Table 4.
Interaction of practitioner characteristics and report format with undocumented CKD
| Variable | OR for Undocumented CKD (95% CI): Adjusted OR from Models Stratified by Report Formata | OR for Undocumented CKD (95% CI): Adjusted OR from Model with Interaction Termsb | Pb | |||
|---|---|---|---|---|---|---|
| SCr Only | eGFR | SCr Only | eGFR | |||
| Sex | Sex × format | 0.09 | ||||
| Female (REF: male) | 3.79 (2.28, 6.29) | 2.15 (1.29, 3.56) | Female (REF: male) | 3.74 (2.37, 5.92) | 2.27 (1.45, 3.56) | |
| Experience (yr) | Experience × format | 1.10 (0.60, 2.03) | 0.39 (0.19, 0.78)c | 0.03 | ||
| <20 (REF: 20+) | 0.94 (0.49, 1.80) | 0.34 (0.22, 0.54) | <20 (REF: 20+) | |||
| Clinician training | Training × format | 0.03 | ||||
| NP/PA (REF: MD/DO) | 2.16 (0.96, 4.87) | 0.80 (0.42, 1.54) | NP/PA (REF: MD/DO) | 2.40 (1.08, 7.94) | 0.59 (0.30, 1.20)d | |
| eGFR at inclusion (ml/min per 1.73 m2) | eGFR at inclusion (ml/min per 1.73 m2) | <0.01 | ||||
| 40–59 (REF: <30) | 10.58 (3.85, 29.04) | 9.26 (3.96, 21.64) | 40–59 (REF: <30) | 9.77 (4.77, 20.0) | ||
| 30–44 (REF: <30) | 5.59 (2.63, 11.92) | 3.50 (1.93, 6.36) | 30–44 (REF: <30) | 4.47 (2.61, 7.67) | ||
| Comorbidity | Comorbidity | |||||
| No DM (REF: DM) | 1.38 (0.94, 2.01) | 1.03 (0.68, 1.57) | No DM (REF: DM) | 1.29 (1.01, 1.66) | 0.05 | |
| No HTN (REF: HTN) | 2.45 (1.33, 4.53) | 1.29 (0.75, 2.22) | No HTN (REF: HTN) | 1.52 (1.03, 2.25) | 0.04 | |
| Age (yr) | Age (yr) | 0.02 | ||||
| <60 (REF: 85+) | 0.68 (0.29, 1.59) | 0.80 (0.36, 1.78) | <60 (REF: 85+) | 0.75 (0.40, 1.38) | ||
| 60–74 (REF: 85+) | 0.56 (0.30, 1.02) | 0.53 (0.30, 0.95) | 60–74 (REF: 85+) | 0.55 (0.36, 0.84) | ||
| 75–84 (REF: 85+) | 0.86 (0.56, 1.32) | 1.26 (0.73, 2.17) | 75–84 (REF: 85+) | 0.99 (0.72, 1.36) | ||
OR, odds ratio; CI, confidence interval; SCr, serum creatinine; eGFR, estimated GFR; REF, reference category for OR; NP, nurse practitioner; PA, physician assistant; MD, doctor of medicine; DO, doctor of osteopathic medicine; DM, diabetes mellitus; HTN, hypertension.
Variables included in the model: sex, eGFR at inclusion, age, laboratory report format, presence of DM, presence of HTN, and practitioner degree.
Variables included in the model: sex, eGFR at inclusion, age, laboratory report format, presence of DM, presence of HTN, and practitioner degree. Interactions included in the model: laboratory report format × sex, laboratory report format × practitioner degree, and laboratory report format × clinician experience; P values are the significance levels for the factors and interaction terms.
Differences between OR in SCr only and eGFR (P=0.03).
Differences between OR in SCr only and eGFR (P=0.01).