Table 3.
Univariable and multivariable associations between covariates and all cause mortality
Cohort characteristic | Unadjusted hazard ratio (95% CI) | Adjusted hazard ratio (95% CI) |
---|---|---|
Male sex | 1.06 (0.77 to 1.45) | NA |
Age (per year) | 1.04 (1.02 to 1.05)* | 1.00 (0.98 to 1.01) |
Social class (Carstairs): | ||
1 (reference category) | 1.0 | 1.0 |
2 | 0.16 (0.04 to 0.73)* | 0.18 (0.04 to 0.82)* |
3 | 0.48 (0.16 to 1.40) | 0.52 (0.17 to 1.54) |
4 | 0.49 (0.16 to 1.49) | 0.45 (0.15 to 1.41) |
5 | 0.41 (0.14 to 1.17) | 0.36 (0.12 to 1.04) |
6 | 0.62 (0.22 to 1.70) | 0.46 (0.16 to 1.28) |
7 | 0.54 (0.19 to 1.51) | 0.52 (0.18 to 1.76) |
Comorbidity (Charlson index): | ||
0 (reference category) | 1.0 | 1.0 |
1-2 | 2.85 (1.86 to 4.37)* | 1.08 (1.02 to 1.14)*† |
≥3 | 6.58 (4.72 to 9.19)* | 1.20 (1.15 to 1.26)*† |
Mean methadone dose ≥60 mg | 1.54 (1.07 to 2.23)* | 0.93 (0.62 to 1.39) |
Overusing methadone | 3.12 (2.09 to 4.64)* | 1.67 (1.05 to 2.67)* |
Methadone breaks | 0.58 (0.50 to 0.67)* | 0.93 (0.78 to 1.10) |
Duration of methadone treatment (years) | 0.78 (0.75 to 0.82)* | 0.95 (0.94 to 0.96)*† |
Time since last methadone prescription filled (months): | ||
≤1 (reference category) | 1.0 | 1.0 |
2-3 | 0.77 (0.49 to 1.22) | 0.97 (0.91 to 1.02) † |
4-6 | 0.66 (0.33 to 0.1.30) | 0.91 (0.84 to 0.99)* † |
>6 | 0.45 (0.32 to 0.62)* | 0.70 (0.66 to 0.73)* † |
Psychiatric admission | 2.46 (1.74 to 3.49)* | 2.47 (1.67 to 3.66)* |
Having urine tested | 0.31 (0.23 to 0.41)* | 0.33 (0.22 to 0.49)* |
Co-prescribing: | ||
Benzodiazepines | 1.18 (0.74 to 1.86) | NA |
Antipsychotics | 0.77 (0.53 to 1.12) | 0.85 (0.56 to 1.29) |
Antidepressants | 0.76 (0.56 to 1.01) | 0.80 (0.57 to 1.44) |
Opioid analgesics | 1.33 (0.99 to 1.79) | 1.17 (0.84 to 1.64) |
Final regression model mutually adjusted for all significant covariates; male sex, use of benzodiazepines, and volume of methadone prescribing by practice were assessed unadjusted but had no significant influence (P>0.2) and so were excluded from final model.
NA=not applicable.
*P<0.05.
†Variable treated as time varying coefficient in Cox regression model and hazard ratio reported at median follow-up of 4.38 years.