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. 2021 Jul 3;2(8):100203. doi: 10.1016/j.jtocrr.2021.100203

Table 3.

Cox Proportional Hazard Model With Stabilized Inverse Probability Weighting Propensity and Propensity-Matched Analyses Stratified by Stage-Preferred Treatment Status

Care Delivery Hazard Ratio (95% CI) Unadjusted p Value Adjusted p Valuea
 Stratified by stage-preferred treatment
 Stabilized inverse probability weightingb
 Among those with stage-preferred treatment
 eMTOC vs. non-MTOC: metropolitan 0.95 (0.83, 1.09) 0.4811 0.7608
 eMTOC vs. non-MTOC: regional 0.81 (0.7–0.93) 0.0040 0.0112
 Non-MTOC: regional vs. metropolitan 1.18 (1.06–1.31) 0.0022 0.0064
 Among those without stage-preferred treatment
 eMTOC vs. non-MTOC: metropolitan 0.73 (0.61–0.86) 0.0003 0.0008
 eMTOC vs. non-MTOC: regional 0.71 (0.59–0.84) 0.0001 0.0003
 Non-MTOC: regional vs. metropolitan 1.03 (0.93–1.14) 0.5943 0.8553
 Propensity matchedb
 Among those with stage-preferred treatment
 eMTOC vs. non-MTOC: metropolitan 0.8 (0.59–1.09) 0.1518 0.3237
 eMTOC vs. non-MTOC: regional 0.76 (0.54–1.06) 0.1002 0.2272
 Non-MTOC: regional vs. metropolitan 1.06 (0.83–1.34) 0.6486 0.8919
 Among those without stage-preferred treatment
 eMTOC vs. non-MTOC: metropolitan 0.48 (0.31–0.73) 0.0006 0.0018
 eMTOC vs. non-MTOC: regional 0.53 (0.34–0.82) 0.0042 0.0117
 Non-MTOC: regional vs. metropolitan 0.9 (0.73–1.13) 0.3705 0.6431
 Stratified by stage-appropriate treatment
 Stabilized inverse probability weightingb
 Among those with stage-appropriate treatment
 eMTOC vs. non-MTOC: metropolitan 0.91 (0.8–1.03) 0.1244 0.2739
 eMTOC vs. non-MTOC: regional 0.83 (0.73–0.95) 0.0061 0.0168
 Non-MTOC: regional vs. metropolitan 1.09 (1–1.2) 0.0651 0.1552
 Among those without stage-appropriate treatment
 eMTOC vs. non-MTOC: metropolitan 0.69 (0.56–0.86) 0.0007 0.002
 eMTOC vs. non-MTOC: regional 0.6 (0.48–0.74) <0.0001 <0.0001
 Non-MTOC: regional vs. metropolitan 1.15 (1.03–1.3) 0.0171 0.045
 Propensity matchedb
 Among those with stage-appropriate treatment
 eMTOC vs. non-MTOC: metropolitan 0.71 (0.54–0.94) 0.0167 0.0440
 eMTOC vs. non-MTOC: regional 0.75 (0.55–1.02) 0.0633 0.1514
 Non-MTOC: regional vs. metropolitan 0.95 (0.77–1.17) 0.6187 0.8724
 Among those without stage-appropriate treatment
 eMTOC vs. non-MTOC: metropolitan 0.48 (0.28–0.8) 0.0049 0.0136
 eMTOC vs. non-MTOC: regional 0.46 (0.27–0.78) 0.0041 0.0114
 Non-MTOC: regional vs. metropolitan 1.03 (0.8–1.34) 0.7979 0.9645

Note: Excluding patients with unknown stage. Non-MTOC metropolitan: patients without care planning through the eMTOC, who received care within metropolitan Memphis; non-MTOC regional: patients without care planning through the eMTOC, who received care within institutions outside greater metropolitan Memphis.

CI, confidence interval; eMTOC, enhanced Multidisciplinary Thoracic Oncology Conference; MTOC, Multidisciplinary Thoracic Oncology Conference.

a

Multiple comparisons adjusted using Tukey’s correction.

b

Propensity adjusting for age, race, sex, insurance, and clinical stage.