Research Article

Sentinel Lymph Node Biopsy in Patients with Thick Primary Cutaneous Melanoma: Patterns of Use and Underuse Utilizing a Population-Based Model

Table 2

Multivariate logistic regression model of the entire cohort (2004–2008) predicting use of sentinel lymph node biopsy (SLNB).

VariableOdds Ratio (95% CI) value

Age, years
 1 to 39ReferentReferent
 40 to 490.74 (0.41–1.35)=0.325
 50 to 590.84 (0.48–1.47)=0.547
 60 to 690.58 (0.33–0.99)=0.047
 70 to 790.32 (0.19–0.54)<0.001
 80 or more0.10 (0.06–0.16)<0.001
Sex
 MaleReferentReferent
 Female0.93 (0.75–1.16)=0.532
Race/ethnicity
 WhiteReferentReferent
 Asian1.54 (0.61–3.91)=0.359
 Black0.54 (0.23–1.27)=0.158
 Hispanic0.85 (0.51–1.41)=0.523
 Native American4.62 (0.45–47.63)=0.198
 Unknown0.21 (0.07–0.62)=0.005
Mean Breslow depth
(per 1/100 mm)
0.99 (0.99–1.00)<0.001
Tumor histology
 NodularReferentReferent
 Acral lentiginous1.08 (0.61–1.92)=0.786
 Amelanotic1.21 (0.64–2.30)=0.555
 Desmoplastic1.47 (1.11–1.96)=0.008
 Epidermoid1.36 (0.67–2.76)=0.388
 Lentigo maligna0.93 (0.45–1.91)=0.850
 Nevus associated0.91 (0.24–3.45)=0.887
 Regressing4.83 (0.58–40.47)=0.147
 Superficial Spreading0.91 (0.68–1.23)=0.549
Tumor location
 Head/neckReferentReferent
 Arm2.07 (1.56–2.75)<0.001
 Leg2.40 (1.70–3.40)<0.001
 Trunk1.82 (1.38–2.40)<0.001
 Overlapping/other0.23 (0.04–1.22)=0.084
Tumor ulceration
 YesReferentReferent
 No0.88 (0.71–1.09)=0.234
 Unknown0.63 (0.33–1.22)=0.172