Table 1_1_3_1

2011 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, 2004-2008
		2008		2007		2006		2005		2004
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		93.7	0.1	89.9	0.1	87.8	0.2	86.7	0.2	85.3	0.2
Node dissection	Sentinel lymph node biopsy	42.7	0.2	39.2	0.2	36.7	0.2	33.9	0.2	30.0	0.3
	Axillary node dissection	30.0	0.2	31.3	0.2	32.0	0.2	34.3	0.3	36.7	0.3
	Combination	21.1	0.1	19.3	0.2	19.1	0.2	18.6	0.2	18.6	0.2
Age	Under age 40	95.0	0.3	92.4	0.5	90.8	0.6	90.6	0.6	90.1	0.7
	40-49	96.1	0.2	92.8	0.3	91.7	0.3	90.7	0.3	90.4	0.4
	50-59	95.9	0.1	93.2	0.2	91.7	0.3	91.3	0.3	90.5	0.3
	60-69	96.0	0.1	92.6	0.2	91.2	0.3	90.6	0.3	89.5	0.4
	70-79	93.7	0.2	89.2	0.4	87.3	0.4	85.4	0.5	82.9	0.5
	80 and over	74.9	0.5	66.1	0.8	60.2	0.8	58.3	0.9	55.7	0.9
Race	AI/AN	93.7	1.8	86.8	3.3	80.7	4.2	84.2	4.2	86.9	3.7
	Asian	94.7	0.5	93.4	0.7	89.7	0.9	88.8	1.0	87.7	1.1
	HPI	96.1	1.7	98.3	1.7	93.5	3.6	85.4	5.5	85.0	5.7
	Black only	93.8	0.3	90.2	0.4	87.5	0.5	87.3	0.6	84.9	0.6
	White only	93.7	0.1	89.7	0.2	87.8	0.2	86.6	0.2	85.3	0.2
Ethnicity	Hispanic, all races	94.3	0.4	91.4	0.6	89.9	0.7	88.9	0.7	86.5	0.8
	Non-Hispanic, other	94.7	0.4	93.0	0.7	89.0	0.9	88.4	1.0	87.4	1.1
	Non-Hispanic, Black	93.9	0.3	90.1	0.5	87.9	0.6	87.2	0.6	85.3	0.6
	Non-Hispanic, White	93.6	0.1	89.7	0.2	87.9	0.2	86.5	0.2	85.1	0.2
Health insurance, under age 65	Private	95.6	0.1	92.7	0.2	91.5	0.2	90.6	0.2	89.4	0.3
	Public only	91.0	0.2	85.9	0.3	82.9	0.3	81.5	0.3	79.2	0.3
	Uninsured/other	95.6	0.2	92.1	0.3	89.9	0.4	89.3	0.4	89.5	0.4
Health insurance, age 65 and over	Medicare only	89.2	0.5	85.2	0.7	80.7	0.9	78.7	0.8	76.9	0.9
Health insurance, age 65 and over	Medicare and supplement	89.8	0.2	83.8	0.3	80.9	0.4	79.6	0.4	76.8	0.5
Family income^b	Negative/poor	93.2	1.3	85.6	2.5	89.5	2.3	87.1	2.6	80.0	3.4
	Near poor/low	93.7	0.1	90.0	0.2	87.5	0.2	86.6	0.2	85.4	0.2
	Middle	93.8	0.2	89.6	0.3	88.2	0.3	86.5	0.3	84.9	0.4
	High	93.8	0.5	90.3	0.8	88.7	0.9	87.9	0.9	85.9	1.0
Location of residence	Metropolitan	93.7	0.1	89.6	0.2	87.7	0.2	86.3	0.2	85.0	0.2
	Large metropolitan	93.7	0.1	88.9	0.2	87.2	0.2	85.4	0.3	84.2	0.3
	Small metropolitan	93.7	0.2	90.9	0.2	88.8	0.3	87.9	0.3	86.5	0.4
	Micropolitan	93.9	0.3	90.8	0.5	86.4	0.6	88.2	0.6	86.4	0.6
	Noncore	94.6	0.3	91.7	0.5	89.9	0.6	89.7	0.7	87.2	0.7
	Noncore, adjacent	94.7	0.4	91.0	0.6	89.9	0.7	89.2	0.8	86.1	0.9
	Noncore, rural	94.0	0.7	94.0	0.9	90.2	1.3	91.4	1.3	90.7	1.3

^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 four 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 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.

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 March 2012

Internet Citation: Table 1_1_3_1: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/1_cancer/T1_1_3_1.html