Research Article

Adult Primary Bone Sarcoma and Time to Treatment Initiation: An Analysis of the National Cancer Database

Table 2

Multivariate analysis.

Incidence rate ratio on TTI (95% CI) value

Age (>30 years)1.07 (1.00, 1.14)0.051
Gender (female)0.99 (0.94, 1.04)0.612
Minority race1.12 (1.04, 1.19)0.002
Charlson/Deyo score ≥ 10.98 (0.92, 1.06)0.677
Histology
 Osteosarcoma1.03 (0.97, 1.09)0.316
 Chondrosarcoma0.85 (0.79, 0.92)<0.001
Primary tumor site
 Upper extremity0.92 (0.85, 0.99)0.023
 Lower extremity0.91 (0.86, 0.96)0.001
 Pelvis1.26 (1.19, 1.35)<0.001
Tumor size
 >8.0 cm1.00 (0.95, 1.05)0.923
Grade
 Overall grade0.99 (0.97, 1.01)0.265
 Grade 2 vs grade 11.24 (1.12, 1.38)<0.001
 Grade 3 or 4 vs grade 11.13 (1.03, 1.23)0.006
Clinical staging
 Overall stage0.98 (0.98, 0.99)<0.001
 Stage II or III0.91 (0.85, 0.98)0.010
Facility type
 Academic center1.14 (1.08, 1.21)<0.001
 Academic center vs comprehensive cancer center1.20 (1.11, 1.30)<0.001
Insurance
 Private insurance0.87 (0.83, 0.92)<0.001
 Uninsured vs private insurance1.36 (1.21, 1.53)<0.001
 Medicaid vs private insurance1.22 (1.12, 1.33)<0.001
 Medicare vs private insurance1.08 (1.01, 1.16)0.017
Distance to facility ≥21 miles0.98 (0.93, 1.03)0.520
Initial treatment modality
 Surgery0.88 (0.84, 0.94)<0.001
Transition in care1.89 (1.80, 1.99)<0.001