Factors associated with recording the relevant PRO-2 symptom pair in the electronic health record (EHR) following consultations for inflammatory bowel disease
| Symptom pair recorded in the EHR | ||||
| Univariate analysis | Multivariable analysis | |||
| OR (95% CI) | P value | OR (95% CI) | P value | |
| Patient factor | ||||
| Female gender | 1.47 (0.90 to 2.39) | 0.123 | 1.41 (0.88 to 2.28) | 0.155 |
| Age | 1.00 (0.98 to 1.01) | 0.613 | 0.99 (0.97 to 1.01) | 0.235 |
| Ulcerative colitis or IBD-U | 2.54 (1.56 to 4.14) | <0.001 | 2.09 (1.15 to 3.80) | 0.016 |
| Previous IBD surgery | 0.41 (0.23 to 0.73) | 0.003 | 0.61 (0.30 to 1.24) | 0.173 |
| Extraintestinal manifestations | 1.23 (0.68 to 2.23) | 0.485 | 1.47 (0.82 to 2.62) | 0.193 |
| Current immunosuppressive therapy | 0.75 (0.48 to 1.19) | 0.224 | 0.75 (0.46 to 1.22) | 0.245 |
| Disease duration | 1.00 (0.98 to 1.02) | 0.794 | 1.01 (0.98 to 1.03) | 0.533 |
| Practitioner factor | ||||
| Nurse consultations | 6.23 (2.91 to 13.33) | <0.001 | 6.98 (3.28 to 14.83) | <0.001 |
| Hospital IT factor | ||||
| Global digital exemplars | 1.23 (0.55 to 2.72) | 0.617 | 1.49 (0.71 to 3.12) | 0.287 |
Random effects binary logistic regression models for selected patient, practitioner and site characteristics. The appropriate symptom pair for ulcerative colitis (or IBD-U) was rectal bleeding and stool frequency and for Crohn’s disease was abdominal pain and stool frequency. The likelihood of finding the appropriate symptom pair recorded was independently associated with a diagnosis of ulcerative and nurse-led visits. n=782 eligible consultation records.
Values in bold indicate factors independently associated with the recording of relevant PRO-2 in the multivariable analysis (p<0.05)
IBD, inflammatory bowel disease; IBD-U, inflammatory bowel disease-unclassified; IT, Information Technology.