Does fragmented cancer care affect survival? Analysis of gastric cancer patients using national insurance claim data

Choi, Dong-Woo; Kim, Sun Jung; Kim, Dong Jun; Chang, Yoon-Jung; Kim, Dong Wook; Han, Kyu-Tae

doi:10.1186/s12913-022-08988-y

Table 1 Study population by fragmented cancer care and five-year mortality

From: Does fragmented cancer care affect survival? Analysis of gastric cancer patients using national insurance claim data

Variables	Fragmented cancer care						Five-year mortality
	Total	With		Without		p	Total	Died		Survivor		p
	Total	N	%	N	%	p	Total	N	%	N	%	p
Fragmented cancer care
With							342	79	23.1	263	76.9	0.0042
Without							2537	427	16.8	2110	83.2
Sex
Male	1935	228	11.8	1707	88.2	0.8194	1935	361	18.7	1574	81.3	0.0292
Female	944	114	12.1	830	87.9		944	145	15.4	799	84.6
Age (Years)
≤ 49	574	64	11.1	510	88.9	0.8798	574	85	14.8	489	85.2	<.0001
50–59	761	93	12.2	668	87.8		761	108	14.2	653	85.8
60–69	859	99	11.5	760	88.5		859	141	16.4	718	83.6
70–79	596	73	12.2	523	87.8		596	144	24.2	452	75.8
≥ 80	89	13	14.6	76	85.4		89	28	31.5	61	68.5
Type of insurance coverage
Medical-Aid	111	13	11.7	98	88.3	0.3858	111	27	24.3	84	75.7	0.0669
NHI, Self-employed	995	107	10.8	888	89.2		995	185	18.6	810	81.4
NHI, Employee	1773	222	12.5	1551	87.5		1773	294	16.6	1479	83.4
Economic status
Low	739	74	10.0	665	90.0	0.1571	739	151	20.4	588	79.6	0.1325
Mid-low	681	91	13.4	590	86.6		681	113	16.6	568	83.4
Mid-high	608	67	11.0	541	89.0		608	101	16.6	507	83.4
High	851	110	12.9	741	87.1		851	141	16.6	710	83.4
Residence area
Capital area	1170	99	8.5	1071	91.5	<.0001	1170	209	17.9	961	82.1	0.7871
Metropolitan	758	112	14.8	646	85.2		758	127	16.8	631	83.2
Rural	951	131	13.8	820	86.2		951	170	17.9	781	82.1
Charlson Comorbidity Index
≤ 2	1960	200	10.2	1760	89.8	0.0003	1960	283	14.4	1677	85.6	<.0001
3–5	791	121	15.3	670	84.7		791	182	23.0	609	77.0
> 5	128	21	16.4	107	83.6		128	41	32.0	87	68.0
Year of diagnosis
2005	116	10	8.6	106	91.4	0.8692	116	21	18.1	95	81.9	<.0001
2006	289	31	10.7	258	89.3		289	70	24.2	219	75.8
2007	299	33	11.0	266	89.0		299	64	21.4	235	78.6
2008	307	40	13.0	267	87.0		307	60	19.5	247	80.5
2009	358	46	12.8	312	87.2		358	81	22.6	277	77.4
2010	306	42	13.7	264	86.3		306	64	20.9	242	79.1
2011	386	42	10.9	344	89.1		386	59	15.3	327	84.7
2012	385	47	12.2	338	87.8		385	36	9.4	349	90.6
2013	433	51	11.8	382	88.2		433	51	11.8	382	88.2
Type of treatment within 1 year after diagnosis
Surgery and chemotherapy or radiotherapy	664	78	11.7	586	88.3	0.0007	664	240	36.1	424	63.9	<.0001
Only surgery	2056	230	11.2	1826	88.8		2056	145	7.1	1911	92.9
Chemotherapy or radiotherapy	159	34	21.4	125	78.6		159	121	76.1	38	23.9
Type of most visited medical institution within 1 month
Tertiary hospital	1990	210	10.6	1780	89.4	<.0001	1990	336	16.9	1654	83.1	0.0686
General hospital	852	115	13.5	737	86.5		852	167	19.6	685	80.4
Other	37	17	45.9	20	54.1		37	3	8.1	34	91.9
Location of most visited medical institution within 1 month
Capital area	1688	174	10.3	1514	89.7	0.0071	1688	301	17.8	1387	82.2	0.5420
Metropolitan	792	109	13.8	683	86.2		792	130	16.4	662	83.6
Rural	399	59	14.8	340	85.2		399	75	18.8	324	81.2
Total	2879	342	11.9	2537	88.1		2879	506	17.6	2373	82.4

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ISSN: 1472-6963

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