Table 2

Multivariate* adjusted and stage-stratified HR and 95% CI estimates for death from all causes and from lymphoma in California, 1988-2009

CharacteristicsAll-cause mortalityDLBCL-specific mortality
No. of deathsHR (95% CI)No. of deathsHR (95% CI)
Age at diagnosis  1.04 (1.04-1.04)  1.03 (1.03-1.03) 
Race/ethnicity     
 Non-Hispanic white 14 148 1.00 (Reference) 9 008 1.00 (Reference) 
 African American 787 1.00 (0.93-1.08) 489 0.94 (0.86-1.03) 
 Hispanic 3 405 1.04 (1.00-1.08) 2 193 1.02 (0.97-1.07) 
 Asian/Pacific Islander 1 979 1.03 (0.98-1.08) 1 338 1.08 (1.02-1.15) 
Sex     
 Male 10 819 1.00 (Reference) 6 792 1.00 (Reference) 
 Female 9 500 0.82 (0.79-0.84) 6 236 0.90 (0.87-0.94) 
Marital status at diagnosis     
 Married 11 222 1.00 (Reference) 7 278 1.00 (Reference) 
 Never married 2 482 1.22 (1.16-1.27) 1 611 1.13 (1.07-1.20) 
 Previously married 6 061 1.19 (1.15-1.23) 3 804 1.13 (1.09-1.18) 
 Unknown 554 0.97 (0.89-1.06) 335 0.91 (0.81-1.01) 
Period of diagnosis     
 1988-2000 12 832 1.00 (Reference) 7 838 1.00 (Reference) 
 2001-2009 7 487 0.71 (0.68-0.73) 5 190 0.69 (0.67-0.72) 
B symptoms     
 Absent 7 090 1.00 (Reference) 4 427 1.00 (Reference) 
 Present 4 832 1.33 (1.28-1.38) 3 511 1.45 (1.38-1.52) 
 Unknown 8 397 1.12 (1.09-1.16) 5 090 1.14 (1.09-1.19) 
Nodal status     
 Nodal 13 638 1.00 (Reference) 9 110 1.00 (Reference) 
 Extranodal 6 681 1.01 (0.98-1.04) 3 918 0.97 (0.93-1.01) 
Chemotherapy     
 No 5 815 1.00 (Reference) 3 461 1.00 (Reference) 
 Yes 14 117 0.52 (0.50-0.54) 9 339 0.53 (0.51-0.55) 
 Unknown 387 0.52 (0.47-0.58) 228 0.52 (0.45-0.59) 
Radiation     
 No 15 742 1.00 (Reference) 10 230 1.00 (Reference) 
 Yes 4 573 0.84 (0.81-0.87) 2 795 0.85 (0.81-0.89) 
Treated at an NCI-designated hospital     
 No 18 936 1.00 (Reference) 12 148 1.00 (Reference) 
 Yes 1 382 0.96 (0.90-1.01) 880 0.90 (0.84-0.96) 
Urbanicity     
 Urban 13 351 1.00 (Reference) 8 629 1.00 (Reference) 
 Nonurban 6 256 0.96 (0.93-0.99) 3 977 0.95 (0.91-0.99) 
 Unknown 712 0.93 (0.86-1.00) 422 0.89 (0.81-0.99) 
Neighborhood SES quintile     
 1. Lowest 20% 3 079 1.34 (1.27-1.40) 1 905 1.24 (1.16-1.32) 
 2 3 885 1.26 (1.20-1.32) 2 525 1.23 (1.16-1.30) 
 3 4 295 1.17 (1.12-1.22) 2 731 1.12 (1.06-1.18) 
 4 4 528 1.09 (1.05-1.14) 2 915 1.07 (1.02-1.13) 
 5. Highest 20% 4 532 1.00 (Reference) 2 952 1.00 (Reference) 
  Ptrend < 0.01  Ptrend < 0.01 
Limited to patients who were diagnosed after 2001 and were under the age of 65 y     
 Insurance status     
  Private/military insurance 1 192 1.00 (Reference) 895 1.00 (Reference) 
  Public insurance/no insurance 846 1.54 (1.40-1.69) 597 1.46 (1.30-1.63) 
  Unknown 240 1.00 (0.87-1.15) 184 1.07 (0.91-1.25) 
CharacteristicsAll-cause mortalityDLBCL-specific mortality
No. of deathsHR (95% CI)No. of deathsHR (95% CI)
Age at diagnosis  1.04 (1.04-1.04)  1.03 (1.03-1.03) 
