Table 3.
Predictors of Receiving PCI
Age- and Sex-Adjusted Models | Multivariable-Adjusted Model† | |||
---|---|---|---|---|
OR (95% CI) | p-value | OR (95% CI) | p-value | |
Age | 1.03 (0.99–1.09) | 0.18 | 1.05 (0.98–1.13) | 0.20 |
Female | 1.46 (0.59–3.74) | 0.42 | 1.65 (0.50–5.75) | 0.42 |
Prefer OMT over PCI‡ | 0.55 (0.16–1.71) | 0.32 | 0.41 (0.09–1.70) | 0.24 |
Black | 0.93 (0.35–2.47) | 0.88 | ||
Education Level | 1.10 (0.75–1.60) | 0.63 | ||
History of PCI | 4.28 (1.58–12.28) | 0.01 | 5.59 (1.76–20.23) | 0.01 |
History of MI | 1.82 (0.62–5.50) | 0.27 | ||
Decision Involvement§ | 2.38 (1.07–6.19) | 0.05 | 2.48 (0.86–8.36) | 0.11 |
Seattle Angina Score | 1.01 (0.99–1.03) | 0.27 | ||
Importance of Cost* | 0.65 (0.25–1.64) | 0.37 | ||
Insurance (Ref: Private Insurance)** | ||||
Medicaid/No Insurance | 0.23 (0.01–2.14) | 0.24 | 0.29 (0.01–2.92) | 0.34 |
Medicare | 0.40 (0.11–1.29) | 0.13 | 0.32 (0.06–1.36) | 0.14 |
Other | 0.11 (0.01–0.51) | 0.01 | 0.05 (0.00–0.34) | 0.01 |
Notes: Bolded predictors reached a p-value < 0.05 in the multivariable-adjusted model. †To avoid model overfitting, the multivariable-adjusted model was created by including only age, sex, preference for OMT, and predictors with p-value < 0.10 in age- and sex-adjusted models. ‡Prefer OMT over PCI refers to whether patient expressed an ultimate treatment preference for OMT instead of PCI. §Decision involvement refers to amount of a patient’s desired decision-making involvement (ordinal 5 point scale. 1 = patient did not want to be involved in decision-making, 5 = patient wanted to make decision completely on their own). *Importance of cost refers to patient-reported importance of out-of-pocket costs in making decision (0=no or minor effect, 1 = moderate or major effect). **Insurance odds ratios are in reference to patients with private insurance.
Abbreviations: OMT, optimal medical therapy; PCI, percutaneous coronary intervention; OR, odds ratios; CI, confidence interval; MI, myocardial infarction.