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Table 2 Demographics of Lung Cancer Patients in Medicare Who Underwent Surgical Pathology Analysis and Molecular Testing for Lung Cancer in from 2011 to 2013

From: Underutilization and disparities in access to EGFR testing among Medicare patients with lung cancer from 2010 – 2013

Total newly diagnosed patients 2011–2013

 

2011–2013

Newly identified patients

Surgical pathologya

Molecular testb

Percent with surgical pathology

Percent tested

Total

688,541

465,168

40,085

67.6

8.6

Newly diagnosed

642,570

443,483

38,170

69.0

8.6

Demographics characteristics

 Age group

  0–54

24,567

15,831

941

64.4

5.9

  55–59

24,598

15,772

1,046

64.1

6.6

  60–64

59,883

35,144

2,842

58.7

8.1

  65–69

141,033

96,945

9,347

68.7

9.6

  70–74

137,641

97,741

9,300

71.0

9.5

  75+

298,829

203,120

16,571

68.0

8.2

  Missing

1,990

615

38

30.9

6.2

 Gender

  Male

363,596

249,182

19,707

68.5

7.9

  Female

322,955

215,371

20,340

66.7

9.4

  Missing

1,990

615

38

30.9

6.2

 Race/Ethnicity

  White

586,000

401,995

34,808

68.6

8.7

  Black

67,982

41,922

3,071

61.7

7.3

  Asian/Pacific Islander

10,488

6,758

929

64.4

13.7

  Hispanic

8,580

5,301

342

61.8

6.5

  North American/Native

2,722

1,936

137

71.1

7.1

  Other, unknown, or missing

12,769

7,256

798

56.8

11.0

 Medicaid Status

  Medicaid

141,724

94,771

6,324

66.9

6.7

  No Medicaid

544,827

369,782

33,723

67.9

9.1

  Missing

1,990

615

38

30.9

6.2

Clinical characteristics

 Risk score (Mean/SD)

    

  Less than or equal 1

322,995

227,476

24,141

70.4

10.6

  Between 1.0–1.9

194,281

129,935

10,079

66.9

7.8

  Greater than 1.9 (mean)

171,265

107,757

5,865

62.9

5.4

Regional characteristics

 Distance to an NCI CC (Mean (SD) in miles)

85.5 (111.4)

86.5 (107.7)

82.4 (103.6)

  

 Metropolitan county

546,710

362,381

32,100

66.3

8.9

 Nonmetropolitan county

141,831

102,787

7,985

72.5

7.8

Newly diagnosed patients per year

 

2011

2012

Surgical pathology

Molecular test

Percent tested

Surgical pathology

Molecular test

Percent tested

Total

167,291

13,008

7.8

155,408

13,818

8.9

Newly diagnosed

158,654

12,256

7.7

147,459

13,120

8.9

Demographics characteristics

 Age group

  0–54

5,955

312

5.2

5,404

314

5.8

  55–59

5,628

323

5.7

5,294

374

7.1

  60–64

13,058

985

7.5

12,354

1,045

8.5

  65–69

34,591

3,085

8.9

32,582

3,217

9.9

  70–74

34,958

3,010

8.6

32,057

3,133

9.8

  75+

72,869

5,278

7.2

67,500

5,727

8.5

  Missing

232

15

6.5

217

8

3.7

 Gender

  Male

88,082

6,193

7.0

83,098

6,804

8.2

  Female

78,977

6,800

8.6

72,093

7,006

9.7

  Missing

232

15

6.5

217

8

3.7

 Race/Ethnicity

  White

144,973

11,342

7.8

134,110

11,969

8.9

  Black

14,973

936

6.3

14,206

1,093

7.7

  Asian/Pacific Islander

2,336

330

14.1

2,293

313

13.7

  Hispanic

1,961

105

5.4

1,739

123

7.1

  North American/Native

665

46

6.9

636

42

6.6

  Other, unknown, or missing

2,383

249

10.4

2,424

278

11.5

Medicaid Status

  Medicaid

33,488

1,988

5.9

32,024

2,238

7.0

  No Medicaid

133,571

11,005

8.2

123,167

11,572

9.4

  Missing

232

15

6.5

217

8

3.7

Clinical characteristics

 Risk score (Mean/SD)

1.4 (1.1)

1.1 (0.9)

1.4 (1.2)

1.1 (0.9)

 Less than or equal 1

79,620

7,717

9.7

74,947

8,242

11.0

 Between 1.0–1.9

47,962

3,414

7.1

43,333

3,642

8.4

 Greater than 1.9 (mean)

39,709

1,877

4.7

37,128

1,934

5.2

Regional characteristics

 Distance to an NCI CC (Mean (SD) in miles)

86.5 (108.5)

79.4 (104.8)

 

86.2 (107.3)

83.0 (101.5)

 

 Metropolitan county

130,669

10,526

8.1

121,214

11,110

9.2

 Nonmetropolitan county

36,622

2,482

6.8

34,194

2,708

7.9

Newly diagnosed patients per year

 

2013

Surgical pathology

EGFR

KRAS

Both

Total tested

Percent tested

Total

142,469

12,090

4,677

3,514

13,250

9.3

Newly diagnosed

137,370

11,661

4,514

3,381

12,794

9.3

Demographics characteristics

 Age group

  0–54

4,472

271

107

63

315

7.0

  55–59

4,850

311

128

90

349

7.2

  60–64

9,732

721

294

203

812

8.3

  65–69

29,772

2,781

1,122

858

3,045

10.2

  70–74

30,726

2,887

1,123

853

3,157

10.3

  75+

62,751

5,105

1,895

1,434

5,566

8.9

  Missing

166

14

5

13

6

3.6

 Gender

  Male

78,002

6,044

2,447

1,781

6710

8.6

  Female

64,301

6,032

2,222

1,720

6,534

10.2

  Missing

166

14

5

13

6

3.6

 Race/Ethnicity

  White

122,912

10,513

4,036

3,052

11,497

9.4

  Black

12,743

933

352

243

1,042

8.2

  Asian/Pacific Islander

2,129

262

117

93

286

13.4

  Hispanic

1,601

98

46

30

114

7.1

  North American/Native

635

45

15

11

49

7.7

  Other, unknown, or missing

2,449

239

108

85

262

10.7

 Medicaid Status

  Medicaid

29,259

1,885

722

509

2,098

7.2

  No Medicaid

113,044

10,191

3,947

2,992

11,146

9.9

  Missing

166

14

5

13

6

3.6

Clinical characteristics

 Risk score (Mean/SD)

1.2 (1.0)

1.0 (0.8)

1.0 (0.9)

1.0 (0.8)

1.0 (0.8)

 Less than or equal 1

72,909

7,501

2,883

2,202

8,182

11.2

 Between 1.0–1.9

38,640

2,783

1,028

788

3,023

7.8

 Greater than 1.9 (mean)

30,920

1,806

763

515

2,054

6.6

Regional characteristics

 Distance to an NCI CC (Mean (SD) in miles)

86.8 (107.2)

85.3 (106.2)

69.0 (78.25)

66.1 (74.9)

84.6 (104.6)

 

 Metropolitan county

110,498

9,541

3,832

2,918

10,455

 

 Nonmetropolitan county

31,971

2,549

845

596

2,798

 
  1. Source: RTI analysis of 2011–2013 Medicare
  2. a As identified by HCPCS codes 88305, 88307
  3. b As identified by HCPCS code 83912, 81235
  4. There was essentially no difference in the age across years or by sugical pathology or testing status. Mean age was 72.9 with SD of 9.5