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
 20082007200620052004
Population groupPercentSEPercentSEPercentSEPercentSEPercentSE
Total 93.70.189.90.187.80.286.70.285.30.2
Node dissectionSentinel lymph node biopsy42.70.239.20.236.70.233.90.230.00.3
Axillary node dissection30.00.231.30.232.00.234.30.336.70.3
Combination21.10.119.30.219.10.218.60.218.60.2
AgeUnder age 4095.00.392.40.590.80.690.60.690.10.7
40-4996.10.292.80.391.70.390.70.390.40.4
50-5995.90.193.20.291.70.391.30.390.50.3
60-6996.00.192.60.291.20.390.60.389.50.4
70-7993.70.289.20.487.30.485.40.582.90.5
80 and over74.90.566.10.860.20.858.30.955.70.9
RaceAI/AN93.71.886.83.380.74.284.24.286.93.7
Asian94.70.593.40.789.70.988.81.087.71.1
HPI96.11.798.31.793.53.685.45.585.05.7
Black only93.80.390.20.487.50.587.30.684.90.6
White only93.70.189.70.287.80.286.60.285.30.2
EthnicityHispanic, all races94.30.491.40.689.90.788.90.786.50.8
Non-Hispanic, other94.70.493.00.789.00.988.41.087.41.1
Non-Hispanic, Black93.90.390.10.587.90.687.20.685.30.6
Non-Hispanic, White93.60.189.70.287.90.286.50.285.10.2
Health insurance, under age 65Private95.60.192.70.291.50.290.60.289.40.3
Public only91.00.285.90.382.90.381.50.379.20.3
Uninsured/other95.60.292.10.389.90.489.30.489.50.4
Health insurance, age 65 and overMedicare only89.20.585.20.780.70.978.70.876.90.9
Medicare and supplement89.80.283.80.380.90.479.60.476.80.5
Family incomebNegative/poor93.21.385.62.589.52.387.12.680.03.4
Near poor/low93.70.190.00.287.50.286.60.285.40.2
Middle93.80.289.60.388.20.386.50.384.90.4
High93.80.590.30.888.70.987.90.985.91.0
Location of residenceMetropolitan93.70.189.60.287.70.286.30.285.00.2
  Large metropolitan93.70.188.90.287.20.285.40.384.20.3
  Small metropolitan93.70.290.90.288.80.387.90.386.50.4
Micropolitan93.90.390.80.586.40.688.20.686.40.6
Noncore94.60.391.70.589.90.689.70.787.20.7
  Noncore, adjacent94.70.491.00.689.90.789.20.886.10.9
  Noncore, rural94.00.794.00.990.21.391.41.390.71.3

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.

 

Page last reviewed 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