Table 1_1_4-1

2008 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 1_1_4.1
Women with Stage I-IIb breast cancer who received axillary node dissection or sentinel lymph node biopsy (SLNB) at the time of surgery (lumpectomy or mastectomy),a United States, 1999 and 2005
Population group20051999
PercentSEPercentSE
Total86.50.275.30.2
Node dissectionSentinel lymph node biopsy34.10.213.00.2
Axillary node dissection33.80.248.60.2
Combination18.60.213.70.2
AgeUnder 4090.40.685.40.7
40–4989.90.484.90.4
50–5990.90.385.10.4
60–6990.30.382.60.4
70–7985.60.469.10.5
80 and over59.40.837.20.7
RaceAmerican Indian/Alaska Native****
Asian88.51.083.21.2
Native Hawaiian/Other Pacific Islander****
Black only87.00.677.00.7
White only86.30.275.00.2
EthnicityHispanic, all races87.90.781.41.0
Non-Hispanic, other88.01.082.81.2
Non-Hispanic, Black87.00.677.00.7
Non-Hispanic, White86.30.274.70.2
Health insurance, under age 65Private90.20.281.70.3
Public only81.40.365.40.4
Uninsured/other88.40.482.40.3
Health insurance, age 65 and overMedicare only78.90.862.50.7
Medicare and supplement79.60.462.60.5
Family incomebNegative/poor86.32.767.73.3
Near poor/low86.40.276.10.3
Middle86.10.373.40.4
High87.10.973.31.2
Residence locationMetropolitan86.00.274.50.2
  Large metropolitan, more than 1 million85.10.373.30.3
  Small metropolitan, less than 1 million87.70.376.60.4
Micropolitan87.60.681.10.7
Noncore89.50.779.80.8
  Noncore, adjacent89.00.878.90.9
  Noncore, rural91.11.383.21.6

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.

* - 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.

 

Current as of September 2009
Internet Citation: Table 1_1_4-1: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr08/1_cancer/T1_1_4-1.html