Race/ethnicity     
 Non-Hispanic white 14 148 1.00 (Reference) 9 008 1.00 (Reference) 
 African American 787 1.00 (0.93-1.08) 489 0.94 (0.86-1.03) 
 Hispanic 3 405 1.04 (1.00-1.08) 2 193 1.02 (0.97-1.07) 
 Asian/Pacific Islander 1 979 1.03 (0.98-1.08) 1 338 1.08 (1.02-1.15) 
Sex     
 Male 10 819 1.00 (Reference) 6 792 1.00 (Reference) 
 Female 9 500 0.82 (0.79-0.84) 6 236 0.90 (0.87-0.94) 
Marital status at diagnosis     
 Married 11 222 1.00 (Reference) 7 278 1.00 (Reference) 
 Never married 2 482 1.22 (1.16-1.27) 1 611 1.13 (1.07-1.20) 
 Previously married 6 061 1.19 (1.15-1.23) 3 804 1.13 (1.09-1.18) 
 Unknown 554 0.97 (0.89-1.06) 335 0.91 (0.81-1.01) 
Period of diagnosis     
 1988-2000 12 832 1.00 (Reference) 7 838 1.00 (Reference) 
 2001-2009 7 487 0.71 (0.68-0.73) 5 190 0.69 (0.67-0.72) 
B symptoms     
 Absent 7 090 1.00 (Reference) 4 427 1.00 (Reference) 
 Present 4 832 1.33 (1.28-1.38) 3 511 1.45 (1.38-1.52) 
 Unknown 8 397 1.12 (1.09-1.16) 5 090 1.14 (1.09-1.19) 
Nodal status     
 Nodal 13 638 1.00 (Reference) 9 110 1.00 (Reference) 
 Extranodal 6 681 1.01 (0.98-1.04) 3 918 0.97 (0.93-1.01) 
Chemotherapy     
 No 5 815 1.00 (Reference) 3 461 1.00 (Reference) 
 Yes 14 117 0.52 (0.50-0.54) 9 339 0.53 (0.51-0.55) 
 Unknown 387 0.52 (0.47-0.58) 228 0.52 (0.45-0.59) 
Radiation     
 No 15 742 1.00 (Reference) 10 230 1.00 (Reference) 
 Yes 4 573 0.84 (0.81-0.87) 2 795 0.85 (0.81-0.89) 
Treated at an NCI-designated hospital     
 No 18 936 1.00 (Reference) 12 148 1.00 (Reference) 
 Yes 1 382 0.96 (0.90-1.01) 880 0.90 (0.84-0.96) 
Urbanicity     
 Urban 13 351 1.00 (Reference) 8 629 1.00 (Reference) 
 Nonurban 6 256 0.96 (0.93-0.99) 3 977 0.95 (0.91-0.99) 
 Unknown 712 0.93 (0.86-1.00) 422 0.89 (0.81-0.99) 
Neighborhood SES quintile     
 1. Lowest 20% 3 079 1.34 (1.27-1.40) 1 905 1.24 (1.16-1.32) 
 2 3 885 1.26 (1.20-1.32) 2 525 1.23 (1.16-1.30) 
 3 4 295 1.17 (1.12-1.22) 2 731 1.12 (1.06-1.18) 
 4 4 528 1.09 (1.05-1.14) 2 915 1.07 (1.02-1.13) 
 5. Highest 20% 4 532 1.00 (Reference) 2 952 1.00 (Reference) 
  Ptrend < 0.01  Ptrend < 0.01 
Limited to patients who were diagnosed after 2001 and were under the age of 65 y     
 Insurance status     
  Private/military insurance 1 192 1.00 (Reference) 895 1.00 (Reference) 
  Public insurance/no insurance 846 1.54 (1.40-1.69) 597 1.46 (1.30-1.63) 
  Unknown 240 1.00 (0.87-1.15) 184 1.07 (0.91-1.25) 
*

Cox models were adjusted for all of the characteristics shown in the table except for insurance status.

Stage at diagnosis (localized, regional, advanced, and unknown) was included as a stratifying variable.

Public insurance included Medicaid and other government-assisted programs; and private insurance included health maintenance organizations, preferred provider organizations, managed care NOS, and military care.

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