Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care - results of the MultiCare Cohort Study

Hansen, Heike; Schäfer, Ingmar; Schön, Gerhard; Riedel-Heller, Steffi; Gensichen, Jochen; Weyerer, Siegfried; Petersen, Juliana J; König, Hans-Helmut; Bickel, Horst; Fuchs, Angela; Höfels, Susanne; Wiese, Birgitt; Wegscheider, Karl; van den Bussche, Hendrik; Scherer, Martin

doi:10.1186/1471-2296-15-39

Table 3 Patient characteristics associated with positive agreement between patient self-reports and general practitioner reports

From: Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care - results of the MultiCare Cohort Study

	Hypertension				Lipid metabolism disorder				Chronic low back pain
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	1.06	0.91	1.24	0.463	0.90	0.77	1.05	0.186	*1.97*	*1.68*	*2.32*	*0.000*
Age (for 10 year intervals)	*1.29*	*1.11*	*1.50*	*0.001*	*0.64*	*0.55*	*0.74*	*0.000*	*0.71*	*0.62*	*0.82*	*0.000*
Education (medium/high)	1.03	0.88	1.21	0.709	1.11	0.95	1.31	0.177	0.88	0.74	1.03	0.108
Income (natural logarithm)	0.91	0.76	1.09	0.312	1.13	0.95	1.35	0.171	1.04	0.87	1.25	0.664
Disease count (for 3 disease intervals)	1.69	1.52	1.87	0.000	*1.81*	*1.64*	*1.99*	*0.000*	*2.08*	*1.88*	*2.30*	*0.000*
Depression (GDS >6)	0.87	0.68	1.11	0.254	1.08	0.85	1.37	0.544	1.18	0.93	1.50	0.175
EQ VAS (for 10 point intervals)	0.97	0.93	1.02	0.226	1.02	0.98	1.07	0.281	*0.86*	*0.82*	*0.90*	*0.000*
Nursing care dependency	0.69	0.47	1.00	0.053	0.75	0.51	1.12	0.157	1.05	0.72	1.54	0.793
n	3189				3189				3189
	Severe vision reduction				Joint arthrosis				Diabetes mellitus
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	1.12	0.91	1.37	0.302	*2.01*	*1.72*	*2.36*	*0.000*	*0.64*	*0.55*	*0.75*	*0.000*
Age (for 10 year intervals)	*1.42*	*1.17*	*1.72*	*0.000*	1.13	0.98	1.31	0.094	*0.72*	*0.62*	*0.84*	*0.000*
Education (medium/high)	*1.27*	*1.03*	*1.57*	*0.025*	0.99	0.84	1.16	0.876	0.86	0.73	1.01	0.070
Income (natural logarithm)	1.10	0.86	1.40	0.445	0.96	0.81	1.15	0.691	*0.83*	*0.69*	*0.99*	*0.043*
Disease count (for 3 disease intervals)	*1.68*	*1.50*	*1.89*	*0.000*	*1.69*	*1.54*	*1.87*	*0.000*	*1.48*	*1.35*	*1.63*	*0.000*
Depression (GDS >6)	1.12	0.83	1.53	0.456	0.81	0.63	1.02	0.078	1.06	0.83	1.36	0.643
EQ VAS (for 10 point intervals)	1.01	0.95	1.07	0.744	*0.91*	*0.87*	*0.95*	*0.000*	0.98	0.94	1.03	0.521
Nursing care dependency	0.79	0.48	1.30	0.353	0.88	0.61	1.28	0.501	1.29	0.89	1.88	0.180
n	3189				3189				3189
	Chronic ischemic heart disease				Thyroid dysfunction				Cardiac arrhythmias
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*0.29*	*0.24*	*0.34*	*0.000*	*4.51*	*3.67*	*5.54*	*0.000*	*0.65*	*0.54*	*0.79*	*0.000*
Age (for 10 year intervals)	1.05	0.88	1.25	0.608	*0.71*	*0.60*	*0.84*	*0.000*	*1.21*	*1.01*	*1.44*	*0.036*
Education (medium/high)	0.93	0.77	1.12	0.435	*1.28*	*1.07*	*1.53*	*0.007*	1.02	0.84	1.23	0.846
Income (natural logarithm)	0.86	0.69	1.06	0.161	1.15	0.94	1.41	0.186	1.06	0.85	1.31	0.611
