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. 2019 Nov 30;20:574. doi: 10.1186/s12891-019-2964-7

Table 2.

Parameter estimates from the five multilevel regression models examining the associations of LOD with individual-level and state-level variables

Parameter Length of disability
Model 1 Model 2 Model 3 Model 4 Model 5
Intercept 3.835*** 3.880*** 3.268*** 3.269*** 3.346***
Gender
 Female 0.078*** 0.075*** 0.040*
 Malea
Age (years) 0.005*** 0.005*** 0.005***
Tenure (years) −0.004*** −0.004*** −0.004***
AWW/$100 0.017*** 0.013*** 0.013**
Industry type
 Mining 0.452*** 0.445*** 0.443***
 Construction 0.193*** 0.183*** 0.182***
 Transportation 0.258*** 0.247*** 0.247***
 Agriculture 0.090 0.083 0.081
 Manufacturing 0.126** 0.118** 0.117**
 Wholesale trade 0.084 0.076 0.076
 Retail trade 0.127** 0.119** 0.118**
 Services 0.101* 0.092* 0.091*
 Public administration 0.077 0.069 0.068
 Financea
Injury severity
 More severe 0.086*** 0.085*** 0.085***
 Less severea
Early opioid/100 mg MEA 0.014*** 0.014*** 0.014***
eMRI scan
 Yes 0.426*** 0.435*** 0.402***
 Noa
Lumbar spine surgery
 Yes 0.719*** 0.715*** 0.712***
 Noa
Litigation status
 Yes 1.144*** 1.152*** 1.152***
 Noa
Median household income ($) −0.007*** −0.007*** − 0.007***
State physician density −0.001*** −0.001* − 0.001** - < 0.001
State Orthopedic surgeons density −0.027 0.070 0.070 0.042*
MRI facility rate −0.078 −0.144*** − 0.129*** −0.182***
Wage replacement rate 0.002 0.004 0.004 0.004
Waiting period 0.052*** 0.069*** 0.069*** 0.069***
Retroactive period 0.006** 0.006*** 0.006*** 0.006***
Treating provider change
 Allowed 0.234*** 0.115*** 0.109*** 0.114***
 Allowed once 0.001 −0.118** − 0.116*** − 0.114***
 Not alloweda
Treating provider choice
 Allowed 0.165*** 0.270*** 0.261*** 0.332***
 Not-alloweda
State medical fee schedule
 Yes 0.057* 0.100*** 0.100*** 0.098***
 Noa
Unemployment rate 0.024** 0.013* 0.012* 0.011

MRI (yes) X State Orthopedic surgeons density

MRI (yes) X State Orthopedic surgeons density

0.053***

MRI (yes) X Dr choice (yes)

MRI (yes) X Dr choice (no)

0.099**

MRI (Yes) X male gender

MRI (Yes) X female gender

−0.047**

MRI (yes) X MRI facility density

MRI (no) X MRI facility density

−0.058**
Variance components
 Within-state variability 1.393*** 1.390*** 0.914*** 0.910*** 0.910***
 Between-state variability 0.072*** 0.035*** 0.026*** 0.025*** 0.025***
 ICC 5% 2% 3% 3% 3%
 Proportional reduction in between-state variability 51% 64% 65% 65%
Random slope
 eMRI 0.011** 0.011**
Model fit statistic
 -2LL 188,306 188,221*** 163,485*** 163,323*** 163,320*
 BIC 188,310 188,229*** 163,493*** 163,342*** 163,339*

AWW Average weekly wage, MEA Morphine equivalent amount, eMRI Early magnetic resonance imaging, ICC Intraclass correlation coefficient, −2LL −2 log likelihood ratio, BIC Bayesian information criterion

*Indicator of statistical significance p<. 05; **p<. 01; ***p<. 001

aIndicator of reference group