Research Article
Adjuvant Chemotherapy in Uterine Leiomyosarcoma: Trends and Factors Impacting Usage
Table 1
Demographic and clinical characteristics of uterine LMS patients stratified by receipt of chemotherapy.
| Characteristics | Chemotherapy | No chemotherapy | | Number | % | Number | % |
| Age at diagnosis, y | | | | | <0.0001 | 18–39 | 66 | 7.1 | 107 | 6.0 | | 40–49 | 270 | 28.8 | 467 | 26.0 | | 50–64 | 475 | 50.7 | 794 | 44.2 | | 65+ | 125 | 13.4 | 428 | 23.8 | |
| Race (missing from analysis: ) | | | | | 0.7531 | White | 701 | 79.7 | 1327 | 78.4 | | African American | 179 | 20.3 | 365 | 21.6 | |
| Hispanic (missing from analysis: ) | | | | | 0.0292 | Yes | 79 | 8.8 | 111 | 6.5 | | No | 814 | 91.2 | 1596 | 93.5 | |
| Comorbidities (Charlson/Deyo score) | | | | | 0.1509 | 0 | 787 | 84.1 | 1460 | 81.3 | | 1 | 126 | 13.5 | 275 | 15.3 | | 2 | 23 | 2.5 | 61 | 3.4 | |
| Insurance status (missing from analysis: ) | | | | | <0.0001 | Medicare | 122 | 13.2 | 442 | 24.9 | | Private | 657 | 71.0 | 1112 | 62.8 | | Medicaid/Other government | 89 | 9.6 | 120 | 6.8 | | None | 57 | 6.2 | 98 | 5.5 | |
| Median household income ($) (missing from analysis: ) | | | | | 0.4726 | <38,000 | 164 | 17.7 | 329 | 18.6 | | 38,000–47,999 | 198 | 21.4 | 366 | 20.7 | | 48,000–62,999 | 252 | 27.2 | 441 | 24.9 | | >63,000 | 311 | 33.6 | 634 | 35.8 | |
| Education (% no high school diploma) (missing from analysis: ) | | | | | 0.0355 | ≥21 | 166 | 17.9 | 321 | 18.1 | | 13–20.9 | 185 | 20.0 | 437 | 24.7 | | 7–12.9 | 335 | 36.2 | 576 | 32.5 | | <7 | 239 | 25.8 | 436 | 24.6 | |
| Location of patient (missing from analysis: ) | | | | | 0.0902 | Large metropolitan | 574 | 62.7 | 1013 | 58.7 | | Small metropolitan | 236 | 25.8 | 484 | 28.0 | | Suburban | 75 | 8.2 | 145 | 8.4 | | Rural | 30 | 3.3 | 85 | 4.9 | |
| Hospital volume (cases per year) | | | | | 0.0181 | 0.09 | 38 | 4.1 | 99 | 5.5 | | 0.18–0.27 | 103 | 11.0 | 256 | 14.3 | | 0.36–0.55 | 181 | 19.3 | 353 | 19.7 | | 0.64–7.27 | 614 | 65.6 | 1088 | 60.6 | |
| Regional lymph nodes positive (missing from analysis: ) | | | | | <0.0001 | Yes | 30 | 8.0 | 13 | 2.0 | | No | 347 | 92.0 | 642 | 98.0 | |
| Stage | | | | | <0.0001 | 1 | 676 | 72.2 | 1541 | 85.8 | | 2 | 64 | 6.8 | 116 | 6.5 | | 3 | 196 | 20.9 | 139 | 7.7 | |
| Year of diagnosis | | | | | <0.0001 | 2004–2009 | 345 | 36.9 | 1005 | 56.0 | | 2010–2014 | 591 | 63.1 | 791 | 44.0 | |
| Radiation (missing from analysis: ) | | | | | 0.0406 | Yes | 225 | 24.3 | 373 | 20.9 | | No | 700 | 75.7 | 1413 | 79.1 | |
| Oophorectomy (missing from analysis: ) | | | | | 0.6492 | Yes | 716 | 84.0 | 1437 | 84.7 | | No | 136 | 16.0 | 259 | 15.3 | |
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