Table 1_1_3-1

2010 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, 2001-2007
		2007		2006		2005		2004		2003		2002		2001
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		89.2	0.1	87.6	0.2	86.6	0.2	85.4	0.2	84.5	0.2	80.7	0.2	79.8	0.2
Node Dissection	Sentinel lymph node biopsy	39.1	0.2	36.5	0.2	33.9	0.2	29.9	0.2	27.3	0.2	29.6	0.2	23.3	0.2
	Axillary node dissection	31.0	0.2	32.1	0.2	34.2	0.2	36.9	0.3	38.7	0.3	31.4	0.2	36.8	0.3
	Combination	19.2	0.2	19.0	0.2	18.6	0.2	18.5	0.2	18.5	0.2	19.8	0.2	19.6	0.2
Age	Under age 40	91.3	0.6	90.7	0.6	90.3	0.6	89.6	0.7	88.6	0.7	87.1	0.7	87.6	0.7
	40-49	92.0	0.3	91.4	0.3	90.4	0.3	90.3	0.4	89.9	0.4	87.2	0.4	87.6	0.4
	50-59	92.4	0.2	91.4	0.3	91.2	0.3	90.3	0.3	90.0	0.3	87.7	0.4	87.0	0.4
	60-69	92.0	0.3	91.2	0.3	90.4	0.3	89.6	0.4	88.8	0.4	86.3	0.4	86.0	0.4
	70-79	88.8	0.4	87.2	0.4	85.7	0.4	83.6	0.5	82.0	0.5	77.0	0.5	76.8	0.5
	80 and over	65.9	0.8	60.8	0.8	59.1	0.8	56.5	0.8	54.0	0.8	45.6	0.8	43.4	0.8
Race	AI/AN	86.0	3.5	81.3	4.1	82.3	4.3	85.4	3.7	89.4	3.3	81.0	4.4	98.2	1.8
	Asian	92.7	0.7	89.7	0.9	88.6	1.0	87.6	1.1	87.5	1.0	86.8	1.1	84.2	1.3
	HPI	98.2	1.8	93.5	3.6	85.7	5.4	87.5	5.2	87.2	5.4	92.9	4.0	87.0	4.6
	Black only	89.1	0.5	87.4	0.5	87.2	0.6	84.8	0.6	83.9	0.6	79.5	0.7	79.4	0.7
	White only	89.1	0.2	87.6	0.2	86.5	0.2	85.3	0.2	84.5	0.2	80.7	0.2	79.7	0.2
Ethnicity	Hispanic, all races	90.1	0.6	88.9	0.7	88.2	0.7	86.2	0.8	85.7	0.8	83.6	0.9	84.4	0.9
	Non-Hispanic, other	92.3	0.7	89.1	0.9	88.3	1.0	87.3	1.0	87.4	1.0	86.7	1.1	85.0	1.2
	Non-Hispanic, Black	89.0	0.5	87.8	0.6	87.1	0.6	85.2	0.6	84.1	0.6	79.4	0.7	79.7	0.7
	Non-Hispanic, White	89.1	0.2	87.8	0.2	86.4	0.2	85.1	0.2	84.4	0.2	80.7	0.2	79.5	0.2
Health insurance, under age 65	Private	91.9	0.2	91.2	0.2	90.5	0.2	89.2	0.3	88.8	0.3	85.5	0.3	85.5	0.3
	Public only	85.4	0.3	82.8	0.3	81.4	0.3	79.5	0.3	78.0	0.3	72.6	0.4	71.3	0.4
	Uninsured/other	91.5	0.3	89.7	0.4	88.9	0.4	89.3	0.4	88.6	0.3	87.0	0.4	84.9	0.4
Health insurance, age 65 and over	Medicare only	84.8	0.7	80.8	0.9	78.8	0.8	77.0	0.8	75.7	0.8	70.3	0.8	69.2	0.8
Health insurance, age 65 and over	Medicare and supplement	83.5	0.3	80.7	0.4	79.6	0.4	77.2	0.5	75.8	0.4	69.8	0.5	68.3	0.5
Family income^b	Negative/poor	84.5	2.6	88.8	2.4	85.9	2.7	80.3	3.3	79.2	2.9	75.4	3.2	67.7	3.8
	Near poor/low	89.4	0.2	87.4	0.2	86.5	0.2	85.3	0.2	84.4	0.2	81.0	0.3	80.3	0.3
	Middle	88.8	0.3	87.9	0.3	86.5	0.3	85.1	0.4	84.5	0.4	80.1	0.4	78.8	0.4
	High	90.0	0.8	88.5	0.8	87.5	0.9	85.6	1.0	82.7	1.1	78.8	1.3	78.5	1.2
Location of residence	Metropolitan	89.0	0.2	87.6	0.2	86.2	0.2	85.0	0.2	83.9	0.2	80.0	0.2	79.3	0.2
	Large metropolitan	88.2	0.2	87.1	0.2	85.4	0.3	84.2	0.3	83.3	0.3	78.9	0.3	78.5	0.3
	Small metropolitan	90.4	0.3	88.6	0.3	87.9	0.3	86.6	0.3	85.0	0.3	81.9	0.4	80.8	0.4
	Micropolitan	90.3	0.5	86.4	0.6	87.9	0.6	86.4	0.6	86.8	0.6	84.4	0.7	82.1	0.7
	Noncore	91.1	0.5	89.8	0.6	89.5	0.7	87.3	0.7	87.1	0.7	85.2	0.8	84.4	0.8
	Noncore, adjacent	90.5	0.6	89.7	0.7	89.0	0.8	86.3	0.9	87.0	0.8	84.8	0.9	83.9	0.9
	Noncore, rural	93.3	1.0	90.1	1.3	91.1	1.3	90.7	1.3	87.3	1.5	86.6	1.6	86.0	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) were 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.

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

Key: AI/AN: American Indian/Alaska Native; HPI: Hawaiian or Pacific Islander; SE: standard error.

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

Current as of February 2011

Internet Citation: Table 1_1_3-1: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/1_cancer/T1_1_3-1.html