Table 2.
Relationships between Physicians’ Clinical Assessments, Perceptions of their Assessments, and Patient-Centered Screening Recommendations
| Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | Model 6 | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
|
| Variable | ||||||||||||
| Life Expectancy | 0.0012 | 0.2293 | ||||||||||
| <2 years | 1 [Ref Group] | 1 [Ref Group] | ||||||||||
| 2–5 years | 2.70 (1.58, 4.61) | 1.81 (0.97, 3.39) | ||||||||||
| 6–10 years | 2.46 (1.20, 5.08) | 1.55 (0.66, 3.62) | ||||||||||
| 10+ years | 1.66 (0.72, 3.83) | 1.37 (0.49, 3.79) | ||||||||||
| Confidence in life expectancy estimate | 0.0005 | 0.2147 | ||||||||||
| Extremely confident | 1 [Ref Group] | 1 [Ref Group] | ||||||||||
| Very confident | 2.81 (1.27, 6.20) | 1.55 (0.49, 4.92) | ||||||||||
| Neither confident nor unconfident | 3.94 (1.80, 8.61) | 1.30 (0.42, 4.00) | ||||||||||
| Not very confident | 5.93 (2.31, 15.22) | 2.08 (0.52, 8.42) | ||||||||||
| Not at all confident | 11.49 (1.23, 107.18) | 7.02 (1.04, 47.23) | ||||||||||
| Benefit/Downside Assessment | <0.0001 | 0.0006 | ||||||||||
| Benefits clearly outweigh downsides | 1 [Ref Group] | 1 [Ref Group] | ||||||||||
| Benefits probably outweigh downsides | 5.07 (2.71, 9.49) | 2.71 (1.17, 6.29) | ||||||||||
| Benefits and downsides are about equal | 13.98 (6.76, 28.94) | 6.75 (2.52, 18.08) | ||||||||||
| Downsides probably outweigh benefits | 3.49 (1.66, 7.35) | 3.37 (1.14, 9.93) | ||||||||||
| Downsides clearly outweigh benefits | 0.51 (0.19, 1.39) | 1.88 (0.50, 7.07) | ||||||||||
| Certainty of Benefit/Downside Assessment | <0.0001 | 0.6946 | ||||||||||
| Extremely certain | 1 [Ref Group] | 1 [Ref Group] | ||||||||||
| Very certain | 3.91 (1.56, 9.84) | 1.32 (0.45, 3.91) | ||||||||||
| Neither certain nor uncertain | 9.27 (3.56, 24.13) | 1.56 (0.48, 5.12) | ||||||||||
| Very uncertain | 6.91 (2.04, 23.45) | 1.26 (0.28, 5.66) | ||||||||||
| Extremely uncertain | 2.55 (0.29, 22.84) | 0.62 (0.11, 3.49) | ||||||||||
| Best Course of Action | <0.0001 | <0.0001 | ||||||||||
| Strongly believe screening is in best interest | 1 [Ref Group] | 1 [Ref Group] | ||||||||||
| Believe that screening is probably in best interest | 5.03 (2.65, 9.53) | 2.25 (1.02, 4.93) | ||||||||||
| Not sure whether screening is in best interest | 10.96 (5.28, 22.74) | 2.98 (1.14, 7.82) | ||||||||||
| Believe NOT screening is probably in best interest | 2.08 (0.94, 4.55) | 0.77 (0.26, 2.32) | ||||||||||
| Strongly believe NOT screening is in best interest | 0.23 (0.23, 1.00) | 0.17 (0.03, 0.96) | ||||||||||