Table 3.
Percentages and Odds Ratios of Participants Receiving Other Osteoporosis Medications by Patient, Provider and Hospital Characteristics
| Characteristic | Percentage of Osteoporosis Medications N (%) |
Unadjusted Odds Ratio (95% CI) |
Adjusted Odds Ratio (95% CI) |
|---|---|---|---|
| Patient level Characteristics | |||
| Age | |||
| 65–69 | 222 (7.6%) | 0.96 (0.83, 1.12) | 1.10 (0.94, 1.29) |
| 70–74 | 379 (7.6%) | 0.97 (0.86, 1.09) | 1.06 (0.93, 1.21) |
| 75–79 | 683 (7.8%) | 1.00 (0.90, 1.10) | 1.04 (0.93, 1.16) |
| 80–84 | 1028 (7.8%) | Ref | Ref |
| 85–89 | 900 (7.4%) | 0.95 (0.86, 1.04) | 0.90 (0.81, 0.99) |
| 90+ | 551 (5.9%) | 0.73 (0.66, 0.82) | 0.71 (0.63, 0.81) |
| Gender | |||
| Female | 3495 (8.9%) | Ref | Ref |
| Male | 268 (2.2%) | 0.23 (0.20, 0.26) | 0.26 (0.23, 0.29) |
| Race/Ethnicity | |||
| White | 3003 (7.5%) | Ref | Ref |
| Black | 88 (4.1%) | 0.53 (0.43, 0.66) | 0.68 (0.55, 0.85) |
| Hispanic | 81 (6.3%) | 0.84 (0.67, 1.05) | 0.98 (0.72, 1.34) |
| Other | 591 (7.7%) | 1.04 (0.95, 1.14) | 1.04 (0.90, 1.19) |
| APR DRG Risk of Mortality | |||
| 1 | 1212 (7.7%) | Ref | Ref |
| 2 | 1982 (7.4%) | 0.96 (0.89, 1.03) | 1.06 (0.96, 1.16) |
| 3 | 477 (6.7%) | 0.86 (0.77, 0.96) | 1.04 (0.91, 1.19) |
| 4 | 92 (4.9%) | 0.61 (0.49, 0.76) | 0.84 (0.65, 1.08) |
| Received Calcium and Vitamin D |
|||
| No | 2740 (5.7%) | Ref | Ref |
| Yes | 1023 (30.0%) | 7.08 (6.52, 7.70) | 6.19 (5.47, 7.00) |
| Provider and Hospital level characteristics | |||
| Providers | |||
| Medicine attending | 1399 (6.7%) | Ref | Ref |
| Orthopedic attending with Medicine consult |
1053 (7.7%) | 1.17 (1.08, 1.27) | 1.01 (0.90, 1.12) |
| Orthopedic attending without Medicine consult |
1214 (7.9%) | 1.20 (1.11, 1.30) | 1.07 (0.96, 1.18) |
| Teaching Hospital | |||
| No | 3070 (7.4%) | Ref | Ref |
| Yes | 693 (6.9%) | 0.92 (0.84, 1.00) | 1.07 (0.87, 1.32) |
| Hospital Size, beds | |||
| 500+ | 1133 (7.2%) | Ref | Ref |
| 400–499 | 498 (6.7%) | 0.94 (0.84, 1.04) | 0.91 (0.73, 1.13) |
| 300–399 | 858 (7.8%) | 1.10 (1.01, 1.21) | 1.07 (0.87, 1.32) |
| 200–299 | 778 (8.5%) | 1.21 (1.10, 1.33) | 1.13 (0.91, 1.41) |
| 1–199 | 496 (6.2%) | 0.86 (0.77, 0.95) | 0.87 (0.70, 1.09) |
Adjusted Odds Ratios adjusted for all variables listed in this table, as well as for marital status, admission source, hospital region, and all comorbidity adjustment using the Elixhauser method (those with prevalence of >=1%), and clustering at the hospital and attending provider levels.