Table 2.
Predictors of receiving treatment meeting all 3 quality benchmarks
| Treatment that met all 3 quality benchmarks (Hosmer-Lemeshow P=.19) |
||||
|---|---|---|---|---|
| Variable | Adjusted OR | 95% CI | P | |
| Patient attributes | ||||
| Age (per each y younger age) | 1.02 | 1.01 | 1.04 | <.001 |
| Pelvic/para-aortic node involved | 0.96 | 0.71 | 1.31 | .80 |
| Hydronephrosis | 0.68 | 0.50 | 0.94 | .02 |
| Treatment attributes | ||||
| Year of treatment | .24 | |||
| 2000 | 0.91 | 0.33 | 1.51 | .86 |
| 2001 | 0.64 | 0.27 | 1.67 | .30 |
| 2002 | 0.86 | 0.45 | 1.15 | .66 |
| 2003 | 0.66 | 0.37 | 1.37 | .14 |
| 2004 | 0.81 | 0.48 | 0.81 | .42 |
| 2005 | 0.49 | 0.29 | 1.33 | .01 |
| 2006 | 0.80 | 0.48 | 1.28 | .39 |
| 2007 | 0.79 | 0.49 | 1.55 | .34 |
| 2008 | 0.99 | 0.64 | 1.45 | .98 |
| 2009 | 0.89 | 0.57 | 1.38 | .60 |
| 2010 | 1.03 | 0.68 | 1.55 | .90 |
| 2011 (referent) | - | |||
| Received IMRT | 1.18 | 0.88 | 1.58 | .27 |
| Received HDR brachytherapy | 1.77 | 1.41 | 2.22 | <.001 |
| Sociodemographic attributes | ||||
| HMO vs other insurance | 1.05 | 0.76 | 1.44 | .78 |
| Employee vs other | 0.89 | 0.72 | 1.14 | .41 |
| Geographic region | .34 | |||
| Northeast | 1.04 | 0.74 | 1.47 | .82 |
| Midwest | 0.94 | 0.72 | 1.23 | .65 |
| South (referent) | - | |||
| West | 0.72 | 0.50 | 1.04 | .08 |
| Population, persons per county >1,000,000 vs ≤1,000,000 | 0.91 | 0.68 | 1.23 | .55 |
| No. of radiation oncologists per HSA >10 vs ≤10 | 1.47 | 1.11 | 1.96 | .008 |
| No. of internal medicine subspecialists per HSA >100 vs ≤100 | 0.88 | 0.66 | 1.19 | .48 |
| No. of gynecologist subspecialists per HSA >10 vs ≤10 | 0.80 | 0.60 | 1.06 | .16 |
Abbreviations: HDR = high-dose rate; HMO = health maintenance organization; HSA = health services area; IMRT = intensity modulated radiation therapy; OR = odds ratio.
Data show predictors of receiving treatment meeting all 3 of the quality benchmarks receipt of brachytherapy, receipt of chemotherapy, and radiation treatment lasting 63 days or less.