Table 1.17
Patients with breast cancer who received recommended treatment: axillary node dissection or sentinel lymph node biopsy at the time of surgery (lumpectomy or mastectomy) for women with Stage I-IIB breast cancera, United States, 1999 and 2004 |
| Population group |
2004 |
1999 |
| Percent |
Standard error |
Percent |
Standard error |
| Total |
|
85.0 |
0.2 |
75.3 |
0.2 |
| Node Dissection |
Sentinel lymph node biopsy |
30.0 |
0.3 |
12.9 |
0.2 |
| Axillary node dissection |
36.5 |
0.3 |
48.7 |
0.2 |
| Combination |
18.5 |
0.2 |
13.7 |
0.2 |
| Age |
Under age 40 |
89.0 |
0.7 |
85.3 |
0.7 |
| 40-49 |
89.9 |
0.4 |
85.0 |
0.4 |
| 50-59 |
90.2 |
0.3 |
85.1 |
0.4 |
| 60-69 |
89.4 |
0.4 |
82.6 |
0.4 |
| 70-79 |
83.2 |
0.5 |
69.1 |
0.5 |
| 80 and over |
56.5 |
0.9 |
37.2 |
0.7 |
| Race |
American Indian/Alaska Native |
DSU |
DSU |
DSU |
DSU |
| Asian |
87.2 |
1.1 |
83.1 |
1.2 |
| Hawaiian Pacific Islander |
DSU |
DSU |
DSU |
DSU |
| Black only |
84.6 |
0.6 |
77.0 |
0.7 |
| White only |
85.0 |
0.2 |
75.1 |
0.2 |
| Ethnicity |
Hispanic, all races |
85.7 |
0.8 |
81.3 |
1.0 |
| Non-Hispanic, other |
86.8 |
1.1 |
82.7 |
1.2 |
| Non-Hispanic, Black |
85.0 |
0.7 |
77.0 |
0.7 |
| Non-Hispanic, White |
84.8 |
0.2 |
74.7 |
0.2 |
| Health insurance, under age 65 |
Private |
88.9 |
0.3 |
81.7 |
0.3 |
| Public only |
79.2 |
0.4 |
65.4 |
0.4 |
| Uninsured/other |
87.4 |
0.4 |
82.4 |
0.3 |
| Health insurance, age 65 and over |
Medicare only |
76.7 |
0.9 |
62.4 |
0.7 |
| Medicare and supplement |
76.7 |
0.5 |
62.6 |
0.5 |
| Family incomeb |
Negative/poor |
79.6 |
3.5 |
67.7 |
3.3 |
| Near poor/low |
85.0 |
0.2 |
76.1 |
0.3 |
| Middle |
84.5 |
0.4 |
73.4 |
0.4 |
| High |
85.1 |
1.1 |
73.3 |
1.2 |
| Residence location |
Fringe metro, more than 1 million |
83.8 |
0.3 |
73.3 |
0.3 |
| Metro, 0.25-1 million |
86.2 |
0.4 |
75.4 |
0.5 |
| Metro, less than 0.25 million |
87.0 |
0.6 |
79.0 |
0.6 |
| Non-metro, urban |
86.2 |
0.5 |
80.4 |
0.6 |
| Completely rural |
87.9 |
1.4 |
82.8 |
1.5 |
| Residence location |
Metropolitan |
84.7 |
0.2 |
74.5 |
0.2 |
| Large metropolitan, more than 1 million |
83.8 |
0.3 |
73.3 |
0.3 |
| Small metropolitan, less than 1 million |
86.4 |
0.4 |
76.5 |
0.4 |
| Micropolitan |
85.7 |
0.7 |
81.2 |
0.7 |
| Noncore |
87.4 |
0.8 |
79.9 |
0.8 |
| Noncore, adjacent |
86.5 |
0.9 |
79.0 |
0.9 |
| Noncore, rural |
90.2 |
1.4 |
83.2 |
1.6 |
a There is not full agreement regarding the appropriate population (denominator) for this measure, addressing lymph node surgery in women with breast cancer. In the most current draft form during production of the Reports, the measure specification from the National Quality Forum included only women with stage I/II cancer. Women classified as having stage III disease during lymph node surgery (based on 4 or more positive nodes) will be excluded if their stage prior to surgery (i.e., clinical stage) was not recorded. This may artificially lower the rates for this measure.
b Negative/poor refers to household incomes below $17,500; near poor/low, over the poverty line to just below 200 percent of the Federal poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.
DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.
Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer Data Base.
540 Gaither Road Rockville, MD 20850