Table 3.
Relationship between the proportion of patients per facility meeting the current LDL < 100 mg/dL threshold performance measure and potential overtreatment1
| Proportion of patients per facility meeting the LDL <100 threshold performance measure, by quartile |
Independent effect of current performance on predicted probability (CI) of potential overtreatment2 |
|---|---|
| Lowest quartile (8.4%-60.3%) | 10.7% (10.2-11.1) |
| Second (60.3%-66.5%) | 12.4% (11.9-12.8) |
| Third (66.5%-71.0%) | 13.7% (13.2-14.2) |
| Highest quartile (71.0%-84.0%) | 14.3% (13.8-14.8) |
Potential overtreatment defined as: among all diabetic patients, the proportion of patients without IHD who are prescribed high dose statins.
Predicted probability of potential overtreatment per quartile of meeting the current threshold measures, based on multilevel logistic regression for facilities at the median rate of overtreatment (p<0.001). These estimates isolate the hypothetical effect of a facilities being in different quartiles of current performance if the propensity to overtreat at a sample of facilities was otherwise the same. Given that current performance and potential overtreatment are correlated, the observed probabilities would differ by much more.