Effect | Level | 1st visit model (c-statistic = 0.683) | 2nd visit model (c-statistic = 0.795) | 3rd visit model (c-statistic = 0.787) | |||
---|---|---|---|---|---|---|---|
| |||||||
Point estimate | P | Point estimate | P | Point estimate | P | ||
Age | 1.001 | 0.569 | 0.998 | 0.01 | 0.994 | 0.0036 | |
Subgroup | Subgroup II versus subgroup I | 1.988 | <0.0001 | 1.414 | 0.0002 | 2.5981 | 0.0002 |
Subgroup III versus subgroup I | 2.467 | 3.168 | 4.278 | ||||
Subgroup IV versus subgroup I | 0.671 | 0.847 | 3.4774 | ||||
Subgroup Other versus subgroup I | 0.794 | 0.77 | 0.6923 | ||||
Age*subgroup | Age at subgroup II | 0.998 | 0.0105 | 1 | 0.2658 | 0.2441 | |
Age at subgroup III | 1.003 | 1.003 | 1.004 | ||||
Age at subgroup IV | 1.017 | 1.015 | 0.9884 | ||||
Age at subgroup other | 1.012 | 1.013 | 1.018 | ||||
Sex | Female versus male | 0.79 | <0.0001 | 0.802 | <0.0001 | 0.773 | <0.001 |
First LBP is PCP or not | Yes versus no | 0.676 | <0.0001 | 0.792 | <0.0001 | 0.594 | <0.001 |
Charlson score | 0.99 | 0.513 | 0.986 | 0.5221 | 0.958 | 0.0903 | |
Smoking | Missing versus no | 0.996 | 0.9344 | 0.97 | 0.7007 | 0.915 | 0.3212 |
Quit versus no | 1.217 | <0.0001 | 1.079 | 0.1729 | 1.095 | 0.1504 | |
Yes versus no | 1.384 | <0.0001 | 1.268 | <0.0001 | 1.254 | 0.0005 | |
Alcohol | Missing versus no | 1.116 | 0.0176 | 1.127 | 0.0853 | 1.032 | 0.6889 |
Yes versus no | 0.936 | 0.0596 | 0.904 | 0.0429 | 0.889 | 0.0403 | |
Number of opioid Rx before LBP | 1.025 | 0.0006 | 1.053 | <0.0001 | 1.062 | 0.0004 | |
First LBP visit is ED | Yes versus no | 0.685 | <0.0001 | 0.979 | 0.8739 | 1.004 | 0.9805 |
CT order at first LBP | Yes versus no | 9.86 | <0.0001 | N/A | N/A | N/A | N/A |
MRI order at first LBP | Yes versus no | 4.987 | <0.0001 | 4.14 | 0.0072 | N/A | N/A |
Other image at first LBP | Yes versus no | 1.249 | <0.0001 | 0.713 | <0.0001 | 1.421 | <0.001 |
Injection order at first LBP | Yes versus no | 1.194 | 0.0599 | 0.775 | 0.0587 | 1.112 | 0.4716 |
Med order at first LBP | Yes versus no | 1.097 | 0.004 | 0.657 | <0.0001 | 0.753 | <0.001 |
Lab order at first LBP | Yes versus no | 0.64 | <0.0001 | 0.373 | <0.0001 | 0.568 | <0.001 |
Number of visits before LBP | Yes versus no | 1.003 | 0.0795 | 0.999 | 0.7733 | 1 | 0.8756 |
Fibromyalgia | Yes versus no | 1.129 | 0.0284 | 1.184 | 0.0334 | 1.264 | 0.0091 |
Depression | Level 2 versus level 1 | 1.373 | <0.0001 | 1.403 | <0.0001 | 1.405 | <0.001 |
Level 3 versus level 1 | 1.164 | 0.756 | 0.742 | 0.6488 | 1.661 | 0.5002 | |
Level 4 versus level 1 | 1.343 | <0.0001 | 1.285 | 0.0003 | 1.076 | 0.3657 | |
Level 5 versus level 1 | 1.61 | <0.0001 | 1.491 | <0.0001 | 1.269 | 0.0009 | |
Allergic rhinitis | Yes versus no | 0.897 | 0.007 | 0.842 | 0.0023 | 0.867 | 0.0237 |
Gastroesophageal reflux disease | Yes versus no | 0.952 | 0.185 | 0.939 | 0.2287 | 0.882 | 0.0312 |
Arthritis | Yes versus no | 1.078 | 0.0504 | 1.136 | 0.022 | 1.27 | 0.0002 |
Beta-blocker and HT | Beta-blocker order not for HT versus no beta-blocker, no HT | 1.003 | 0.97 | 0.942 | 0.5883 | 1.036 | 0.7728 |
HT without beta-blocker versus no beta-blocker, no HT | 0.964 | 0.342 | 0.947 | 0.3351 | 0.831 | 0.0032 | |
Beta-blocker for HT versus no beta-blocker, no HT | 0.962 | 0.4662 | 0.892 | 0.1256 | 0.892 | 0.1687 | |
Physician efficiency index (/1000) | 1.08 | <0.0001 | 1.048 | 0.0048 | 1.21 | <0.001 | |
Time interval (month) | N/A | N/A | 0.811 | <0.0001 | 0.9 | <0.001 | |
Medicare | Yes versus No | 1.047 | 0.3164 | 0.999 | 0.9854 | 1.006 | 0.9377 |
Workers’ Compensation | Yes versus No | 1.883 | <0.0001 | 1.481 | 0.0479 | 5.48 | <0.001 |
Commercial insured | Yes versus No | 0.88 | 0.0001 | 0.923 | 0.0887 | 1.005 | 0.9236 |
CT Computed tomography; ED Emergency department; HT Hypertension; Lab Laboratory; LBP Low back pain; Med Medical; MRI Magnetic resonance imaging; PCP Primary care physician; Rx Prescriptions