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Table 3 Multivariate Analysis for Factors Associated with Utilization of Palliative Procedures in Gastric Cancer (n = 86,430)

From: Ten-year trends of utilizing palliative care and palliative procedures in patients with gastric Cancer in the United States from 2009 to 2018 - a nationwide database study

Independent variable

Odds ratio

Lower 95% CI

Upper 95% CI

P-value

Year

1.00

0.99

1.01

0.9818

Age-group

0.98

0.96

1.00

0.0927

Female

0.84

0.80

0.87

<.0001

Race

 White (reference)

1.00

   

 Black

0.80

0.75

0.85

<.0001

 Hispanic

0.82

0.76

0.87

<.0001

 Asian/Pacific Islander

0.92

0.85

1.01

0.0835

 Other

0.84

0.76

0.94

0.0015

Primary payer

 Private insurance (reference)

1.00

   

 Medicare

0.96

0.91

1.02

0.1641

 Medicaid

0.96

0.89

1.03

0.2647

Uninsured

0.94

0.82

1.07

0.3622

No charge

0.69

0.47

1.01

0.056

Other

0.93

0.82

1.07

0.329

Severity of illness: APR-DRG

1.58

1.53

1.64

<.0001

Number of diagnoses

1.02

1.01

1.02

<.0001

In-hospital death

0.65

0.60

0.71

<.0001

Quartile of median income by zip code

1.03

1.01

1.05

0.0142

Hospital bed size

 Large (reference)

1.00

   

 Small

0.73

0.68

0.79

<.0001

 Medium

0.80

0.75

0.84

<.0001

Hospital location and teaching status

 Urban-teaching (reference)

1.00

   

 Rural

0.65

0.59

0.72

<.0001

 Urban-nonteaching

0.76

0.72

0.81

<.0001

Hospital region

 South (reference)

1.00

   

 Northeast

1.30

1.22

1.40

<.0001

 Midwest

1.02

0.95

1.09

0.5858

 West

1.02

0.95

1.10

0.5179

  1. CI Confidence Interval, APR-DRG all patient refined-diagnosis-related group