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. 2019 Feb 26;69(681):e270–e278. doi: 10.3399/bjgp19X701801

Table 2.

Characteristics of GPs and patients in the clinical vignette associated with the choices of prescribing or continuing various analgesic medicines, despite the GPs’ negative evaluation of their risk–benefit ratios (logistic regressions, results of backward selection)

Paracetamol and tramadol (n = 1168) Amitriptyline (n = 1183) NSAID (ketoprofen) (n = 1183)



Variables AOR (95% CI) P-value AOR (95% CI) P-value AOR (95% CI) P-value
Stratification variables

Age (ref <50 years)
50–58 years 0.77 (0.54 to 1.12) 0.17 0.85 (0.57 to 1.26) 0.41 0.91 (0.65 to 1.26) 0.57
>58 years 0.73 (0.47 to 1.13) 0.16 0.89 (0.56 to 1.43) 0.64 1.65 (1.16 to 2.36) 0.006

Sex (ref Male)
Female 1.13 (0.80 to 1.61) 0.48 1.28 (0.88 to 1.86) 0.20 0.87 (0.64 to 1.18) 0.37

Workload (ref <3067 consultations and visits)
3067–6028 1.22 (0.79 to 1.89) 0.36 1.42 (0.88 to 2.27) 0.15 1.05 (0.73 to 1.51) 0.80
>6028 1.26 (0.77 to 2.06) 0.36 1.21 (0.70 to 2.11) 0.49 0.93 (0.61 to 1.41) 0.73

GP density of the municipality of practice (ref < −19.3% of the national average)
−19.3% to +17.7% of the national average 0.72 (0.50 to 1.04) 0.08 1.14 (0.75 to 1.72) 0.54 0.86 (0.62 to 1.18) 0.35
> +17.7% of the national average 0.75 (0.48 to 1.17) 0.20 1.28 (0.79 to 2.07) 0.32 1.03 (0.71 to 1.50) 0.86

Professional characteristics

Practice of complementary medicine (for example, homeopathy, acupuncture) (ref ‘No’)
Yes 1.62 (1.01 to 2.58) 0.04 NR NR

Reported proportion of patients with multimorbidity on GP’s list (ref <25%)
25–50% 0.98 (0.70 to 1.37) 0.90 NR NR
>50% 0.51 (0.28 to 0.92) 0.02 NR NR

Patients’ characteristics

Age, years (ref 54 years)
82 NR NR 0.48 [0.36 to 0.63] <0.001

History of stroke (ref ‘No’)
Yes NR 0.63 [0.45 to 0.90] 0.01 0.55 [0.42 to 0.72] <0.001

AOR = adjusted odds ratio. NR = not retained in the backward selection procedure. NSAID = non-steroidal anti-inflammatory drug. Ref = reference.