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Table 4 Regression model estimates and 95% confidence intervals (95% CIs), Gamma distribution

From: Pain-related health care costs for long-term care residents

 

Model 1

Model 2

Total cost including LTC cost

Total cost excluding LTC cost

Unadjusted

Adjusted

Unadjusted

Adjusted

Estimate

(95% CI)

Estimate

(95% CI)

Estimate

(95% CI)

Estimate

(95% CI)

Intercept

5.6494

(5.6352, 5.6637)

5.6306

(5.5945, 5.6666)

4.117

(4.2073, 4.2067)

3.2628

(2.99, 3.5356)

Clinically significant pain (ref: No pain/Non-daily mild pain)

-0.0160

(-0.0341, 0.0022)

-0.0176

(-0.0356, 0.0003)

-0.1983

(-0.3152, 0.0813)

-0.1538

(-0.2801, -0.0276)

Time

-0.0004

(-0.0004, -0.0003)

-0.0003

(-0.0003, -0.0003)

-0.0034

(-0.0037, -0.0032)

-0.0031

(-0.0033, -0.0027)

Pain group x time

0.0001

(0.0001, 0.0002)

0.0001

(0.0001, 0.0002)

0.0014

(0.001, 0.0018)

0.0011

(0.0007, 0.0015)

Age (ref: 65-74)

 75-79

 

-0.0112

(-0.0268, 0.0043)

 

-0.0584

(-0.1477, 0.0308)

 80-84

 

-0.0236

(-0.0379, -0.0093)

 

-0.1268

(-0.2103, -0.0433)

 85-89

 

-0.0306

(-0.0446, -0.0116)

 

-0.18

(-0.2625, -0.0976)

 90-94

 

-0.0362

(-0.0507, -0.0217)

 

-0.2326

(-0.3299, -0.1423)

 95+

 

-0.0585

(-0.0734, -0.0436)

 

-0.441

(-0.5466, -0.3416)

Sex: (ref: female)

Male

 

0.0052

(0.0008, 0.0112)

 

0.0898

(0.0452, 0.1344)

Location of residence (ref: Urban)

Rural

 

-0.0043

(-0.0098, 0.0012)

 

-0.0507

(-0.0953, 0.0061)

Charlson comorbidity index score (ref: 3+)

 0

 

-0.0103

(-0.0155, -0.0051)

 

-0.0336

(-0.0785, 0.0114)

 1

 

-0.01 (-0.0146, -0.0054)

 

-0.0683

(-0.1052, -0.0315)

 2

 

-0.0005

(-0.0062, 0.0053)

 

-0.0103

(-0.0503, 0.0296)

Prior health care cost

 

0.0047

(0.0019, 0.0074)

 

0.0978

(0.0772, 0.1183)

Cognitive Performance Scale (CPS) (ref: 0)

 1

 

-0.0079

(-0.0207, 0.005)

 

-0.0814

(-0.1684, 0.0057)

 2

 

-0.026

(-0.0376, -0.0144)

 

-0.1716

(-0.2557, -0.0876)

 3

 

-0.0273

(-0.0389, -0.0157)

 

-0.233

(-0.3141,-0.1519)

 4

 

-0.0277

(-0.0429, -0.0125)

 

-0.1946

(-0.3153, -0.0739)

 5

 

-0.0246

(-0.0375, -0.0118)

 

-0.232

(-0.3253, -0.1388)

 6

 

-0.0388

(-0.0552, -0.0225)

 

-0.3097

(-0.4444, -0.175)

Activities of Daily Living (ADL): (ref: 0-7)

 8-14

 

-0.0025

(-0.0105, 0.0055)

 

-0.0039

(-0.0641, 0.0562)

 15-21

 

-0.0116

(-0.0191, -0.004)

 

-0.0923

(-0.1509, -0.0338)

 22-28

 

-0.0115

(-0.021, -0.0021)

 

-0.1043

(-0.1733, -0.0353)

Changes in Health, End-Stage Disease and Signs and Symptoms (CHESS) (ref: 0)

 1

 

0.0109

(0.0037, 0.0181)

 

0.0806

(0.0261, 0.1352)

 2

 

0.0115

(0.0042, 0.0188)

 

0.0882

(0.0333, 0.1431

 3-5

 

0.017

(0.0075, 0.0265)

 

0.1249

(0.0559, 0.194)

Long term care facility type (ref: Integrated)

 Special care homes

 

0.0687

(0.0378, 0.0996)

 

0.4425

(0.2966, 0.6253)

 Hospital/Special Care home

 

-0.0071

(-0.0182, 0.004)

 

-0.0324

(-0.1306, 0.0658)

  1. Note: Bold values indicate statistically significant at α=0.05