Table 3.
Factors associated with a false‐positive FIT (ie, no evidence of advanced neoplasia through colonoscopy after a positive FIT), N = 1027
Unadjusteda | Adjusteda | |||||
---|---|---|---|---|---|---|
OR | 95% CI | P | OR | 95% CI | P | |
FIT type | ||||||
Hemosure vs InSure | 1.86 | 0.50‐6.15 | 0.32 | 1.72 | 0.44‐6.68 | 0.47 |
OC‐Micro vs InSure | 0.84 | 0.41‐1.71 | 0.85 | 0.37‐1.97 | ||
Hemosure vs OC‐Micro | 2.23 | 0.67‐7.46 | 2.00 | 0.47‐8.56 | ||
Age | ||||||
50‐64 | Ref | 0.73 | ||||
65‐74 | 1.07 | 0.74‐1.54 | ||||
Female | 1.71 | 1.30‐2.26 | 0.0002 | 1.59 | 1.20‐2.11 | 0.001 |
Hispanic | 1.13 | 0.72‐1.79 | 0.59 | |||
Non‐white | 1.10 | 0.75‐1.61 | 0.63 | |||
Language | ||||||
English | Ref | 0.17 | Ref | 0.47 | ||
Spanish | 1.71 | 0.97‐3.03 | 1.44 | 0.80‐2.60 | ||
Other | 1.15 | 0.74‐1.78 | 1.09 | 0.69‐1.70 | ||
Insurance status | ||||||
Medicaid | Ref | 0.03 | Ref | 0.09 | ||
Medicare | 0.84 | 0.58‐1.22 | 0.82 | 0.56‐1.20 | ||
Uninsured | 1.51 | 1.07‐2.15 | 1.40 | 0.98‐2.01 | ||
Commercial | 1.10 | 0.68‐1.78 | 1.08 | 0.66‐1.76 | ||
Federal poverty level | ||||||
<100% | Ref | 0.87 | ||||
100%‐150% | 0.89 | 0.60‐1.32 | ||||
>150% | 0.90 | 0.62‐1.32 | ||||
Unknown | 1.04 | 0.72‐1.49 | ||||
Comorbidities | ||||||
Diabetes | 1.18 | 0.86‐1.60 | 0.30 | |||
Hypertension | 1.09 | 0.82‐1.43 | 0.56 | |||
Colorectal conditionb | 2.19 | 1.16‐4.14 | 0.02 | 2.18 | 1.14‐4.18 | 0.02 |
Anticoagulant use | 0.98 | 0.64‐1.50 | 0.92 | |||
NSAIDs use | 1.26 | 0.92‐1.75 | 0.16 | 1.17 | 0.83‐1.62 | 0.37 |
Tobacco use | ||||||
Never | Ref | 0.37 | ||||
Former | 0.88 | 0.62‐1.07 | ||||
Current | 0.76 | 0.54‐1.07 | ||||
Unknown | 1.08 | 0.65‐1.79 | ||||
Season of FIT return | ||||||
Winter | Ref | 0.34 | ||||
Spring | 0.83 | 0.59‐1.18 | ||||
Summer | 1.10 | 0.73‐1.68 | ||||
Fall | 1.14 | 0.76‐1.71 |
CI, confidence interval; OR, odds ratio.
All models include a random effect for health center, nested within FIT brand, to account for any unmeasured population differences across center. The adjusted model additionally includes FIT kit type and all variables with unadjusted P < 0.20.
From diagnosis codes present in the EHR within 2 years prior to FIT eligibility (Table S2).