Summary of Significant Associations Between Morbidity Measures and Patient-Reported Outcomes
Patient-Reported Outcomesa | ||||||
---|---|---|---|---|---|---|
Morbidity Measure | General Health Status β (CI)b | Physical Well-being β (CI)b | Emotional Well-being β (CI)b | Fewer Financial Constraints Odds Ratio (CI)c | Less Overwhelmed Odds Ratio (CI)c | Self-efficacy Odds Ratio (CI)c |
Quan adaptation of CCI (ICD-9)15 (range=0–12) | −1.91 (−2.50 to −1.33)d | −0.68 (−0.99 to −0.37d | 0.06 (−0.19 to 0.31) | 0.82 (0.73 to 0.91)d | 0.87 (0.78 to 0.96)e | 0.96 (0.86 to 1.08) |
Self-reported disease burden26 (range=1–89) | −0.71 (−0.84 to −0.59)d | −0.49 (−0.56 to −0.42)d | −0.11 (−0.16 to −.05)d | 0.96 (0.94 to 0.99)f | 0.95 (0.93 to 0.97)d | 0.96 (0.94 to 0.99)f |
Anxiety symptoms (GAD-7)39 (range=0–21) | −2.75 (−5.88 to 0.37) | 1.41 (−0.24 to 3.06) | −5.90 (−7.25 to −4.56)d | 0.64 (0.37 to 1.09) | 0.57 (0.35 to 0.93)e | 0.79 (0.48 to 1.31) |
Depressive symptoms (PHQ-9)38 (range=0–27) | −12.01 (−14.75 to −9.27)d | −4.99 (−6.44 to −3.54)d | −5.87 (−7.05 to −4.69)d | 0.66 (0.39 to 1.13) | 0.30 (0.18 to 0.50)d | 0.18 (0.10 to 0.33)d |
CCI = Charlson comorbidity index; GAD-7 = Generalized Anxiety Disorder 7-item scale; ICD- 9=International Classification of Disease, 9th edition; PHQ-9=9-item Patient Health Questionnaire.
Note: Associations expressed as point estimates with confidence intervals within separate models for each outcome.
↵a For all outcomes, higher outcome values represent a better state (eg, better physical functioning, fewer financial constraints). All models adjusted for morbidity measures above and age, sex, race, socioeconomic status, and length of enrollment.
↵b Linear regression: β estimates; nonsignificant confidence intervals cross zero.
↵c Logistic regression: odds ratios; nonsignificant confidence intervals cross 1.0.
↵d P value <.001.
↵e P value <.05.
↵f P value <.01.