Table 3 Multilevel multinomial regression analyses for minor surgery and referral in comparison to no treatment
From: Minor surgery in general practice and effects on referrals to hospital care: Observational study
| Â | Laceration/cut | Benign neoplasm skin/nevus | Sebaceous cyst | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Â | Empty model | Adjusted model | Empty model | Adjusted model | Empty model | Adjusted model | ||||||
| Â | Minor surgery | Referral | Minor surgery | Referral | Minor surgery | Referral | Minor surgery | Referral | Minor surgery | Referral | Minor surgery | Referral |
| Â | Intercept (SE) | Intercept (SE) | Intercept (SE) | Intercept (SE) | Intercept (SE) | Intercept (SE) | ||||||
| Â | -2.18 (0.18) - 10.2% | -4.74 (0.22) - 0.9% | -2.05 (0.15) 11.4% | -4.82 (0.23) 0.8% | -0.94 (0.12) 28.1% | -2.01 (0.13) 11.8% | -0.80 (0.10) 31.0% | -1.82 (0.12) 13.9% | -0.87 (0.09) 29.5% | -2.26 (0.12) 9.4% | -0.89 (0.09) 29.1% | -2.26 (0.12) 9.4% |
| Â | Â | Â | OR (95% CI) | Â | Â | OR (95% CI) | Â | Â | OR (95% CI) | |||
Gender, female | Â | Â | 0.85 (0.72-1.01) | 1.23 (0.68-2.20) | Â | Â | 0.94 (0.85-1.05) | 1.13 (0.96-1.33) | Â | Â | 0.62 (0.53-0.73) | 0.76 (0.58-0.99) |
Age | Â | Â | 1.01 (1.01-1.01) | 1.01 (1.00-1.02) | Â | Â | 1.01 (1.01-1.01) | 0.99 (0.99-1.00) | Â | Â | 1.01 (1.01-1.02) | 1.00 (0.99-1.01) |
Distance to hospital | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) |
Primary care nurse | Â | Â | 1.69 (0.96-2.99) | 1.66 (0.64-4.28) | Â | Â | 1.49 (1.06-2.09) | 1.43 (0.93-2.18) | Â | Â | 1.03 (0.71-1.49) | 1.32 (0.80-2.18) |
Workload | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | Â | Â | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) |
| Â | Variance (SE) | Variance (SE) | Variance (SE) | Variance (SE) | Variance (SE) | Variance (SE) | ||||||
Between GP practice variance | 1.25(0.30) | 0.76 (0.41) | 0.80 (0.21) | 0.74 (0.40) | 0.57 (0.13) | 0.67 (0.16) | 0.40 (0.09) | 0.51 (0.13) | 0.32 (0.09) | 0.38 (0.14) | 0.27 (0.08) | 0.33 (0.13) |
Covariance | -0.26 (0.27) | -0.29 (0.22) | 0.11 (0.10) | -0.12 (0.08) | -0.11 (0.08) | -0.13 (0.07) | ||||||
| Â | Correlations | Correlations | Correlations | Correlations | Correlations | Correlations | ||||||
Correlation GP practice variances 'therapy groups'a | -0.27 (-0.51 - 0.02) | -0.38 (-0.60- -0.11) | 0.18 (-0.44--0.11) | -0.26 (-0.506 - 0.03) | -0.31 (-0.55 - -0.03) | -0.42 (-0.63 - -0.16) | ||||||
ICC | 27.5 | 18.7 | 19.6 | 18.3 | 14.9 | 16.8 | 10.8 | 13.5 | 8.7 | 10.3 | 7.7 | 9.2 |
95% range on GP practice | 1.6-44.3% | 0.2-3.4% | 3.1-34.4% | 0.2-2.9% | 7.2-66.3% | 2.3-43.1% | 13.7-55.9% | 4.5-35.5% | 14.6-49.3% | 3.6-22.4% | 16.5-46.1% | 4.2-20.0% |