Table 3. Mixed effects regression1 of opioid outcomes on between-person and within-person patient PageRank percentile and controls among high-risk patients with more than one prescriber per quarter (n = 68,401; n obs = 273,604).
1: Num Rx | 2: MME>90 | 3: Overdose | 4: OUD | |||||
---|---|---|---|---|---|---|---|---|
IRR | (CI) | OR | (CI) | OR | (CI) | OR | (CI) | |
Female | 1.00 | (0.99–1.01) | 0.42*** | (0.39–0.46) | 1.00 | (0.88–1.14) | 0.78*** | (0.71–0.85) |
Age(10 years) | 0.99*** | (0.99–1.00) | 0.62*** | (0.60–0.64) | 0.92** | (0.87–0.97) | 0.69*** | (0.66–0.71) |
Insurance type2 | ||||||||
POS | 0.85*** | (0.84–0.87) | 0.31*** | (0.28–0.35) | 0.66*** | (0.54–0.79) | 0.74*** | (0.65–0.83) |
HMO | 0.88*** | (0.87–0.89) | 0.47*** | (0.43–0.52) | 0.81* | (0.69–0.96) | 1.12* | (1.00–1.25) |
State3 | ||||||||
Kentucky | 0.93 | (0.86–1.01) | 1.51 | (0.79–2.88) | 0.87 | (0.54–1.41) | 1.16 | (0.53–2.56) |
Virginia | 0.91** | (0.84–0.98) | 3.51 | (2.76–4.47) | 1.04 | (0.80–1.36) | 0.48 | (0.22–1.04) |
Tennessee | 0.92* | (0.85–0.99) | 1.40 | (1.10–1.78) | 0.97 | (0.77–1.22) | 3.92*** | (1.85–8.29) |
Ohio | 0.98 | (0.91–1.05) | 2.14 | (1.67–2.73) | 1.33** | (1.09–1.60) | 0.54 | (0.26–1.15) |
North Carolina | 1.11** | (1.03–1.19) | 1.23 | (0.96–1.58) | 1.08 | (0.93–1.26) | 0.75 | (0.36–1.59) |
Georgia | 0.91* | (0.85–0.98) | 0.74 | (0.39–1.41) | [omitted] | 1.26 | (0.60–2.65) | |
Cancer diagnosis | 1.03*** | (1.02–1.03) | 1.51*** | (1.43–1.59) | 2.50*** | (2.20–2.84) | 1.05 | (0.97–1.14) |
# opioid prescribers | 1.35*** | (1.35–1.35) | 2.89*** | (2.83–2.96) | 1.49*** | (1.41–1.56) | 1.29*** | (1.26–1.33) |
Network prominence | ||||||||
BP PageRank (10%ile) | 1.04*** | (1.04–1.04) | 1.68*** | (1.64–1.73) | 1.08** | (1.03–1.13) | 1.45*** | (1.40–1.50) |
WP PageRank (10%ile) | 1.04*** | (1.04–1.05) | 1.20*** | (1.18–1.21) | 1.09** | (1.03–1.14) | 1.14*** | (1.11–1.16) |
ICC | 0.71 | 0.85 | 0.54 | 0.73 | ||||
BIC | 1,115,970 | 218,590 | 17,629 | 79,097 |
1Random intercept models adjusted for state fixed effects; incidence rate ratios or odds ratios and confidence intervals are presented
2Omitted category = Other
3Omitted category = West Virginia
* p<0.05
** p<0.01
*** p<0.001