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Table 5 Age-stratified 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)

p-interactionb

Mortality AHR (95% CI)a

p-interactionc

<65 years

> = 65 years

 

<65 years

> = 65 years

 

Race

 Blacks

1.20 (1.07–1.35)

1.00 (0.87–1.15)

 

1.27 (1.17–1.37)

1.14 (1.06–1.22)

 

 Whites

Ref

Ref

 

Ref

Ref

 

Healthcare Availability

% Uninsured

  

0.5071

  

0.6687

 < 25th percentile

0.96 (0.82–1.13)

0.96 (0.78–1.18)

 

1.04 (0.94–1.16)

0.99 (0.91–1.08)

 

 25 – 75th percentile

1.01 (0.90–1.13)

1.02 (0.88–1.18)

 

1.02 (0.94–1.11)

0.97 (0.90–1.03)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 

# Hospitals

  

0.8476

  

0.2352

 < 25th percentile

1.11 (0.98–1.26)

0.94 (0.81–1.10)

 

0.99 (0.90–1.10)

0.92 (0.85–1.00)

 

 25 – 75th percentile

1.03 (0.93–1.14)

0.93 (0.82–1.06)

 

0.97 (0.90–1.05)

1.01 (0.95–1.07)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 

# Oncology Hospitals

  

0.4025

  

0.4809

 < 25th percentile

0.97 (0.87–1.08)

1.01 (0.89–1.16)

 

0.98 (0.90–1.06)

0.94 (0.87–1.00)

 

 25 – 75th percentile

0.99 (0.91–1.08)

1.03 (0.92–1.14)

 

0.95 (0.89–1.01)

0.99 (0.94–1.05)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 

# Medical Doctors

  

0.3598

  

0.8026

 < 25th percentile

1.00 (0.86–1.17)

1.29 (1.06–1.58)

 

1.15 (1.03–1.30)

1.06 (0.96–1.17)

 

 25 – 75th percentile

0.98 (0.87–1.11)

1.24 (1.07–1.45)

 

1.12 (1.02–1.23)

1.00 (0.93–1.08)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 

# OB/GYN

  

0.4963

  

0.9950

 < 25th percentile

0.90 (0.77–1.06)

0.74 (0.61–0.90)

 

0.95 (0.84–1.08)

1.03 (0.94–1.14)

 

 25-75th percentile

0.96 (0.84–1.09)

0.76 (0.65–0.89)

 

0.95 (0.86–1.05)

1.04 (0.96–1.13)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 

# Hospitals with Ultrasound

  

0.9655

  

0.1684

 < 25th percentile

1.00 (0.87–1.15)

1.03 (0.87–1.22)

 

0.93 (0.84–1.03)

1.07 (0.99–1.17)

 

 25-75th percentile

0.97 (0.87–1.09)

1.00 (0.87–1.15)

 

0.97 (0.89–1.05)

0.95 (0.88–1.01)

 

 > 75th percentile

Ref

Ref

 

Ref

Ref

 
  1. Adjusted for county level HCA and SES variables, age, surgery of primary site and seer registry
  2. aAdditionally adjusted for late stage diagnosis
  3. bFor interaction terms between age and each HCA variable with late stage diagnosis as outcome
  4. cFor interaction terms between age and each HCA variable with ovarian cancer mortality as outcome
  5. # Number per million population
  6. Bold indicates significance (p value ≤0.05)