Table 4.
Bivariate and multiple logistic regression models of the probability of undergoing either ileostomy or colostomy among patients undergoing neurogenic bowel procedure, NSBPR, 2009–2014
| Variables | N (%) (Total N = 1064) | Crude odds ratio (95% CI) | Adjusted odds ratio (95% CI) | P-value |
|---|---|---|---|---|
| Age group at annual visit | < 0.001 | |||
| 2 to < 5 | 25 (2.4) | Reference | Reference | |
| 5 to < 10 | 181 (17.2) | 0.08 (0.03–0.21) | 0.10 (0.03–0.37) | |
| 10 to < 13 | 154 (14.6) | 0.05 (0.02–0.14) | 0.05 (0.01–0.21) | |
| 13 to < 18 | 309 (29.3) | 0.02 (0.01–0.06) | 0.02 (0.00–0.07) | |
| 18 to < 22 | 206 (19.5) | 0.04 (0.01–0.10) | 0.02 (0.01–0.09) | |
| 22+ | 179 (17.0) | 0.11 (0.04–0.27) | 0.10 (0.03–0.39) | |
| Race/ethnicity | 0.004 | |||
| Non-Hispanic white | 805 (75.7) | Reference | Reference | |
| Non-Hispanic black | 64 (6.0) | 3.06 (1.66–5.65) | 4.57 (1.91–10.95) | |
| Hispanic or Latino | 139 (13.1) | 2.32 (1.44–3.73) | 0.93 (0.38–2.23) | |
| Other | 56 (5.3) | 1.53 (0.70–3.35) | 0.61 (0.21–1.79) | |
| Spina bifida type | < 0.001 | |||
| Myelomeningocele | 941 (88.4) | Reference | Reference | |
| Non-myelomeningocele | 123 (11.6) | 10.12 (6.61–15.50) | 23.97 (11.11–51.73) | |
| Mobility status | < 0.001 | |||
| Community ambulators | 450 (42.4) | Reference | Reference | |
| Household ambulators | 91 (8.6) | 0.74 (0.34–1.61) | 1.83 (0.56–5.96) | |
| Therapeutic ambulators | 91 (8.6) | 0.64 (0.28–1.45) | 1.41 (0.45–4.37) | |
| Non-ambulators | 429 (40.4) | 1.27 (0.85–1.89) | 7.07 (3.40–14.70) | |
| Any genitourinary surgery | < 0.001 | |||
| Yes | 622 (58.5) | Reference | Reference | |
| No | 442 (41.5) | 4.86 (3.22–7.34) | 4.53 (2.65–7.76) | |
| Clinic* | < 0.001 | |||
| 1 | 91 (8.6) | Reference | Reference | |
| 2 | 9 (0.8) | 0.51 (0.06–4.32) | * | |
| 3 | 8 (0.8) | 1.35 (0.25—7.26) | 2.48 (0.33–18.50) | |
| 4 | 62 (5.8) | 0.36 (0.12–1.02) | 0.22 (0.05–1.03) | |
| 5 | 66 (6.2) | 1.09 (0.50–2.39) | 0.82 (0.30–2.26) | |
| 6 | 65 (6.1) | 0.20 (0.06–0.70) | 0.31 (0.07–1.30) | |
| 7 | 97 (9.1) | 0.09 (0.02–0.38) | 0.03 (0.00–0.40) | |
| 8 | 126 (11.9) | 0.17 (0.06–0.47) | 0.24 (0.06–0.90) | |
| 9 | 40 (3.8) | 0.21 (0.05–0.97) | 0.22 (0.04–1.28) | |
| 10 | 27 (2.5) | 3.24 (1.30–8.12) | 8.37 (1.94–36.12) | |
| 11 | 33 (3.1) | 1.30 (0.50–3.35) | 1.31 (0.39–4.42) | |
| 12 | 70 (6.6) | 1.62 (0.78–3.37) | 1.50 (0.50–4.55) | |
| 13 | 99 (9.3) | 0.26 (0.10–0.69) | 0.15 (0.05–0.50) | |
| 14 | 66 (6.2) | 0.56 (0.23–1.38) | 0.58 (0.16–2.08) | |
| 15 | 25 (2.4) | 1.01 (0.33–3.07) | 1.11 (0.27–4.57) | |
| 16 | 105 (9.9) | 0.38 (0.16–0.89) | 0.30 (0.10–0.90) | |
| 17 | 21 (2.0) | 0.43 (0.09–2.00) | 0.38 (0.04–3.45) | |
| 18 | 52 (4.9) | 0.63 (0.24–1.63) | 0.47 (0.14–1.56) |
*
Clinics with extreme surgery distributions were excluded from this analysis.