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. 2021 Feb 1;147(2):e2020010066. doi: 10.1542/peds.2020-010066

TABLE 5.

Respondent Characteristic Possibly Contributing to the Odds of Diagnosing CP in 4 Hypothetical Patient Scenarios

Respondent Characteristic Possibly Contributing to Odds of Diagnosing CPa ORb (95% CI) Relative to the Reference Value for Each Characteristic
Scenario 1 Scenario 2 Scenario 3 Scenario 4c
Specialty
 Surgery 0 (—) 1.453 (0.088–23.893) 0.418 (0.076–2.304) 0.564 (0.100–3.173)
 Physical medicine and rehabilitation 0 (—) 0.057 (0.003–1.123) 0.485 (0.120–1.965) 0.930 (0.256–3.377)
 Neurology 0 (—) 0.040 (0.001–1.121) 1.400 (0.333–5.887) 4.947 (1.333–18.365)*
 Pediatrics Referenced Reference Reference Reference
Subspecialty
 Yes, with fellowship 0 (—) 5.341 (0.208–137.194) 0.275 (0.072–1.055) 2.379 (0.711–7.960)
 Yes, without fellowship 0 (—) 27.253 (0.547–1358.989) 0.241 (0.048–1.201) 2.370 (0.562–10.000)
 No Reference Reference Reference Reference
Years in practice
 <5 0.823 (0.076–8.915) 5.017 (0.677–37.165) 0.756 (0.297–1.923) 1.628 (0.647–4.093)
 6–10 0.488 (0.023–10.569) 0 (—) 0.282 (0.056–1.425) 0.602 (0.109–3.130)
 >10 Reference Reference Reference Reference
Practice setting
 Inpatient 0.204 (0.003–12.646) 0 (—) 0.251 (0.038–1.655) 0.127 (0.016–1.022)
 Outpatient 6.595e7 (—) 0.288 (0.030–2.784) 0.817 (0.297–2.243) 0.548 (0.205–1.462)
 Both Reference Reference Reference Reference
Practice affiliation
 Academic 0.858 (0.017–43.333) 0.255 (0.007–9.253) 3.028 (0.343–26.757) 1.346 (0.118–15.326)
 Private 9.147e7 (—) 74.449 (0.784–7066.016) 5.432 (0.333–88.552) 2.265 (0.135–37.950)
 Both Reference Reference Reference Reference
Age of patients seen
 Children (<18 y) 1.336 (0.104–17.098) 3.839 (0.153–96.017) 2.256 (0.699–7.275) 2.82 (0.762–10.437)
 Adult (≥18 y) 2.968 (—) 0 (—) 1.386 (0.059–32.624) 0 (—)
 Both Reference Reference Reference Reference
Percentage of patients with nonprogressive motor disability, %
 <25 0.274 (0.011–7.127) 0.652 (0.040–10.695) 0.511 (0.137–1.908) 1.361 (0.362–5.115)
 25–50 6.013e7 (—) 0.423 (0.034–5.284) 1.063 (0.270–4.177) 0.828 (0.217–3.157)
 50–75 0.504 (0.037–6.803) 0.766 (0.067–8.813) 1.527 (0.457–5.097) 0.993 (0.304–3.245)
 >75 Reference Reference Reference Reference

—, not applicable.

a

Logistic regression analysis was used to determine if any of the surveyed respondent characteristics could contribute to the odds of diagnosing CP in each of the 4 hypothetical case scenarios (separate logistic regression model for each scenario).

b

ORs are indicated for each respondent characteristic relative to the indicated reference value.

c

Only the overall logistic regression model for scenario 4 significantly predicted the likelihood that a respondent would diagnose CP on the basis of the indicated respondent demographics (χ2 statistic, P = .008). Of the examined demographics, only the respondent’s medical specialty was a significant predictor of whether a respondent would diagnose CP in scenario 4, with neurologists almost 5 times more likely to diagnose CP than pediatricians.

d

These ORs are adjusted for all of the indicated respondent characteristics for each scenario.

*

P = .017 (Wald test).