Research Article

Impact of Insurance Coverage on Outcomes in Primary Breast Sarcoma

Table 5

Multivariate Cox proportional hazard models of the effect of insurance status on overall survival in patients with breast sarcoma versus carcinoma.

Multivariate analysisa
HR (95% CI)

Interaction between insurance status and breast cancer typeb
 Medicaid versus private; sarcoma versus carcinoma<0.001
 Medicare versus private; sarcoma versus carcinoma0.912
Breast cancer type
 Carcinoma: Medicaid versus private (reference)1.69 (1.66–1.72)<0.001
 Sarcoma: Medicaid versus private (reference)2.48 (1.63–3.78)<0.001

aAdjusted for age, race, year of diagnosis, comorbidity, income, location, distance from treatment facility, educational attainment, tumor size, node status, metastatic status, tumor grade, and treatment; b value for the interaction tests whether there is a significant difference in the HRs for patients with Medicaid/Medicare insurance relative to private insurance in breast sarcoma versus breast carcinoma; abbreviations: HR, hazard ratio; CI, confidence interval.