Table 1_1_3_2a

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_3.2a
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 by race, 2008
		Total		White		Black		Asian
Population group		Percent	SE	Percent	SE	Percent	SE	Percent	SE
Total		93.7	0.1	93.7	0.1	93.8	0.3	94.7	0.5
Age	Under age 40	95.0	0.3	95.3	0.4	94.3	1.0	93.5	1.6
	40-49	96.1	0.2	96.2	0.2	95.7	0.5	96.9	0.7
	50-59	95.9	0.1	96.1	0.2	95.1	0.5	96.1	0.8
	60-69	96.0	0.1	96.0	0.2	95.6	0.5	96.1	0.9
	70-79	93.7	0.2	94.0	0.2	92.0	0.8	92.0	1.6
	80 and over	74.9	0.5	74.8	0.6	77.2	2.1	74.7	4.6
Health insurance, under age 65	Private	95.6	0.1	95.7	0.1	95.1	0.4	95.9	0.5
	Public only	91.0	0.2	90.8	0.2	92.1	0.5	91.6	1.1
	Uninsured/other	95.6	0.2	95.6	0.2	95.1	0.7	96.7	1.1
Health insurance, age 65 and over	Medicare only	89.2	0.5	89.2	0.6	87.9	1.6	92.0	2.9
Health insurance, age 65 and over	Medicare and supplement	89.8	0.2	89.8	0.2	90.6	0.8	90.8	1.6
Family income^b	Negative/poor	93.2	1.3	91.6	2.2	94.9	1.7	DSU	DSU
	Near poor/low	93.7	0.1	93.7	0.1	93.9	0.3	94.7	0.7
	Middle	93.8	0.2	93.8	0.2	94.1	0.8	94.3	0.7
	High	93.8	0.5	93.4	0.5	93.6	3.1	97.9	1.0
Location of patient residence^c	Metropolitan	93.7	0.1	93.6	0.1	93.8	0.3	94.8	0.5
	Large metropolitan	93.7	0.1	93.6	0.1	93.8	0.4	95.2	0.5
	Small metropolitan	93.7	0.2	93.7	0.2	94.0	0.6	93.5	1.2
	Micropolitan	93.9	0.3	93.8	0.3	93.4	1.3	95.1	3.4
	Noncore	94.6	0.3	94.5	0.4	96.5	1.2	DSU	DSU
	Noncore, adjacent	94.7	0.4	94.7	0.4	96.4	1.2	DSU	DSU
	Noncore, rural	94.0	0.7	93.9	0.8	96.9	3.1	DSU	DSU

^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 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.

^c. Large metropolitan includes areas with a population of one million or more; small metropolitan includes areas with a population less than one million.

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.

Page last reviewed October 2014

Internet Citation: Table 1_1_3_2a: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/1_cancer/T1_1_3_2a.html