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Table 3 Relative risks (RR) and 95% confidence intervals for a patient being diagnosed for a chronic health condition in one medical consultation and RRs for follow; up consultations happening in a month in PHC between Generalists (reference) and Family physicians. Rio de Janeiro, Brazil, 2013- 2018

From: Detection and follow-up of chronic health conditions in Rio de Janeiro – the impact of residency training in family medicine

 

Family physicians

Condition

Detection of CHCs

Follow-up

Hypertension - ICD10

0.84 (0.82-0.86)

1.18 (1.10-1.27)

Hypertension - clinical criteria

1.15 (1.13-1.17)

1.54 (1.41-1.68)

Diabetes Mellitus - ICD10

0.81 (0.79-0.84)

1.14 (1.09-1.20)

Diabetes Mellitus - clinical criteria

1.07 (1.04-1.11)

1.43 (1.32-1.55)

Hypothyroidism - ICD10‡

0.97 (0.91-1.04)

1.60 (1.45-1.77)

Hypothyroidism - clinical criteria

1.51 (1.25-1.82)

2.25 (1.86-2.72)

AIDS

1.19 (1.09-1.29)

1.72 (1.55-1.91)

Drug addiction

1.98 (1.76-2.22)

2.64 (2.22-3.14)

Alcohol abuse

1.72 (1.54-1.91)

2.53 (2.13-2.99)

Depression

1.19 (1.14-1.26)

1.89 (1.70-2.11)

Psychosis

1.20 (1.11-1.30)

1.77 (1.58-1.98)

Cardiac arrhythmias

1.31 (1.19-1.45)

1.93 (1.70-2.19)

Peripheral artery disease

2.41 (2.05-2.82)

2.80 (2.26-3.47)

Ischemic heart disease

1.38 (1.27-1.49)

2.01 (1.77-2.27)

Heart failure

1.69 (1.56-1.83)

2.66 (2.34-3.01)

Kidney failure

1.82 (1.64-2.02)

2.44 (2.08-2.87)

Osteoarthritis

1.11 (1.07-1.15)

1.77 (1.57-1.98)

Rheumatic disorders‡

1.00 (0.92-1.10)

1.74 (1.56-1.93)

Neurological disorders

1.29 (1.24-1.34)

1.94 (1.75-2.15)

Epilepsy

0.86 (0.79-0.94)

1.37 (1.24-1.51)

Stroke

1.44 (1.34-1.55)

1.73 (1.55-1.94)

Dementia

1.28 (1.16-1.42)

1.78 (1.56-2.05)

COPD

1.11 (1.02-1.21)

1.56 (1.41-1.72)

Asthma

1.28 (1.21-1.36)

1.71 (1.51-1.93)

Chronic hepatitis

1.31 (1.10-1.57)

1.85 (1.59-2.15)

Cirrhosis of the liver‡

1.03 (0.90-1.18)

1.99 (1.77-2.24)

Cancer

1.26 (1.17-1.36)

1.78 (1.43-2.20)

Neoplasia - Men‡

1.11 (0.92-1.33)

2.14 (1.75-2.62)

Neoplasia - Women

1.34 (1.11-1.62)

2.08 (1.77-2.46)

Breast cancer

1.42 (1.21-1.67)

1.69 (1.06-2.70)

Metastatic cancer‡

1.47 (0.96-2.26)

1.18 (1.10-1.27)

  1. ‡: Non-statistically significant in the multivariate binomial models
  2. All p-values were smaller than 0.001, except for Neoplasia – Women (p-value < 0.005) and non-statistically significant for those marked with ‡
  3. Multilevel binomial regression models adjusted by patients’ age, sex, time, Charlson comorbidity index, and SDI
  4. Generalists (reference group) are doctors without residency training in Family Medicine
  5. Family physicians are graduated FPs, FM preceptors and residents enrolled in Family Medicine training