Physicians | | | | |
|
Family physicians (reference = rheumatologists) | 0.26 (0.22–0.31) | 0.23 (0.20–0.28) | 0.80 (0.64–1.00) | 0.55 (0.44–0.69) |
|
Internists (reference = rheumatologists) | 0.59 (0.44–0.79) | 0.58 (0.44–0.76) | 0.63 (0.47–0.85) | 0.66 (0.50–0.87) |
|
All other practitioners (reference = rheumatologists) | 0.39 (0.32–0.48) | 0.33 (0.26–0.42) | 0.63 (0.47–0.84) | 0.56 (0.42–0.73) |
|
Physician age ≤ 50 year (reference = > 50 yr) | 0.98 (0.88–1.10) | 0.90 (0.79–1.03) | 1.29 (1.15–1.46) | 1.12 (0.97–1.29) |
|
Female (reference = male) | 0.93 (0.84–1.03) | 1.05 (0.93–1.19) | 0.95 (0.85–1.07) | 1.10 (0.96–1.27) |
|
Academic centre (reference = community practice) | 1.53 (0.87–2.69) | 1.32 (0.83–2.12) | 1.53 (0.94–2.48) | 1.33 (0.89–1.98) |
|
International medical school graduate (reference = Canadian medical school graduate) | 0.96 (0.87–1.07) | 0.91 (0.80–1.05) | 0.81 (0.70–0.93) | 0.75 (0.63–0.88) |
|
Patients | | | | |
|
Age | 1.01 (1.00–1.01) | 1.00 (1.00–1.01) | 1.01 (1.01–1.01) | 1.01 (1.00–1.01) |
|
Female (reference = male) | 1.29 (1.25–1.34) | 1.82 (1.73–1.91) | 1.29 (1.23–1.36) | 1.83 (1.72–1.94) |
|
Income quintile† (reference = 1 lowest) | | | | |
2 | 1.03 (0.99–1.07) | 1.06 (1.00–1.12) | 1.05 (1.00–1.10) | 1.06 (0.99–1.15) |
|
3 | 1.05 (1.01–1.10) | 1.12 (1.06–1.19) | 1.04 (0.99–1.09) | 1.10 (1.02–1.19) |
|
4 | 1.07 (1.03–1.12) | 1.19 (1.12–1.26) | 1.04 (0.99–1.10) | 1.16 (1.07–1.25) |
|
5 (highest) | 1.08 (1.03–1.12) | 1.17 (1.10–1.25) | 1.02 (0.97–1.07) | 1.10 (1.01–1.19) |
|
Urban residence (reference = rural) | 0.93 (0.86–0.99) | 0.96 (0.89–1.05) | 1.01 (0.93–1.09) | 1.03 (0.94–1.13) |
|
Connective tissue disease | 2.20 (2.01–2.41) | 4.18 (3.70–4.73) | 3.08 (2.70–3.51) | 5.37 (4.69–6.14) |
|
Hospital admission in previous 6 mo | 0.95 (0.89–1.00) | 0.92 (0.83–1.02) | 0.92 (0.84–1.01) | 0.94 (0.80–1.10) |
|
Charlson Comorbidity Index score‡ (reference = 0) | | | | |
|
1 | 1.17 (1.10–1.25) | 1.14 (1.03–1.26) | 1.20 (1.10–1.30) | 1.18 (1.04–1.34) |
|
≥ 2 | 1.11 (1.02–1.21) | 0.97 (0.86–1.09) | 1.16 (1.05–1.29) | 0.98 (0.85–1.13) |
|
Year of index test (reference = 2010) | | | | |
|
2008 | 0.24 (0.21–0.28) | 0.19 (0.16–0.24) | 0.27 (0.22–0.32) | 0.23 (0.17–0.30) |
|
2009 | 0.75 (0.71–0.80) | 0.74 (0.67–0.81) | 0.76 (0.70–0.83) | 0.74 (0.65–0.83) |
|
2011 | 1.09 (1.03–1.16) | 1.16 (1.07–1.25) | 1.06 (0.99–1.13) | 1.08 (0.97–1.20) |
|
2012 | 1.17 (1.10–1.26) | 1.31 (1.19–1.44) | 1.12 (1.04–1.21) | 1.20 (1.07–1.34) |
|
2013 | 1.30 (1.22–1.39) | 1.32 (1.21–1.46) | 1.26 (1.16–1.37) | 1.33 (1.17–1.50) |
|
2014 | 1.45 (1.36–1.56) | 1.44 (1.32–1.58) | 1.39 (1.27–1.52) | 1.36 (1.21–1.51) |
|
2015 | 1.70 (1.56–1.86) | 1.68 (1.50–1.88) | 1.79 (1.59–2.01) | 1.80 (1.54–2.09) |