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Table 3 Examining factors associated with patient activation; specifically health-related quality of life and symptom burden

From: Patient activation and its association with symptom burden and quality of life across the spectrum of chronic kidney disease stages in England

 

Health-Related Quality of Life model

Symptom burden model

Good versus Poor

Moderate versus Poor

Few versus Many

Some versus Many

Odds ratio (95% CI)

Odds ratio (95% CI)

Odds ratio (95% CI)

Odds ratio (95% CI)

Patient activation (ref: PAM Level 1)

 PAM Level 2

4.9 (3.5–6.8)

2.8 (2.2–3.6)

5.1 (3.6–7.3)

2.8 (2.2–3.8)

 PAM Level 3

11.6 (8.5–15.7)

3.3 (2.6–4.2)

9.1 (6.6–12.5)

3.0 (2.4–3.9)

 PAM Level 4

29.2 (19.5–43.9)

3.9 (2.7–5.8)

25.9 (16.8–40.2)

5.0 (3.4–7.5)

Age a

0.98 (0.98–0.99)

1.00 (0.99–1.00)

1.02 (1.01–1.02)

1.02 (1.01–1.03)

Gender (ref: Male)

 Female

0.6 (0.5–0.7)

0.8 (0.7–1)

0.5 (0.4–0.7)

0.7 (0.6–0.9)

Treatment type (ref: Haemodialysis)

 Peritoneal dialysis

1.6 (0.9–2.8)

1.4 (0.9–2.4)

0.6 (0.4–1.2)

1.0 (0.6–1.6)

 Non-dialysis

2 (1.5–2.6)

1.3 (1–1.6)

1.2 (0.9–1.7)

0.9 (0.7–1.2)

 Transplant

2.2 (1.7–3)

1.3 (1–1.7)

2.7 (2–3.6)

1.3 (1–1.8)

Deprivation b (ref: Quintile 1)

 Quintile 2

0.7 (0.5–1.1)

1 (0.7–1.5)

0.9 (0.6–1.3)

0.8 (0.5–1.2)

 Quintile 3

0.6 (0.4–0.9)

0.7 (0.5–1)

0.6 (0.4–0.9)

0.7 (0.4–1)

 Quintile 4

0.4 (0.3–0.6)

0.7 (0.5–1)

0.6 (0.4–0.9)

0.8 (0.5–1.1)

 Quintile 5

0.4 (0.3–0.6)

0.7 (0.5–0.9)

0.4 (0.3–0.6)

0.5 (0.3–0.7)

Ethnicity (ref: White)

 Asian

0.8 (0.5–1.1)

0.9 (0.7–1.3)

0.8 (0.5–1.1)

1.0 (0.8–1.5)

 Black

1.1 (0.7–1.8)

1.1 (0.7–1.6)

1.4 (0.9–2.4)

1.2 (0.7–1.8)

 Chinese

1.1 (0.2–5.5)

1.2 (0.3–5)

0.8 (0.2–3.6)

0.4 (0.1–2)

 Other

1.2 (0.4–3.6)

1.5 (0.6–3.7)

0.8 (0.3–2.6)

1.2 (0.5–2.9)

  1. aValues are odds ratios (95% confidence intervals), reflecting the odds of having a poor versus good and moderate health-related quality of life (HRQoL) and many versus few and some symptoms, per unit increase in age
  2. bDeprivation quintile 1 is the least deprived group and quintile 5 is the most deprived group