Table 3.
Comparison of results from pooled individual-level data analysis and distributed regression analysis based on data from 34 healthcare organizations, organized into 27 distinct network partners (or distinct databases), in the PCORnet Antibiotics and Childhood Growth Study, by antibiotic exposure classification. Each model included all the covariates listed in Table 1 plus 26 indicator variables for network partners.
No Complex Chronic Condition (n=304,868) | With Complex Chronic Condition (n=51,413) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Pooled Individual-level Data Analysis | Distributed Regression | Pooled Individual-level Data Analysis | Distributed Regression | ||||||||
Episodes | Parameter Estimate | Standard Error | Parameter Estimate | Standard Error | Episodes | Parameter Estimate | Standard Error | Parameter Estimate | Standard Error | ||
Any antibiotic exposure (Model 1) | 0.03419 | 0.00478 | 0.03419 | 0.00478 | Any antibiotic exposure (Model 2) | 0.05774 | 0.01302 | 0.05774 | 0.01302 | ||
Broad spectrum (Model 3) | 0.04037 | 0.00474 | 0.04037 | 0.00474 | Broad-spectrum (Model 4) | 0.06680 | 0.01290 | 0.06680 | 0.01290 | ||
Narrow spectrum (Model 5) | 0.01978 | 0.00583 | 0.01978 | 0.00583 | Narrow-spectrum (Model 6) | 0.02435 | 0.01810 | 0.02435 | 0.01810 | ||
Systemic antibiotic prescribing episodes (Model 7) | 0 | REF | REF | REF | REF | Systemic antibiotic prescribing episodes (Model 8) | 0 | REF | REF | REF | REF |
1 | 0.01327 | 0.00574 | 0.01327 | 0.00574 | 1 | 0.02715 | 0.01607 | 0.02715 | 0.01607 | ||
2 | 0.03853 | 0.00701 | 0.03853 | 0.00701 | 2 | 0.06950 | 0.01957 | 0.06950 | 0.01957 | ||
3 | 0.04646 | 0.00843 | 0.04646 | 0.00843 | 3 | 0.06892 | 0.02356 | 0.06892 | 0.02356 | ||
4+ | 0.06890 | 0.00701 | 0.06890 | 0.00701 | 4+ | 0.09635 | 0.01853 | 0.09635 | 0.01853 | ||
Systemic broad-spectrum antibiotic prescribing episodes (Model 9) | 0 | REF | REF | REF | REF | Systemic broad-spectrum antibiotic prescribing episodes (Model 10) | 0 | REF | REF | REF | REF |
1 | 0.03229 | 0.0058 | 0.03229 | 0.0058 | 1 | 0.04039 | 0.01596 | 0.04039 | 0.01596 | ||
2 | 0.04542 | 0.00837 | 0.04542 | 0.00837 | 2 | 0.06685 | 0.02182 | 0.06685 | 0.02182 | ||
3 | 0.03256 | 0.01116 | 0.03256 | 0.01116 | 3 | 0.14779 | 0.02763 | 0.14779 | 0.02763 | ||
4+ | 0.06760 | 0.00938 | 0.06760 | 0.00938 | 4+ | 0.08664 | 0.02207 | 0.08664 | 0.02207 | ||
Systemic narrow-spectrum antibiotic prescribing episodes (Model 11) | 0 | REF | REF | REF | REF | Systemic narrow-spectrum antibiotic prescribing episodes (Model 12) | 0 | REF | REF | REF | REF |
1 | 0.01341 | 0.00661 | 0.01341 | 0.00661 | 1 | 0.01285 | 0.02104 | 0.01285 | 0.02104 | ||
2 | 0.02940 | 0.00972 | 0.02940 | 0.00972 | 2 | 0.07939 | 0.03227 | 0.07939 | 0.03227 | ||
3 | 0.02605 | 0.01528 | 0.02605 | 0.01528 | 3 | 0.02877 | 0.05172 | 0.02877 | 0.05172 | ||
4+ | 0.05771 | 0.02098 | 0.05771 | 0.02098 | 4+ | −0.06616 | 0.06041 | −0.06616 | 0.06041 |