Table 1_1_3-1

2009 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_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
  20061999
Population groupPercentSEPercentSE
Total 87.80.275.30.2
Node dissectionSentinel lymph node biopsy36.60.213.00.2
Axillary node dissection32.00.248.60.2
Combination19.20.213.70.2
AgeUnder age 4091.10.685.40.7
40–4991.50.384.90.4
50–5991.50.385.10.4
60–6991.40.382.60.4
70–7987.50.469.10.5
80 and over60.80.837.20.7
RaceAmerican Indian/Alaska Native81.84.1DSUDSU
Asian89.60.983.21.2
Native Hawaiian/Other Pacific IslanderDSUDSUDSUDSU
Black only87.50.577.00.7
White only87.80.275.00.2
EthnicityHispanic, all races88.90.781.41.0
Non-Hispanic, other89.00.982.81.2
Non-Hispanic, Black87.90.677.00.7
Non-Hispanic, White88.00.274.70.2
Health insurance, under age 65Private91.20.281.70.3
Public only82.90.365.40.4
Uninsured/other90.00.482.40.3
Health insurance, age 65 and overMedicare only80.60.962.50.7
Medicare and supplement80.90.462.60.5
Family incomebNegative/poor88.72.467.73.3
Near poor/low87.50.276.10.3
Middle88.20.373.40.4
High88.60.873.31.2
Residence locationMetropolitan87.80.274.50.2
  Large metropolitan, more than 1 million87.30.273.30.3
  Small metropolitan, less than 1 million88.60.376.60.4
Micropolitan86.10.681.10.7
Noncore90.20.679.80.8
  Noncore, adjacent89.90.778.90.9
  Noncore, rural90.91.383.21.6

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 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.

 

Current as of March 2010
Internet Citation: Table 1_1_3-1: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/1_cancer/T1_1_3-1.html