Table 3.
Crude and age-adjusted sex-adjusted ORs for the association between GP and practice characteristics, and high versus moderate/low rates of assessment for absolute CVD risk (ACVDR)
| Independent variable | Percentage per category (n) that are high assessors | Crude OR | 95% CI | Ageadjusted and sex-adjusted OR |
95% CI | P value |
| Age range (years) | ||||||
| ≤34 | 57(13) | 1.0 | – | – | – | 0.03 |
| 35–44 | 58 (23) | 1.04 | 0.37 to 2.93 | 1.07 | 0.36 to 2.90 | – |
| ≥45 | 29 (14) | 0.31 | 0.11 to 0.89 | 0.36 | 0.12 to 0.97 | – |
| Gender | ||||||
| Female | 53 (31) | 1.0 | – | – | – | 0.25 |
| Male | 36 (18) | 0.51 | 0.24 to 1.10 | 0.72 | 0.34 to 1.54 | – |
| Years worked | ||||||
| ≤5 | 63(22) | 1.0 | – | 1.0 | – | 0.08 |
| 6–15 | 41(15) | 0.40 | 0.16 to 1.04 | 0.23 | 0.15 to 1.46 | – |
| ≥16 | 33(13) | 0.30 | 0.11 to 0.77 | 0.49 | 0.11 to 2.15 | – |
| Employment status | ||||||
| Full time | 45 (30) | 1.0 | – | 1.0 | – | 0.80 |
| Not full time | 45 (20) | 1.02 | 0.48 to 2.21 | 0.90 | 0.40 to 2.02 | – |
| Hours worked/week | ||||||
| ≤29 | 42 (8) | 1.0 | – | 1.0 | – | 0.27 |
| 30–39 | 63 (20) | 2.29 | 0.72 to 7.30 | 2.29 | 0.63 to 6.84 | – |
| 40 | 48 (10) | 1.25 | 0.36 to 4.36 | 1.36 | 0.35 to 4.90 | – |
| ≥41 | 31 (12) | 0.61 | 0.20 to 1.90 | 0.86 | 0.22 to 2.32 | – |
| Number of GPs in workplace | ||||||
| ≤4 | 44 (8) | 1.0 | – | 1.0 | – | 0.41 |
| 5–9 | 47 (23) | 1.11 | 0.37 to 3.28 | 1.14 | 0.36 to 3.61 | – |
| 10–19 | 44 (11) | 0.98 | 0.29 to 3.33 | 1.44 | 0.39 to 5.27 | – |
| ≥20 | 31 (4) | 0.56 | 0.12 to 2.49 | 0.80 | 0.16 to 3.97 | – |
| Role in practice | ||||||
| Registrar/in training | 68 (10) | 1.0 | – | 1.0 | – | 0.58 |
| Contractor/sessional/retainer/salaried | 43 (33) | 0.38 | 0.12 to 1.23 | 0.49 | 0.15 to 1.78 | – |
| Partner/principal | 35 (7) | 0.27 | 0.07 to 1.11 | 0.51 | 0.11 to 2.61 | – |
| ACVDR risk score | ||||||
| Used | 45 (36) | 1.0 | – | 1.0 | – | 0.22 |
| Other score used/not used | 45 (14) | 0.99 | 0.41 to 1.67 | 0.54 | 0.20 to 1.43 | – |
| Type of practice clinical software used | ||||||
| Medical director | 57 (13) | 1.0 | – | 1.0 | – | 0.37 |
| Best practice | 46 (32) | 0.65 | 0.25 to 1.67 | 0.68 | 0.25 to 1.83 | – |
| Not applicable | 28 (5) | 0.30 | 0.08 to 1.11 | 0.38 | 0.09 to 1.50 | – |
| Inbuilt calculator availability | ||||||
| Available | 47 (37) | 1.0 | – | 1.0 | – | 0.60 |
| Not available/unsure | 39 (13) | 0.72 | 0.31 to 1.64 | 0.79 | 0.32 to 1.92 | – |
| Use of inbuilt calculator | ||||||
| Yes | 46 (30) | 1.0 | – | 1.0 | – | 0.85 |
| No | 44 (7) | 0.91 | 0.30 to 2.73 | 0.89 | 0.29 to 2.81 | – |
| Knowledge of correct age eligible for assessment | ||||||
| Incorrect/missing | 41 (26) | 1.0 | – | 1.0 | – | 0.90 |
| Correct | 50 (24) | 0.70 | 0.67 to 3.03 | 1.06 | 0.46 to 2.42 | – |
| Time spent explaining ACVDR risk to patient | ||||||
| 0–4 mins | 24 (27) | 1.0 | 1.0 | 0.02 | ||
| >5 mins | 58 (65) | 3.84 | 1.37 to 10.7 | 3.63 | 1.26 to 10.4 | – |
High assessors assessed cardiovascular disease risk scores in ≥80% of their eligible patients. Moderate/low assessors assessed ACVDR risk in ≤79% of their eligible patients. Total questionnaires completed 111. No missing data except ‘time spent explaining ACVDR risk to patient’: never undertake/other/missing n=20 (18%).
ACVDR, absolute cardiovascular disease risk; GPs, general practitioners.