Disease count (for 3 disease intervals)	*1.57*	*1.41*	*1.75*	*0.000*	*1.37*	*1.23*	*1.52*	*0.000*	*1.54*	*1.38*	*1.71*	*0.000*
Depression (GDS >6)	0.96	0.72	1.28	0.799	*0.65*	*0.48*	*0.86*	*0.003*	0.82	0.61	1.10	0.190
EQ VAS (for 10 point intervals)	*0.93*	*0.88*	*0.98*	*0.010*	1.01	0.96	1.07	0.640	0.95	0.90	1.00	0.071
Nursing care dependency	1.12	0.74	1.70	0.596	0.66	0.40	1.07	0.095	1.24	0.82	1.88	0.298
n	3189				3189				3189
	Hyperuricemia/Gout				Prostatic hyperplasia				Lower limb varicosis
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*0.50*	*0.38*	*0.66*	*0.000*					*2.61*	*2.08*	*3.27*	*0.000*
Age (for 10 year intervals)	0.93	0.71	1.21	0.571	*1.34*	*1.00*	*1.80*	*0.047*	1.17	0.97	1.42	0.103
Education (medium/high)	1.13	0.84	1.50	0.417	1.28	0.94	1.75	0.113	0.98	0.79	1.21	0.838
Income (natural logarithm)	1.03	0.74	1.42	0.866	1.00	0.70	1.42	0.986	1.01	0.80	1.28	0.940
Disease count (for 3 disease intervals)	*2.06*	*1.77*	*2.39*	*0.000*	*1.66*	*1.40*	*1.98*	*0.000*	*1.79*	*1.59*	*2.01*	*0.000*
Depression (GDS >6)	0.70	0.44	1.10	0.118	1.14	0.67	1.91	0.633	0.88	0.65	1.21	0.442
EQ VAS (for 10 point intervals)	0.93	0.86	1.00	0.066	1.06	0.97	1.16	0.172	1.03	0.97	1.09	0.317
Nursing care dependency	0.93	0.49	1.76	0.828	1.01	0.49	2.07	0.989	0.81	0.49	1.34	0.411
Sex (female)	3189				1298				3189
	Asthma/COPD				Atherosclerosis/PAOD				Osteoporosis
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	0.92	0.76	1.12	0.410	*0.30*	*0.22*	*0.41*	*0.000*	*7.16*	*5.21*	*9.85*	*0.000*
Age (for 10 year intervals)	*0.72*	*0.59*	*0.87*	*0.001*	0.94	0.69	1.26	0.665	1.16	0.94	1.42	0.160
Education (medium/high)	1.03	0.84	1.26	0.780	*0.57*	*0.40*	*0.81*	*0.002*	*1.27*	*1.01*	*1.58*	*0.038*
Income (natural logarithm)	*0.67*	*0.54*	*0.84*	*0.001*	0.88	0.61	1.27	0.485	1.03	0.80	1.32	0.831
Disease count (for 3 disease intervals)	*1.30*	*1.16*	*1.45*	*0.000*	*1.61*	*1.36*	*1.90*	*0.000*	*1.22*	*1.07*	*1.38*	*0.003*
Depression (GDS >6)	1.07	0.80	1.43	0.649	*1.97*	*1.31*	*2.96*	*0.001*	0.83	0.60	1.14	0.252
EQ VAS (for 10 point intervals)	*0.87*	*0.82*	*0.92*	*0.000*	0.93	0.85	1.01	0.089	*0.90*	*0.84*	*0.95*	*0.001*
Nursing care dependency	0.65	0.40	1.07	0.091	1.06	0.57	1.98	0.855	1.56	0.99	2.46	0.056
n	3189				3189				3189
	Renal insufficiency				Cerebral ischemia/Chronic stroke				Cardiac insufficiency
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*0.35*	*0.24*	*0.51*	*0.000*	*0.51*	*0.39*	*0.67*	*0.000*	*0.69*	*0.49*	*0.97*	*0.032*
Age (for 10 year intervals)	*1.79*	*1.27*	*2.53*	*0.001*	1.17	0.90	1.52	0.234	*2.25*	*1.63*	*3.10*	*0.000*
Education (medium/high)	1.10	0.76	1.61	0.607	0.78	0.59	1.05	0.101	0.74	0.51	1.07	0.108
Income (natural logarithm)	1.00	0.65	1.55	0.995	*1.45*	*1.05*	*2.01*	*0.025*	0.70	0.48	1.04	0.080
Disease count (for 3 disease intervals)	*1.91*	*1.58*	*2.30*	*0.000*	*1.43*	*1.23*	*1.66*	*0.000*	*2.23*	*1.88*	*2.64*	*0.000*
Depression (GDS >6)	0.84	0.49	1.44	0.531	1.00	0.66	1.51	0.992	1.08	0.70	1.66	0.736
EQ VAS (for 10 point intervals)	*0.87*	*0.78*	*0.96*	*0.007*	1.00	0.93	1.09	0.945	*0.80*	*0.72*	*0.88*	*0.000*
