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
		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
Health insurance, age 65 and over	Medicare and supplement	80.9	0.4	62.6	0.5
Family income^b	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.

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