Table 1: Demographics of subjects who did not receive treatment

 

 

No Surgery, n  = 29,470

No Chemotherapy, n = 49,705

 

NHW (n = 25,805, 87.6%)

NHB (n = 3665, 12.4%)

NHW (n = 45,139, 90.8%)

NHB (n = 4566, 9.2%)

Age 

   Mean (median)

73.72(76)

68.83(70)

 

65.60(67)

63.62(65)

 

 

n

%

n

%

p value

n

%

n

%

p value

Facility Type

 

 

 

< 0.01

 

 

 

 

< 0.01

   Community Cancer Program

3724

14.4

402

11.0

 

4537

10.1

451

9.9

 

   Comprehensive Community Cancer Program

15,540

60.2

1673

45.7

 

25,855

57.3

2069

45.3

 

   Academic/Research Program

6510

25.2

1589

43.4

 

14,712

32.6

2045

44.8

 

   Other specified types of cancer programs

31

0.03

1

0.0

 

35

0.1

1

0.0

 

Facility Location

< 0.01

< 0.01

   New England

1777

6.9

75

2.1

 

2516

5.6

65

1.4

 

   Middle Atlantic

4123

16.0

610

16.6

 

6710

14.9

725

15.9

 

   South Atlantic

5265

20.4

1258

34.3

 

9756

21.6

1647

36.1

 

   East North Central

4632

18.0

603

16.5

 

7760

17.2

683

15.0

 

    East South Central

1785

6.9

376

10.3

 

3000

6.7

489

10.7

 

   West North Central

1664

6.5

82

2.2

 

2773

6.1

93

2.0

 

   West South Central

1839

7.1

422

11.5

 

3687

8.2

540

11.8

 

   Mountain

1197

4.6

22

0.6

 

3148

7.0

55

1.2

 

   Pacific

3523

13.7

217

5.9

 

5789

12.8

269

5.9

 

Primary Payor

< 0.01

< 0.01

   Not Insured

693

2.8

236

6.7

 

1494

3.4

329

7.6

 

   Private Insurance

5448

21.7

779

22.0

 

18,210

42.0

1472

33.8

 

   Medicaid

838

3.3

384

10.9

 

1458

3.4

479

11.0

 

   Medicare

18,080

72.2

2141

60.5

 

22,208

51.2

2072

47.6

 

Zip Code Level Income*

< 0.01

< 0.01

    < $38,000

3979

16.0

1747

49.1

 

6454

14.8

2049

46.2

 

   $38,000 - $47,999

6253

25.2

795

22.3

 

10,495

24.1

997

22.5

 

   $48,000 - $67,999

6803

27.4

583

16.4

 

12,020

27.6

780

17.6

 

   $63,000 +

7787

31.4

435

12.2

 

14,657

33.6

608

13.7

 

Zip Code Level Education*

< 0.01

< 0.01

   > = 21% or without high-school diploma

3504

14.1

1415

30.8

 

5906

13.5

1668

37.6

 

   13-20% without high-school diploma

6558

26.4

1334

37.5

 

10,957

25.1

1678

37.8

 

   7-12.9% without high-school diploma

8786

35.4

602

16.9

 

15,347

35.2

781

17.6

 

    < 7% or less without high-school diploma

5980

24.1

209

5.9

 

11,435

26.2

308

6.9

 

Charlson-Deyo Score

< 0.01

< 0.01

   0

12,699

70.0

1742

65.4

 

23,229

76.8

2331

72.1

 

   1

3708

20.5

651

24.4

 

5183

17.1

671

20.7

 

   2

1728

9.5

272

10.2

 

1834

6.1

233

7.2

 

Urban/Rural

< 0.01

< 0.01

   Urban

23,052

94.4

3433

97.0

 

40,369

94.4

4276

97.4

 

   Rural

1357

5.6

108

3.1

 

2376

5.0

115

2.6

 

Year of diagnosis

< 0.01

< 0.01

   2008 - 2012

9819

38.1

1536

41.9

 

14,905

33.0

1669

36.6

 

   1998 - 2002

7670

29.7

1000

27.3

 

14,893

33.0

1331

29.2

 

   2003 - 2007

8316

32.3

1129

30.8

 

15,341

34.0

1566

34.3

 

Reason for no treatment

< 0.01

< 0.01

   Not part of planned first course treatment

20,924

81.1

2879

78.6

39,468

87.4

3836

84.0

   Contraindicated due to patient risk factors

2561

9.9

352

9.6

 

1560

3.5

232

5.1

 

   Patient died prior to treatment

309

1.2

58

1.6

 

623

1.4

104

2.3

 

   Recommended but not performed; no reason recorded

712

2.8

98

2.7

 

419

0.9

71

1.6

 

   Refused by patient, family or guardian

1299

5.0

278

7.6

 

3069

6.8

323

7.1

 

 

*Measure estimated by matching the zip code of patient record at time of diagnosis against files derived from 2000 U.S census data.