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2011 National Healthcare Quality & Disparities Reports
Data Tables Appendix

Table 1_1_3.1
Women with clinical Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy at the time of surgery (lumpectomy or mastectomy),a United States, 2004-2008
  2008 2007 2006 2005 2004
Population group Percent SE Percent SE Percent SE Percent SE Percent SE
Total   93.7 0.1 89.9 0.1 87.8 0.2 86.7 0.2 85.3 0.2
Node dissection Sentinel lymph node biopsy 42.7 0.2 39.2 0.2 36.7 0.2 33.9 0.2 30.0 0.3
Axillary node dissection 30.0 0.2 31.3 0.2 32.0 0.2 34.3 0.3 36.7 0.3
Combination 21.1 0.1 19.3 0.2 19.1 0.2 18.6 0.2 18.6 0.2
Age Under age 40 95.0 0.3 92.4 0.5 90.8 0.6 90.6 0.6 90.1 0.7
40-49 96.1 0.2 92.8 0.3 91.7 0.3 90.7 0.3 90.4 0.4
50-59 95.9 0.1 93.2 0.2 91.7 0.3 91.3 0.3 90.5 0.3
60-69 96.0 0.1 92.6 0.2 91.2 0.3 90.6 0.3 89.5 0.4
70-79 93.7 0.2 89.2 0.4 87.3 0.4 85.4 0.5 82.9 0.5
80 and over 74.9 0.5 66.1 0.8 60.2 0.8 58.3 0.9 55.7 0.9
Race AI/AN 93.7 1.8 86.8 3.3 80.7 4.2 84.2 4.2 86.9 3.7
Asian 94.7 0.5 93.4 0.7 89.7 0.9 88.8 1.0 87.7 1.1
HPI 96.1 1.7 98.3 1.7 93.5 3.6 85.4 5.5 85.0 5.7
Black only 93.8 0.3 90.2 0.4 87.5 0.5 87.3 0.6 84.9 0.6
White only 93.7 0.1 89.7 0.2 87.8 0.2 86.6 0.2 85.3 0.2
Ethnicity Hispanic, all races 94.3 0.4 91.4 0.6 89.9 0.7 88.9 0.7 86.5 0.8
Non-Hispanic, other 94.7 0.4 93.0 0.7 89.0 0.9 88.4 1.0 87.4 1.1
Non-Hispanic, Black 93.9 0.3 90.1 0.5 87.9 0.6 87.2 0.6 85.3 0.6
Non-Hispanic, White 93.6 0.1 89.7 0.2 87.9 0.2 86.5 0.2 85.1 0.2
Health insurance, under age 65 Private 95.6 0.1 92.7 0.2 91.5 0.2 90.6 0.2 89.4 0.3
Public only 91.0 0.2 85.9 0.3 82.9 0.3 81.5 0.3 79.2 0.3
Uninsured/other 95.6 0.2 92.1 0.3 89.9 0.4 89.3 0.4 89.5 0.4
Health insurance, age 65 and over Medicare only 89.2 0.5 85.2 0.7 80.7 0.9 78.7 0.8 76.9 0.9
Medicare and supplement 89.8 0.2 83.8 0.3 80.9 0.4 79.6 0.4 76.8 0.5
Family incomeb Negative/poor 93.2 1.3 85.6 2.5 89.5 2.3 87.1 2.6 80.0 3.4
Near poor/low 93.7 0.1 90.0 0.2 87.5 0.2 86.6 0.2 85.4 0.2
Middle 93.8 0.2 89.6 0.3 88.2 0.3 86.5 0.3 84.9 0.4
High 93.8 0.5 90.3 0.8 88.7 0.9 87.9 0.9 85.9 1.0
Location of residence Metropolitan 93.7 0.1 89.6 0.2 87.7 0.2 86.3 0.2 85.0 0.2
  Large metropolitan 93.7 0.1 88.9 0.2 87.2 0.2 85.4 0.3 84.2 0.3
  Small metropolitan 93.7 0.2 90.9 0.2 88.8 0.3 87.9 0.3 86.5 0.4
Micropolitan 93.9 0.3 90.8 0.5 86.4 0.6 88.2 0.6 86.4 0.6
Noncore 94.6 0.3 91.7 0.5 89.9 0.6 89.7 0.7 87.2 0.7
  Noncore, adjacent 94.7 0.4 91.0 0.6 89.9 0.7 89.2 0.8 86.1 0.9
  Noncore, rural 94.0 0.7 94.0 0.9 90.2 1.3 91.4 1.3 90.7 1.3

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 four or more positive nodes) were 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 the Federal poverty line; near poor/low, 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.

Key: AI/AN: American Indian/Alaska Native; HPI: Hawaiian or Pacific Islander; SE: standard error.

Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer Data Base.

 
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