Problem, patient, and GP variants as predictors of safety-netting advice
| Codes from observingconsultation/linked data | Options | Safety-netting advice presentn/N (%) | Unadjusted model ORa (95% CI) | P-value | Adjusted model ORa (95% CI) | P-valuea |
|---|---|---|---|---|---|---|
| Is this problem acute, acute on chronic, or chronic? | Acute/AoC | 182/342 (53.2) | 2.09 (1.47 to 2.98) | <0.001 | 2.18 (1.30 to 3.64) | 0.003 |
| Chronic | 75/213 (35.2) | |||||
| Is this the first presentation with this medical problem to a healthcare professional? | First presentation | 61/114 (53.5) | 1.40 (0.93 to 2.12) | 0.111 | 1.08 (0.61 to 1.91) | 0.800 |
| Not first presentation | 188/417 (45.1) | |||||
| Unclear (excluded) | 8/24 (33.3) | |||||
| Is the problem the first assessed in the consultation or after the first? | First/only | 181/318 (56.9) | 2.80 (1.97 to 3.98) | <0.001 | 2.94 (1.85 to 4.68) | <0.001 |
| After the first | 76/237 (32.1) | |||||
| Is there evidence for any follow-up for this problem? | Follow-up present | 162/373 (43.4) | 0.70 (0.49 to 1.00) | 0.052 | 0.63 (0.38 to 1.02) | 0.059 |
| No evidence of follow-up | 95/182 (52.2) | |||||
| What was the age of the doctor who assessed this problem? | Aged ≤49 years | 185/354 (52.3) | 1.96 (1.37 to 2.80) | <0.001 | 2.56 (1.45 to 4.51) | 0.001 |
| Aged ≥50 years | 72/201 (35.8) | |||||
| Is this problem assessed in an older patient? | Aged ≥65 years | 65/148 (43.9) | 0.96 (0.66 to 1.41) | 0.851 | 1.21 (0.69 to 2.12) | 0.503 |
| Aged 18–64 years | 173/386 (44.8) | |||||
| Unreported (excluded) | 19/21 (90.5) | |||||
| What is the sex of the patient presenting with this problem? | Female | 157/343 (45.8) | 0.95 (0.67 to 1.33) | 0.748 | 0.83 (0.50 to 1.36) | 0.458 |
| Male | 100/212 (47.2) | |||||
| What is the ethnicity of the patient presenting with this problem? | Other | 34/57 (59.6) | 1.88 (1.08 to 3.29) | 0.027 | 1.44 (0.60 to 3.44) | 0.412 |
| White | 213/484 (44.0) | |||||
| Unreported (excluded) | 10/14 (71.4) | |||||
| What is the IMD quintile of the patient presenting with this problem? | 1 (least deprived) | 87/159 (54.7) | 1.00 (Ref) | 1.00 (Ref) | ||
| 2 | 38/88 (43.2) | 0.63 (0.37 to 1.06) | 0.083 | 0.75 (0.35 to 1.58) | 0.444 | |
| 3 | 28/53 (52.8) | 0.93 (0.50 to 1.73) | 0.811 | 0.97 (0.40 to 2.38) | 0.953 | |
| 4 | 37/94 (39.4) | 0.54 (0.32 to 0.90) | 0.019 | 0.59 (0.28 to 1.24) | 0.162 | |
| 5 (most deprived) | 66/160 (41.3) | 0.58 (0.37 to 0.91) | 0.016 | 0.90 (0.44 to 1.84) | 0.771 | |
| Unreported (excluded) | 1/1 (100) | — | — | — | — | |
↵a Odd ratios and 95% CIs generated from logistic regression of variants associated with the presence or absence of safety-netting advice for problems raised in the archive. Multilevel modelling adjusts for all variables in table and for within clustering by GP and patient (all problems seen by same GP and problems from the same patient). Adjusted P-values exclude problems with unreported data, n = 505 problems. AoC = acute on chronic. CI = confidence interval. IMD = Index of Multiple Deprivation. OR = odds ratio. Ref = reference.