Table 3.
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.
Multiple comparisons adjusted using Tukey’s correction.
Propensity adjusting for age, race, sex, insurance, and clinical stage.