|---|
| Total patients | Radical cystectomy | No radical cystectomy | p value | |
| N (%) | N (%) | |||
| Urologist characteristics | ||||
| Age of physician, mean (SD) | NA | 51.7 (10.0) | 52.6 (10.0) | 0.002 |
| Practice year, mean (SD) | NA | 24.8 (10.5) | 25.7 (10.4) | 0.001 |
| Physician sex | ||||
| Male | 6438 | 1662 (88.5) | 4776 (91.5) | 0.001 |
| Female | 659 | 216 (11.5) | 443 (8.5) | |
| Employment | ||||
| Group | 3858 | 1051 (56.0) | 2807 (53.8) | 0.304 |
| 1–2 physicians | 2078 | 515 (27.4) | 1563 (30.0) | |
| Government | 505 | 127 (6.8) | 378 (7.2) | |
| Medical school | 43 | 13 (0.7) | 30 (0.6) | |
| Nongovernment | 129 | 34 (1.8) | 95 (1.8) | |
| Not classified | 484 | 138 (7.4) | 346 (6.6) | |
| Surgeon volume a | ||||
| Low (0–4) | 6538 | 1666 (88.7) | 4872 (93.4) | < 0.001 |
| High (5+) | 559 | 212 (11.3) | 347 (6.6) | |
| Hospital characteristics | ||||
| Bed size, mean (SD) | NA | 373.9 (250.3) | 347.5 (235.2) | < 0.001 |
| Cancer center b | ||||
| No | 6615 | 1689 (90.0) | 4926 (94.4) | < 0.001 |
| Clinical | 141 | 44 (2.3) | 97 (1.9) | |
| Comprehensive | 341 | 145 (7.7) | 196 (3.7) | |
| Teaching hospital | ||||
| Yes | 3798 | 1060 (56.4) | 2738 (52.5) | 0.003 |
| No | 3299 | 818 (43.6) | 2481 (47.5) | |
| Type of control | ||||
| Nonprofit | 5322 | 1391 (74.1) | 3931 (75.3) | 0.533 |
| Government | 871 | 236 (12.6) | 635 (12.2) | |
| Proprietary | 904 | 251 (13.4) | 653 (12.5) | |
| Rural/urban | ||||
| Rural | 818 | 186 (9.9) | 632 (12.1) | 0.010 |
| Urban | 6279 | 1692 (90.1) | 4587 (87.9) | |
| Hospital volume a | ||||
| Low (0–4) | 5786 | 1406 (74.9) | 4380 (83.9) | < 0.001 |
| High (5+) | 1311 | 472 (25.1) | 839 (16.1) | |
NA = not available; SD = standard deviation.
a
Surgeon volume and hospital volume were for the study period (10 yr).
b
National Cancer Institute cancer center affiliation.