TABLE 3.
Multivariable-adjusted odds ratios associating facility characteristics with surgical treatment delays overall, and racial disparities in delay by facility characteristics among 6011 women with breast cancer diagnosed in the metropolitan Atlanta area (2010–2014)
Delay (n) |
Overall OR (95 % CI)1 |
Delay n (%) |
Common referent OR (95 % CI)1 |
Stratified effects OR (95 % CI)a |
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---|---|---|---|---|---|---|---|---|
|
|
|||||||
Overall | NHW | NHB | NHW | NHB | RERI | |||
| ||||||||
Racial disparity | 1979 | 1537 | – | – | – | 2.15 (1.92–2.41) | ||
Annual patient discharge | ||||||||
Low | 2796 | 1.06 (0.93 to 1.21) | 236 | 484 | 0.73 (0.60 to 0.89) | 2.11 (1.76 to 2.53) | 0.32 (−0.11 to 0.75) | 2.89 (2.25 to 3.70) |
High | 720 | Referent | 1743 | 1053 | Referent | 2.04 (1.79 to 2.33) | Referent | 2.04 (1.79 to 2.33) |
Medical school affiliation | ||||||||
No | 2498 | 0.72 (0.64 to 0.81) | 1541 | 957 | 0.79 (0.67 to 0.93) | 1.70 (1.41 to 2.40) | −0.06 (−0.45 to 0.34) | 2.15 (1.87 to 2.48) |
Yes | 1009 | Referent | 438 | 571 | Referent | 1.94 (1.57 to 2.40) | Referent | 1.94 (1.57 to 2.40) |
Facility type | ||||||||
Government | 309 | 0.40 (0.34 to 0.47) | 120 | 189 | 0.25 (0.20 to 0.32) | 1.20 (0.94 to 1.54) | 0.23 (−0.19 to 0.66) | 4.72 (3.41 to 6.52) |
For-profit | 448 | 0.71 (0.61 to 0.82) | 190 | 258 | 0.54 (0.44 to 0.67) | 1.49 (1.19 to 1.87) | 2.13 (1.87 to 2.40) | 2.72 (2.04 to 3.64) |
Non-profit | 2750 | Referent | 1669 | 1081 | Referent | 1.95 (1.70 to 2.25) | Referent | 1.95 (1.70 to 2.25) |
Accreditations or affiliations | ||||||||
COC-accredited | ||||||||
No | 1423 | 1.24 (1.11 to 1.38) | 643 | 780 | 1.10 (0.95 to 1.27) | 2.28 (1.95 to 2.66) | 0.08 (−0.34 to 0.50) | 2.07 (1.74 to 2.47) |
Yes | 2093 | Referent | 1336 | 757 | Referent | 2.16 (1.85 to 2.52) | Referent | 2.16 (1.85 to 2.52) |
NSABP affiliation | ||||||||
No | 2750 | 0.93 (0.82 to 1.06) | 1675 | 1075 | 0.69 (0.58 to 0.83) | 2.03 (1.69 to 2.43) | 0.33 (−0.8 to 0.74) | 2.92 (2.32 to 3.68) |
Yes | 766 | Referent | 304 | 462 | Referent | 2.01 (1.76 to 2.30) | Referent | 2.01 (1.76 to 2.30) |
Adjusted for age at diagnosis and type of surgery
OR, odds ratio; CI, confidence interval; RERI, relative excess risk due to interaction; NHW, non-Hispanic White; NHB, non-Hispanic Black; COC, commission on cancer; NSABP, National Surgical Adjuvant Breast and Bowel Project