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Table 2 Multivariable adjusted analysis for late-stage epithelial ovarian cancer diagnosis and mortality, SEER 2000–2010

From: Availability of healthcare resources and epithelial ovarian cancer stage of diagnosis and mortality among Blacks and Whites

 

Late Stage Diagnosis AOR (95% CI)

Mortality AHR (95% CI)c

Odds Ratio

Hazard Ratio

HCA Onlya

HCA and SESb

HCA Onlya

HCA and SESb

Race

 Blacks

1.13 (1.04–1.25)

1.14 (1.04–1.25)

1.25 (1.19–1.32)

1.24 (1.18–1.31)

 Whites

Ref

Ref

Ref

Ref

Healthcare Availability

% Uninsured

 < 25th percentile

0.98 (0.89–1.08)

1.02 (0.93–1.13)

0.95 (0.91–1.00)

1.00 (0.94–1.07)

 25 – 75th percentile

1.06 (0.93–1.08)

1.02 (0.93–1.13)

0.94 (0.91–0.98)

0.98 (0.93–1.04)

 > 75th percentile

Ref

Ref

Ref

Ref

# Hospitals

 < 25th percentile

1.01 (0.92–1.11)

1.04 (0.94–1.14)

0.95 (0.89–1.00)

0.96 (0.90–1.02)

 25 – 75th percentile

1.00 (0.92–1.08)

0.99 (0.91–1.07)

0.99 (0.94–1.04)

1.00 (0.95–1.05)

 > 75th percentile

Ref

Ref

Ref

Ref

# Oncology Hospitals

 < 25th percentile

0.95 (0.87–1.03)

0.98 (0.90–1.07)

0.95 (0.91–1.00)

0.96 (0.91–1.02)

 25 – 75th percentile

0.98 (0.92–1.05)

0.99 (0.93–1.06)

0.97 (0.93–1.01)

0.97 (0.93–1.01)

 > 75th percentile

Ref

Ref

Ref

Ref

# Medical Doctorsd

 < 25th percentile

1.10 (0.97–1.25)

1.10 (0.97–1.25)

1.12 (1.04–1.20)

1.11 (1.03–1.20)

 25 – 75th percentile

1.07 (0.97–1.18)

1.07 (0.97–1.18)

1.06 (1.002–1.12)

1.05 (0.99–1.12)

 > 75th percentile

Ref

Ref

Ref

Ref

# OB/GYN

 < 25th percentile

0.86 (0.76–0.98)

0.84 (0.74–0.95)

1.01 (0.94–1.09)

1.01 (0.93–1.09)

 25-75th percentile

0.89 (0.81–0.99)

0.87 (0.78–0.96)

1.01 (0.95–1.07)

1.01 (0.95–1.08)

 > 75th percentile

Ref

Ref

Ref

Ref

# Hospitals with Ultrasound

 < 25th percentile

1.05 (0.94–1.17)

1.02 (0.92–1.14)

1.00 (0.94–1.07)

1.00 (0.94–1.07)

 25-75th percentile

0.99 (0.91–1.08)

0.99 (0.91–1.08)

0.97 (0.92–1.02)

0.96 (0.91–1.01)

 > 75th percentile

Ref

Ref

Ref

Ref

  1. aAdjusted for county level HCA variables, age, surgery of primary site and seer registry
  2. bAdjusted for county level HCA and SES variables, age, surgery of primary site and seer registry
  3. cAdditionally adjusted for late stage diagnosis
  4. dLinear trend test with ovarian cancer mortality was significant at p < 0.0001 level
  5. # Number per million population
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Journal of Ovarian Research

ISSN: 1757-2215

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