Research Article

Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer

Table 2

Distribution of covariates by receipt of all guideline concordant care for which a woman was eligible and by individual guideline, for women with early stage breast cancer.

VariableAll guideline concordant careRadiation following LumpectomyRadiation following MastectomyChemotherapy for ER-positive Disease1Chemotherapy for ER-negative Disease2

N5,2474,0853211,453816

Concordant
 Yes4,168 (79.4%)3,736 (91.5%)285 (88.8%)929 (63.9%)578 (70.8%)
 No1,079 (20.6%)349 (8.5%)36 (11.2%)524 (36.1%)238 (29.2%)

Imaging
 Mammogram/US3,525 (67.2%)2,888 (70.7%)148 (46.1%)858 (59.1%)542 (66.4%)
 Breast MRI1,190 (22.7%)921 (22.5%)82 (25.5%)350 (24.1%)145 (17.8%)
 PET/CT532 (10.1%)276 (6.8%)91 (28.3%)245 (16.9%)129 (15.8%)

Age3 (mean years ± standard deviation, range)66.1 ± 12.7
(26–103)
66.4 ± 12.2
(26–103)
64.5 ± 13.9
(32–92)
64.3 ± 13.0
(30–93)
64.2 ± 13.8 (26–96)

Race (White non-Hispanic)
 Yes4,804 (91.6%)3,773 (92.4%)284 (88.5%)1,328 (91.4%)718 (88.0%)
 No443 (8.4%)312 (7.6%)37 (11.5%)125 (8.6%)98 (12%)

Rural/urban residence
 Urban4,672 (89.0%)3,632 (88.9%)291 (90.7%)1,295 (89.1%)714 (87.5%)
 Large360 (6.9%)283 (6.9%)18 (5.6%)104 (7.2%)61 (7.5%)
 Small215 (4.1%)170 (2.4%)12 (3.7%)54 (3.7%)41 (5.0%)

Health insurer type
 Medicare2,498 (47.6%)1,981 (48.5%)133 (41.4%)661 (45.5%)339 (41.5%)
 Fee for service1,059 (20.2%)822 (20.1%)61 (19.0%)307 (21.0%)177 (21.7%)
 Managed care1,334 (25.4%)1,027 (25.1%)97 (30.2%)370 (25.5%)233 (28.6%)
 Medicaid189 (3.6%)125 (3.1%)18 (5.6%)72 (5.0%)42 (5.1%)
 Multiple167 (3.2%)130 (3.2%)12 (3.7%)43 (3.0%)25 (3.1%)

Log of median income (mean ± standard deviation, range)10.8 ± 0.3
(9.3–11.8 )
10.8 ± 0.3
(9.3–11.8)
10.8 ± 0.3
(9.6–11.8)
10.8 ± 0.3
(9.3–11.8)
10.8 ± 0.3
(9.3–11.8)

Year of diagnosis
 2002622 (11.9%)491 (12.0%)40 (12.5%)174 (12.0%)87 (10.7%)
 2003663 (12.6%)502 (12.3%)43 (13.4%)177 (12.2%)113 (13.8%)
 2004673 (12.8%)518 (12.7%)46 (14.3%)196 (13.5%)114 (14.0%)
 2005832 (15.9%)642 (15.7%)51 (15.9%)235 (16.2%)129 (15.8%)
 2006836 (15.9%)672 (16.5%)45 (14.0%)209 (14.4%)128 (15.7%)
 2007834 (15.9%)641 (15.7%)58 (18.1%)248 (17.1%)126 (15.4%)
 2008787 (15.0%)619 (15.2%)38 (11.8%)214 (14.7%)119 (14.6%)

Comorbidity4 (mean ± standard deviation, range)0.2 ± 0.4
(0–3.4)
0.1 ± 0.4
(0–3.4)
0.2 ± 0.4
(0–2.5)
0.2 ± 0.4
(0–3.3)
0.2 ± 0.4
(0–3.1)

Time from diagnosis to definitive surgery (days)
 ≤604,683 (89.3%)3,665 (89.7%)286 (89.1%)1,280 (88.1%)740 (90.7%)
 >60564 (10.7%)420 (10.3%)35 (10.9%)173 (11.9%)76 (9.3%)

1ER+: estrogen receptor positive.
2ER−: estrogen receptor negative.
3Reported are counts for categorical variables and mean ± standard deviation (range as minimum–maximum) for continuous variables.
4Klabunde comorbidity index.