Table 7.
Multivariate analysis of the relationship between each dependent variable (binary variables 0/1: Screening colonoscopy performed beyond 7-mo; Serious adverse events, Yield of neoplasm at screening colonoscopy) and the predictive factors
| Characteristics of the cohort of gastroenterologists |
Colo performed beyond a 7-mo risk analysis
|
Serious adverse events risk analysis
|
Neoplasms risk analysis
|
|||
|
ORa, 95%CI
|
P1
|
ORa, 95%CI
|
P1
|
ORa, 95%CI
|
P1
|
|
| Annual Nb of Colo (Ref: 1 Colo) | ||||||
| 2-30 | 0.7 [0.6; 1.0] | 0.002 | 2.5 [0.3; 18.2] | 0.37 | 0.9 [0.7; 1.1] | 0.41 |
| > 30 | 0.7 [0.3; 0.9] | 0.008 | 2.9 [0.9; 23.0] | 0.05 | 0.8 [0.6; 1.1] | 0.32 |
| Place of S-colo performance (Ref: Clinic) | ||||||
| Private hospital | 1.2 [0.9; 1.6] | 0.18 | 0.7 [0.3; 1.8] | 0.47 | 1.1 [0.9; 1.3] | 0.41 |
| Public hospital | 2.1 [1.3; 3.6] | 0.001 | 1.6 [0.3; 8.7] | 0.60 | 1.1 [0.8; 1.4] | 0.20 |
| Density of GE (Ref: Low) | ||||||
| Average | 0.9 [0.8; 1.0] | 0.05 | 1.2 [0.6; 2.2] | 0.59 | 1.0 [0.9; 1.1] | 0.76 |
| High | 1.0 [1.0; 1.2] | 0.28 | 1.2 [0.6; 2.3] | 0.65 | 0.9 [0.8; 1.0] | 0.04 |
| Annual Nb of S-colo locations (Ref: 1 location) | ||||||
| ≥ 2 locations | 1.1 [0.8; 1.5] | 0.11 | 1.6 [0.5; 4;4] | 0.41 | 1.0 [0.8; 1.3] | 0.84 |
| Residence of the patient (Ref: Colonoscopy’s supply municipality) | ||||||
| Other municipality in Colonoscopy’s supply department | 1.0 [0.9; 1.0] | 0.30 | 1.0 [0.5; 2.1] | 0.97 | 1.0 [0.9; 1.0] | 0.31 |
| Other departments in IDF | 1.2 [1.1; 1.3] | < 10-3 | 1.2 [0.3; 5.2] | 0.81 | 0.9 [0.8; 1.0] | 0.13 |
| Age (yrs) of the patients (Ref: 50-54 yr) | ||||||
| 55-59 | 0.9 [0.8; 1.0] | 0.03 | 1.6 [1.0; 2.6] | 0.04 | 1.3 [1.2; 1.4] | < 10-3 |
| 60-64 | 0.8 [0.7; 0.9] | 0.001 | 2.0 [1.2; 3.1] | 0.006 | 1.6 [1.5; 1.6] | < 10-3 |
| 65-69 | 0.7 [0.7; 0.8] | < 10-3 | 1.9 [1.2; 3.0] | 0.01 | 1.7 [1.6; 1.8] | < 10-3 |
| ≥ 70 | 0.7 [0.6; 0.8] | 0.003 | 2.1 [1.3; 3.4] | 0.002 | 1.7 [1.6; 1.8] | < 10-3 |
| Period (Ref.: gFOBT) | ||||||
| FIT | 1.2 [1.1; 1.2] | < 10-3 | 0.8 [0.4; 1.5] | 0.11 | 1.6 [1.5; 1.7] | < 10-3 |
| STOP-FIT | 2.4 [2.1; 2.6] | < 10-3 | 0.8 [0.5; 1.3] | 0.27 | 1.3 [1.1; 1.5] | < 10-3 |
| COVID | 2.0 [1.8; 2.2] | < 10-3 | 0.5 [0.3; 0.9] | 0.02 | 1.1 [1.0; 1.3] | 0.08 |
P > |z|.
95%CI: 95% confidence interval; Colo: Screening colonoscopy; FIT: Fecal immunochemical test; GE: Gastroenterologist; gFOBT: Guaiac fecal occult blood test; IDF: Ile-De-France; ORa: Adjusted odds-ratio.