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2009 National Healthcare Quality & Disparities Reports

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, 1999 and 2006
    2006 1999
Population group Percent SE Percent SE
Total   87.8 0.2 75.3 0.2
Node dissection Sentinel lymph node biopsy 36.6 0.2 13.0 0.2
Axillary node dissection 32.0 0.2 48.6 0.2
Combination 19.2 0.2 13.7 0.2
Age Under age 40 91.1 0.6 85.4 0.7
40–49 91.5 0.3 84.9 0.4
50–59 91.5 0.3 85.1 0.4
60–69 91.4 0.3 82.6 0.4
70–79 87.5 0.4 69.1 0.5
80 and over 60.8 0.8 37.2 0.7
Race American Indian/Alaska Native 81.8 4.1 DSU DSU
Asian 89.6 0.9 83.2 1.2
Native Hawaiian/Other Pacific Islander DSU DSU DSU DSU
Black only 87.5 0.5 77.0 0.7
White only 87.8 0.2 75.0 0.2
Ethnicity Hispanic, all races 88.9 0.7 81.4 1.0
Non-Hispanic, other 89.0 0.9 82.8 1.2
Non-Hispanic, Black 87.9 0.6 77.0 0.7
Non-Hispanic, White 88.0 0.2 74.7 0.2
Health insurance, under age 65 Private 91.2 0.2 81.7 0.3
Public only 82.9 0.3 65.4 0.4
Uninsured/other 90.0 0.4 82.4 0.3
Health insurance, age 65 and over Medicare only 80.6 0.9 62.5 0.7
Medicare and supplement 80.9 0.4 62.6 0.5
Family incomeb Negative/poor 88.7 2.4 67.7 3.3
Near poor/low 87.5 0.2 76.1 0.3
Middle 88.2 0.3 73.4 0.4
High 88.6 0.8 73.3 1.2
Residence location Metropolitan 87.8 0.2 74.5 0.2
  Large metropolitan, more than 1 million 87.3 0.2 73.3 0.3
  Small metropolitan, less than 1 million 88.6 0.3 76.6 0.4
Micropolitan 86.1 0.6 81.1 0.7
Noncore 90.2 0.6 79.8 0.8
  Noncore, adjacent 89.9 0.7 78.9 0.9
  Noncore, rural 90.9 1.3 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 the Federal poverty line; near poor/low, the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over. Family income is based on median ZIP Code income as of Census 2000.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: SE: standard error.

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

 

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