Table 3.
Age >65 Group
| Patient characteristics | ||||
|---|---|---|---|---|
| All (N=1327) | Pap Not Indicated (N=536) | Pap Indicated (N=791) | p-valuea | |
| Patient Age, years median (range) | 69 (65–95) | 68 (66–88) | 69 (65–95) | 0.25 |
| Race n (%) | 0.007 | |||
| African/African Am | 33 (2.5) | 6 (18.2) | 27 (81.8) | |
| Am Indian/Alaskan | 5 (0.4) | 0 (0.0) | 5 (100.0) | |
| Asian | 26 (2.0) | 7 (26.9) | 19 (73.1) | |
| White | 1239 (93.4) | 516 (41.7) | 723 (58.4) | |
| No response | 24 (1.8) | 7 (29.2) | 17 (70.8) | |
| Provider characteristics | ||||
| Pap Not Indicated (N=536) | Pap Indicated (N=791) | Odds Ratio (95% CI) | p-valueb | |
| Provider Age, years mean ±SD | 51.5±11.9 | 48.8±11.3 | 1.02 (1.00–1.03)c | 0.008 |
| Gender | ||||
| Female | 351 (37.5) | 585 (62.5) | 1.00 | |
| Male | 185 (47.3) | 206 (52.7) | 1.53 (1.07–2.18) | 0.02 |
| Provider Degree | ||||
| MD/DO | 476 (41.6) | 669 (58.4) | 1.00 | |
| NP | 40 (34.5) | 76 (65.5) | 0.76 (0.48–1.20) | 0.24 |
| CNM | 1 (9.1) | 10 (90.9) | 0.22 (0.03–1.75) | 0.15 |
| PAC | 19 (34.6) | 36 (65.5) | 0.90 (0.45–1.79) | 0.76 |
| Specialty | ||||
| Family Medicine | 334 (41.8) | 466 (58.3) | 1.00 | |
| Internal Medicine | 70 (42.2) | 96 (57.8) | 1.06 (0.67–1.68) | 0.79 |
| Obstetrics/Gynecology | 128 (37.1) | 217 (62.9) | 0.66 (0.44–0.99) | 0.04 |
| Clinic within 60 miles of Minneapolis | ||||
| Yes | 532 (42.8) | 711 (57.2) | 1.00 | |
| No | 4 (4.8) | 80 (95.2) | 0.13 (0.04–0.46) | 0.002 |
| Frequency of Pap Orders | ||||
| 1+ Pap per week | 428 (41.2) | 611 (58.8) | 1.00 | |
| <1 Pap per week | 108 (37.5) | 180 (62.5) | 0.91 (0.65–1.29) | 0.61 |
| Multivariate Modelb,d | ||||
| Gender | ||||
| Female | 1.00 | |||
| Male | 1.73 (1.14–2.61) | 0.01 | ||
| Specialty | ||||
| Family Medicine | 1.00 | |||
| Internal Medicine | 1.13 (0.68–1.85) | 0.64 | ||
| Obstetrics/Gynecology | 0.62 (0.42–0.92) | 0.02 | ||
| Clinic Location | ||||
| <60 miles from Minneapolis | 1.00 | |||
| >60 miles from Minneapolis | 0.12 (0.03–0.44) | 0.001 | ||
Am, American. MD, Medical Doctor. DO, Doctor of Osteopathy. NP, Nurse Practitioner. CNM, Certified Nurse Midwife. PAC, Physician Assistant.
a
Categorical variables: Fisher’s Exact test; continuous variables: Wilcoxon rank-sum test.
b
General estimating equation model
c
Per 1 year increase in age
d
Adjusted for health care provider gender, health care provider specialty and clinic location; effective sample size: N=290