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Table 3 Adjusted associations between individual-level and state-level variables with length of disability estimated by multivariable multilevel regression (model 5)

From: Why does the adverse effect of inappropriate MRI for LBP vary by geographic location? An exploratory analysis

Variable

Length of disability days

Parameter estimate of association

S.E.

Difference in the geometric mean of LOD

95% CI

p-value

Intercept

3.346

0.055

28.4

25.4, 31.7

<.001

Gender

 Female

0.040

0.017

1.2

0.2,

.02

 Malea

   

2.2

2

Age

0.005

< 0.001

0.1

0.1, 0.2

<.001

Tenure

−0.004

0.001

−0.1

− 0.2, − 0.1

<.001

AWW/$100

0.013

0.005

0.4

0.1, 0.6

.004

Industry

 Mining

0.443

0.053

15.8

11.5, 20.6

<.001

 Construction

0.182

0.048

5.7

2.6, 9.0

<.001

 Transportation

0.247

0.044

7.9

4.9, 11.2

<.001

 Agriculture

0.081

0.059

2.4

−1.0, 6.2

.167

 Manufacturing

0.117

0.044

3.5

0.9, 6.4

.008

 Wholesale trade

0.076

0.045

2.2

−0.4, 5.1

.096

 Retail trade

0.118

0.045

3.6

0.9, 6.5

.009

 Services

0.091

0.044

2.7

0.1, 5.5

.038

 Public administration

0.068

0.048

2.0

− 0.7, 5.0

.157

 Financea

     

Injury severity

 More severe

0.085

0.010

2.5

1.9, 3.2

<.001

 Less severea

     

Early Opioid/100 mg MEA

0.014

0.002

0.4

0.3, 0.5

<.001

eMRI scan

 Yes

0.402

0.022

9.4

8.5, 10.2

<.001

 Noa

     

Lumbar spine surgery

 Yes

0.712

0.022

29.5

27.1, 32.1

<.001

 Noa

     

Litigation status

 Yes

1.152

0.009

61.4

59.8, 63.1

<.001

 Noa

     

Median household income ($)

−0.007

0.002

−0.2

−0.3, −0.1

<.001

State physician density

<−0.001

< 0.001

0.0

0.0,0.0

.063

State Orthopedic surgeons density

0.042

0.018

1.2

0.2, 2.3

.021

MRI facility rate

−0.182

0.037

−4.7

−6.4, −2.9

<.001

Wage replacement rate

0.004

0.003

0.1

0.0, 0.3

.116

Waiting Period

0.069

0.007

2.0

1.6, 2.5

<.001

Retroactive Period

0.006

0.002

0.2

0.1, 0.3

<.001

Treating provider choice

 Allowed

0.332

0.034

11.2

8.5, 14.0

<.001

 Not alloweda

     

Treating provider change

 Allowed

0.114

0.031

3.4

1.5, 5.5

<.001

 Allowed once

−0.114

0.033

−3.1

−4.7, −1.4

<.001

 Not alloweda

     

State medical fee schedule

 Yes

0.098

0.020

2.9

1.7, 4.2

<.001

 Noa

     

Unemployment rate

0.011

0.006

0.3

0.0, 0.7

.066

MRI (yes) X State Orthopedic surgeons density

MRI (No) X State Orthopedic surgeons densitya

0.053

0.014

1.5

0.7, 2.2

<.001

MRI (yes) X Dr choice (yes)

MRI (yes) X Dr choice (no)a

0.099

0.030

2.7

1.1, 4.2

.002

MRI (Yes) X male gender

MRI (Yes) X female gendera

−0.047

0.019

−1.4

−2.6, −0.2

.002

MRI (yes) X MRI facility density

MRI (no) X MRI facility densitya

−0.058

0.023

−1.7

−3.1, −0.3

.014

  1. S.E. Standard error of parameter estimate of association, CI Confidence intervals, LOD Length of disability, AWW Average weekly wage, eMRI Early magnetic resonance imaging, MEA Morphine equivalent amount
  2. aIndicator of reference group