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 group		2005		1999
Population group		Percent	SE	Percent	SE
Total		86.5	0.2	75.3	0.2
Node dissection	Sentinel lymph node biopsy	34.1	0.2	13.0	0.2
	Axillary node dissection	33.8	0.2	48.6	0.2
	Combination	18.6	0.2	13.7	0.2
Age	Under 40	90.4	0.6	85.4	0.7
	40–49	89.9	0.4	84.9	0.4
	50–59	90.9	0.3	85.1	0.4
	60–69	90.3	0.3	82.6	0.4
	70–79	85.6	0.4	69.1	0.5
	80 and over	59.4	0.8	37.2	0.7
Race	American Indian/Alaska Native	*	*	*	*
	Asian	88.5	1.0	83.2	1.2
	Native Hawaiian/Other Pacific Islander	*	*	*	*
	Black only	87.0	0.6	77.0	0.7
	White only	86.3	0.2	75.0	0.2
Ethnicity	Hispanic, all races	87.9	0.7	81.4	1.0
	Non-Hispanic, other	88.0	1.0	82.8	1.2
	Non-Hispanic, Black	87.0	0.6	77.0	0.7
	Non-Hispanic, White	86.3	0.2	74.7	0.2
Health insurance, under age 65	Private	90.2	0.2	81.7	0.3
	Public only	81.4	0.3	65.4	0.4
	Uninsured/other	88.4	0.4	82.4	0.3
Health insurance, age 65 and over	Medicare only	78.9	0.8	62.5	0.7
Health insurance, age 65 and over	Medicare and supplement	79.6	0.4	62.6	0.5
Family income^b	Negative/poor	86.3	2.7	67.7	3.3
	Near poor/low	86.4	0.2	76.1	0.3
	Middle	86.1	0.3	73.4	0.4
	High	87.1	0.9	73.3	1.2
Residence location	Metropolitan	86.0	0.2	74.5	0.2
	Large metropolitan, more than 1 million	85.1	0.3	73.3	0.3
	Small metropolitan, less than 1 million	87.7	0.3	76.6	0.4
	Micropolitan	87.6	0.6	81.1	0.7
	Noncore	89.5	0.7	79.8	0.8
	Noncore, adjacent	89.0	0.8	78.9	0.9
	Noncore, rural	91.1	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 $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