Online Table: Physician and Practice Characteristics Associated with a Positive Recommendation

Online Table: Physician and practice characteristics associated with a positive recommendation for colorectal cancer (CRC) screening in clinical vignettes of 80 year-old patients with varying levels of comorbidity

Healthy 80 y/o / 80 y/o with CHF / 80 y/o with NSCLC
% / AdjustedOdds Ratio
(95% CI) / % / AdjustedOdds Ratio
(95% CI) / % / AdjustedOdds Ratio
(95% CI)
PHYSICIAN CHARACTERISTICS
Gender
Male / 89.2 / 1.0 / 69.4 / 1.0 / 21.8 / 1.0
Female / 90.8 / 1.2(0.8-1.7) / 72.7 / 1.4(1.0-2.0) / 27.3 / 1.6(1.1-2.3)
Race/Ethnicity
White, Non-Hispanic / 90.9 / 1.0 / 69.6 / 1.0 / 20.4 / 1.0
Asian / 84.4 / 0.4(0.2-0.7) / 66.8 / 0.8(0.5-1.2) / 31.1 / 1.6(0.9-2.5)
Other (Non-Hispanic Black, Hispanic, AIAN, Hawaiian, Pacific Island, Multiple, Other) / 88.9 / 0.7(0.4-1.3) / 78.4 / 1.5(0.9-2.4) / 31.8 / 1.5(0.9-2.6)
Specialty
Internal Medicine / 88.7 / 1.0 / 65.5 / 1.0 / 19.1 / 1.0
Family Practice/General Practice / 89.3 / 1.1(0.6-1.8) / 71.0 / 1.5(1.1-2.2) / 20.8 / 1.5(1.0-2.1)
Obstetrics/Gynecology / 92.7 / 1.4(0.7-2.6) / 79.2 / 1.8(1.2-2.8) / 39.9 / 3.1(1.9-4.9)
Board certified (1 = no)
Yes / 90.2 / 1.6(0.9-2.8) / 68.6 / 0.8(0.5-1.2) / 20.0 / 0.4(0.3-0.6)
International Medical Graduate (1 = no)
Yes / 51.2 / 1.4(0.9-2.2) / 47.9 / 1.6(1.1-2.4) / 32.1 / 1.5(1.0-2.3)
Patient preferences for CRC screening
Very influential / 88.5 / 0.9(0.5-1.9) / 65.3 / 0.6(0.4-0.9) / 20.2 / 0.8(0.5-1.3)
Somewhat influential / 89.6 / 1.0(0.5-1.9) / 69.8 / 0.7(0.5-1.0) / 22.8 / 0.8(0.6-1.1)
Not influential/Not Applicable/Not Familiar with/Missing / 91.3 / 1.0 / 78.2 / 1.0 / 29.5 / 1.0
U.S. Preventive Services Task Force guidelines
Very influential / 88.6 / 0.9(0.4-2.0) / 67.7 / 0.6(0.3-1.2) / 20.6 / 0.6(0.3-1.0)
Somewhat influential / 92.2 / 1.4(0.5-3.6) / 73.9 / 0.9(0.5-1.8) / 26.8 / 1.0(0.6-2.0)
Not influential/Not Applicable/Not Familiar with/Missing / 89.7 / 1.0 / 79.3 / 1.0 / 35.2 / 1.0
American Cancer Society guidelines
Very influential / 90.9 / 3.0(1.2-7.6) / 72.2 / 2.1(1.0-4.2) / 25.4 / 1.9(0.9-4.2)
Somewhat influential / 89.0 / 2.1(0.8-5.3) / 67.5 / 1.6(0.8-3.2) / 20.1 / 1.4(0.6-3.2)
Not influential/Not Applicable/Not Familiar with/Missing / 75.5 / 1.0 / 58.7 / 1.0 / 16.2 / 1.0
PRACTICE CHARACTERISTICS
Solo Practice / 92.5 / 1.0 / 81.3 / 1.0 / 29.5 / 1.0
Practice Size(2-100+), Single specialty / 89.8 / 0.8(0.5-1.4) / 68.2 / 0.6(0.4-0.9) / 21.4 / 1.0(0.6-1.5)
Practice Size(2-100+), Multi-specialty / 85.9 / 0.7(0.3-1.3) / 63.4 / 0.6(0.4-0.9) / 19.0 / 0.9(0.5-1.5)
Geographic region
Northeast / 89.9 / 1.0 / 76.4 / 1.0 / 29.1 / 1.0
Midwest / 88.9 / 0.9(0.5-1.6) / 67.7 / 0.7(0.5-1.0) / 19.8 / 0.7(0.4-1.1)
South / 91.3 / 1.2(0.7-2.1) / 73.5 / 0.8(0.6-1.3) / 24.8 / 0.8(0.5-1.2)
West / 87.7 / 1.0(0.5-1.9) / 62.3 / 0.6(0.4-0.9) / 18.8 / 0.6(0.4-1.0)
Type of medical record system
Paper charts / 91.7 / 1.0 / 74.7 / 1.0 / 27.1 / 1.0
Transitioning from paper to EMR / 89.2 / 1.1(0.6-1.9) / 66.5 / 0.9(0.6-1.4) / 20.8 / 0.9(0.6-1.3)
Partial EMR / 91.6 / 1.3(0.6-2.7) / 73.5 / 1.1(0.7-1.7) / 28.7 / 1.1(0.7-1.8)
Full EMR / 82.6 / 0.7(0.4-1.2) / 57.9 / 0.6(0.4-1.0) / 11.1 / 0.5(0.3-0.7)
Physician computer remindersYes
No / 77.8
91.4 / 0.4(0.2-0.7)
1.0 / 62.6
71.5 / 1.0(0.6-1.5)
1.0 / 14.5
24.9 / 0.8(0.5-1.3)
1.0

*Other covariates included in the model that were not statistically significant include age, medical school affiliation, rural/urban location, percentage of patients uninsured, number of patients seen in main primary care practice location during a typical week, patient reminder by email, and PCP received reports on rates of CRC screening

†y/o years-old, CHF congestive heart failure, NSCLC non-small cell lung cancer, AIAN American Indian or Alaska Native, EMR electronic medical record