Table 3.
Physician Practices * | Unadjusted Odds OR (95% CI) | p-value | Adjusted for Demographics† OR (95% CI) | p-value | Additionally adjusted for Training and Volume Experience § OR (95% CI) | p-value | Additionally adjusted for Perceptions about Interpretation¶ OR (95% CI) | p-value |
---|---|---|---|---|---|---|---|---|
I order additional tests such as IHC and or molecular tests overall agreement: 129 (62.3%) | 0.9 (0.5, 1.6) | 0.67 | 1.1 (0.6, 2.2) | 0.74 | 1.2 (0.6, 2.3) | 0.66 | 1.2 (0.6, 2.2) | 0.68 |
I recommend additional surgical sampling overall agreement: 137 (66.2%) | 1.1 (0.6, 2.0) | 0.76 | 1.5 (0.8, 3.0) | 0.25 | 1.8 (0.9, 3.6) | 0.12 | 1.8 (0.9, 3.6) | 0.12 |
I request additional slides cut from the block overall agreement: 180 (87%) | 1.0 (0.4, 2.3) | 0.95 | 1.5 (0.6, 3.9) | 0.40 | 1.7 (0.6, 4.4) | 0.30 | 1.7 (0.6, 4.3) | 0.31 |
I request second opinions overall agreement: 191 (92.3%) | 1.1 (0.4, 3.3) | 0.89 | 1.8 (0.5, 6.0) | 0.37 | 1.8 (0.5, 6.2) | 0.34 | 1.7 (0.5, 6.3) | 0.39 |
I am more likely to choose the more severe diagnosis in borderline cases overall agreement: 109 (52.7%) | 1.2 (0.7, 2.2) | 0.52 | 1.5 (0.8, 3.0) | 0.18 | 1.6 (0.8, 3.1) | 0.15 | 1.6 (0.8, 3.0) | 0.18 |
Covariates for demographics include: gender, age
Covariates for experience/volume include: number of benign cases (per month) and whether or not peers consider participant an expert
Covariates for perceptions about interpretation include: more nervous about MSL interpretation than other types of pathology