Nursing care dependency	1.41	0.73	2.72	0.312	*5.23*	*3.40*	*8.06*	*0.000*	*1.75*	*1.02*	*3.00*	*0.043*
Sex (female)	3189				3189				3189
	Chronic cholecystitis/Gallstones				Hemorrhoids				Intestinal diverticulosis
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*1.86*	*1.18*	*2.93*	*0.007*	0.75	0.51	1.09	0.133	*2.07*	*1.49*	*2.88*	*0.000*
Age (for 10 year intervals)	*1.58*	*1.07*	*2.34*	*0.020*	0.69	0.47	1.01	0.058	*0.72*	*0.54*	*0.97*	*0.031*
Education (medium/high)	0.74	0.47	1.16	0.190	1.41	0.95	2.09	0.087	1.15	0.84	1.57	0.378
Income (natural logarithm)	0.76	0.47	1.22	0.255	0.83	0.54	1.28	0.402	1.34	0.94	1.92	0.107
Disease count (for 3 disease intervals)	*1.58*	*1.27*	*1.98*	*0.000*	*2.41*	*1.98*	*2.94*	*0.000*	*1.90*	*1.61*	*2.23*	*0.000*
Depression (GDS >6)	0.57	0.28	1.19	0.133	1.32	0.76	2.27	0.322	0.79	0.48	1.29	0.340
EQ VAS (for 10 point intervals)	1.04	0.92	1.18	0.487	1.07	0.96	1.20	0.216	0.99	0.91	1.09	0.900
Nursing care dependency	0.55	0.17	1.83	0.330	1.19	0.53	2.70	0.670	0.38	0.14	1.09	0.071
n	3189				3189				3189
	Rheumatoid arthritis/Chronic polyarthritis				Cardiac valve disorders				Neuropathies
	OR	95%	CI	P-value	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*2.81*	*1.65*	*4.79*	*0.000*	1.00	0.69	1.45	0.986	*0.71*	*0.55*	*0.92*	*0.009*
Age (for 10 year intervals)	0.77	0.50	1.17	0.219	1.22	0.87	1.73	0.252	*0.75*	*0.58*	*0.97*	*0.026*
Education (medium/high)	1.46	0.93	2.29	0.102	0.90	0.62	1.33	0.609	1.13	0.86	1.48	0.374
Income (natural logarithm)	1.29	0.77	2.15	0.338	1.05	0.68	1.61	0.839	1.00	0.74	1.35	0.994
Disease count (for 3 disease intervals)	1.02	0.78	1.34	0.870	*1.48*	*1.21*	*1.81*	*0.000*	*1.98*	*1.72*	*2.27*	*0.000*
Depression (GDS >6)	0.61	0.31	1.20	0.152	1.16	0.67	2.01	0.587	*1.45*	*1.02*	*2.07*	*0.036*
EQ VAS (for 10 point intervals)	*0.72*	*0.64*	*0.82*	*0.000*	1.03	0.93	1.15	0.583	*0.89*	*0.83*	*0.96*	*0.003*
Nursing care dependency	1.23	0.50	3.01	0.656	0.40	0.12	1.32	0.135	1.58	0.96	2.59	0.070
n	3189				3189				3189
	Dizziness				Cancers
	OR	95%	CI	P-value	OR	95%	CI	P-value
Sex (female)	*1.45*	*1.02*	*2.05*	*0.037*	*0.66*	*0.51*	*0.86*	*0.002*
Age (for 10 year intervals)	*1.38*	*1.01*	*1.88*	*0.040*	0.93	0.73	1.20	0.596
Education (medium/high)	0.98	0.69	1.39	0.899	1.15	0.88	1.49	0.313
Income (natural logarithm)	1.47	0.99	2.20	0.059	1.29	0.95	1.74	0.101
Disease count (for 3 disease intervals)	*1.99*	*1.68*	*2.35*	*0.000*	1.02	0.87	1.19	0.849
Depression (GDS >6)	*1.98*	*1.32*	*2.98*	*0.001*	0.85	0.56	1.30	0.457
EQ VAS (for 10 point intervals)	*0.89*	*0.81*	*0.98*	*0.018*	0.97	0.90	1.05	0.483
Nursing care dependency	0.64	0.31	1.32	0.224	*2.67*	*1.65*	*4.33*	*0.000*
n	3189				3189

n, Number of cases; CI, Confidence interval; OR, Odds ratio; COPD, Chronic obstructive pulmonary disease; PAOD, Peripheral arterial occlusive disease, statistically significant results (p < 0.05) in italic and bold letters.

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