Table 2.
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.