Result of logistic regression analyses evaluating the influence of patient and NHS trust level features on the likelihood of receiving surgery clustered by NHS trust (n=34 513)
No of patients | No who received surgery | (%)* | Unadjusted OR (95% CI) | Adjusted OR† (95% CI) | p Value | |
Sex | ||||||
Male | 20 945 | 2637 | 13 | |||
Female | 13 568 | 1848 | 14 | 1.09 (1.02 to 1.17) | 1.06 (0.99 to 1.15) | 0.086 |
Age quintile | ||||||
1 (30–62 years) | 8221 | 1290 | 16 | <0.001‡ | ||
2 (63–69 years) | 7635 | 1232 | 16 | 1.03 (0.95 to 1.13) | 0.95 (0.85 to 1.05) | |
3 (70–75 years) | 7693 | 1050 | 14 | 0.85 (0.78 to 0.93) | 0.79 (0.71 to 0.89) | |
4 (76–80 years) | 6115 | 652 | 11 | 0.64 (0.58 to 0.71) | 0.56 (0.49 to 0.65) | |
5 (81–100 years) | 4849 | 261 | 5 | 0.31 (0.27 to 0.35) | 0.26 (0.22 to 0.32) | |
Stage | ||||||
IA | 1178 | 722 | 61 | 0.001‡ | ||
IB | 2138 | 1029 | 48 | 0.59 (0.51 to 0.68) | 0.63 (0.52 to 0.76) | |
IIA | 202 | 121 | 60 | 0.94 (0.70 to 1.28) | 0.96 (0.72 to 1.28) | |
IIB | 1448 | 515 | 35 | 0.35 (0.30 to 0.41) | 0.35 (0.28 to 0.43) | |
IIIA | 2777 | 380 | 14 | 0.10 (0.09 to 0.12) | 0.09 (0.07 to 0.11) | |
IIIB | 5427 | 297 | 5 | 0.04 (0.03 to 0.04) | 0.03 (0.03 to 0.04) | |
IV | 10 968 | 271 | 2 | 0.02 (0.01 to 0.02) | 0.02 (0.01 to 0.02) | |
Occult | 50 | 15 | 30 | 0.27 (0.15 to 0.50) | 0.26 (0.13 to 0.52) | |
Missing | 10 325 | 1135 | 11 | 0.08 (0.07 to 0.09) | 0.09 (0.07 to 0.12) | |
Performance status | ||||||
0 | 5847 | 1651 | 28 | <0.001‡ | ||
1 | 9282 | 1372 | 15 | 0.44 (0.41 to 0.48) | 0.52 (0.46 to 0.59) | |
2 | 5317 | 264 | 5 | 0.13 (0.12 to 0.15) | 0.19 (0.15 to 0.24) | |
3 | 3251 | 67 | 2 | 0.05 (0.04 to 0.08) | 0.10 (0.08 to 0.14) | |
4 | 760 | 13 | 2 | 0.04 (0.03 to 0.88) | 0.11 (0.06 to 0.18) | |
Missing | 10 056 | 1118 | 11 | 0.32 (0.29 to 0.35) | 0.40 (0.32 to 0.49) | |
Ethnic group | ||||||
White | 26 511 | 3443 | 13 | 0.39§ | ||
Black | 234 | 27 | 12 | 0.87 (0.58 to 1.31) | 0.84 (0.47 to 1.49) | |
Asian | 1905 | 262 | 14 | 1.07 (0.93 to 1.22) | 1.13 (0.96 to 1.33) | |
Mixed race | 103 | 10 | 10 | 0.72 (0.37 to 1.38) | 0.77 (0.33 to 1.78) | |
Other | 161 | 29 | 18 | 1.47 (0.98 to 2.20) | 1.41 (0.88 to 2.27) | |
Missing | 5599 | 714 | 13 | 0.98 (0.90 to 1.07) | 1.04 (0.92 to 1.17) | |
Townsend quintile | ||||||
1 (most affluent) | 5184 | 701 | 14 | 0.132‡ | ||
2 | 6393 | 856 | 13 | 0.99 (0.89 to 1.10) | 0.99 (0.88 to 1.11) | |
3 | 6660 | 872 | 13 | 0.96 (0.87 to 1.07) | 1.04 (0.92 to 1.19) | |
4 | 7148 | 942 | 13 | 0.97 (0.87 to 1.08) | 0.98 (0.84 to 1.13) | |
5 (least affluent) | 9051 | 1110 | 12 | 0.89 (0.81 to 0.99) | 0.86 (0.71 to 1.04) | |
Missing | 77 | 4 | 5 | 0.35 (0.13 to 0.96) | 0.43 (0.15 to 1.23) | |
Charlson Index | ||||||
0 | 15 573 | 2341 | 15 | <0.001‡ | ||
1 | 6951 | 985 | 14 | 0.93 (0.86 to 1.01) | 0.95 (0.86 to 1.04) | |
2 or 3 | 5828 | 752 | 13 | 0.83 (0.77 to 0.91) | 0.89 (0.80 to 0.99) | |
4+ | 6161 | 407 | 7 | 0.40 (0.36 to 0.45) | 0.67 (0.56 to 0.80) | |
Surgery centre | ||||||
No | 25 248 | 2947 | 12 | |||
Yes | 9265 | 1538 | 17 | 1.51 (1.41 to 1.61) | 1.51 (1.16 to 1.97) | <0.001 |
Radiotherapy centre | ||||||
No | 21 646 | 2614 | 12 | |||
Yes | 12 867 | 1871 | 15 | 1.24 (1.16 to 1.32) | 1.02 (0.83 to 1.27) | 0.854 |
Trial entry | ||||||
‘Poor’ | 23 136 | 2817 | 12 | |||
‘Good’ | 11 377 | 1668 | 15 | 1.24 (1.16 to 0.32) | 1.15 (0.88 to 1.50) | 0.34 |