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Table 5 Practice clusters among newly diagnosed hypertensive patients prior to the pandemic outbreak

From: Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany

Variable

 

ΔFita

(in %)

P-value

(LR-Testc)

Intraclass Correlation (in %)

Model

estimate

95%-CIb

 

lower

upper

BP measurement during first 1.5 years of disease

 BP measured

logit

28.2

 < 0.0001

54.4

29.0

77.8

 Number of BP measurements

linear

3.3

 < 0.0001

18.0

7.0

39.1

 BP measured at least 3 times

logit

13.8

 < 0.0001

54.4

24.4

81.5

 ABPM

logit

23.6

 < 0.0001

79.7

40.3

95.8

 Basis diagnostic

logit

24.4

 < 0.0001

75.2

35.8

94.3

 Health Check-up

logit

28.9

 < 0.0001

61.1

33.2

83.2

Therapy during sample period

 No medical therapy

logit

21.8

 < 0.0001

40.2

18.8

66.1

 Mono-therapy

logit

3.8

 < 0.0001

16.9

6.0

39.5

 Combination-therapy

logit

10.4

 < 0.0001

28.9

12.0

54.8

 Number of different drugs

linear

2.8

 < 0.0001

18.6

7.3

40.1

 Number of different APIs

linear

4.1

 < 0.0001

19.3

7.6

41.1

 Number of different ATCs

linear

4.9

 < 0.0001

20.6

8.2

43.1

 Number of different ACE inhibitors

linear

1.5

 < 0.0001

8.8

3.1

22.6

Outcome quality

   < 140/90 mmHg (during the first year)

logit

0.0

 > 0.999

0.1

0.0

100

   < 140/90 mmHg (after one year)

logit

0.0

0.92

1.7

0.0

11.2

  1. n = 2023; 8 practices; 252.9 hypertensive patients were treated on average by a practice, BP Blood pressure, ABPM 24-h Ambulatory Blood Pressure Monitoring, API Active pharmaceutical ingredient, ATC Anatomical therapeutic chemical classification code, Monotherapy Prescription of drugs with one API, Combination therapy Prescription of drugs with more than one API, logit Logistic regression model, linear Linear regression model; aΔFit is the relative change in model fit between a model with covariables only and a multilevel model measured by the log-likelihood values of the respective estimated models; bBonferroni corrected 95% confidence interval. cBonferroni corrected p-value of a Likelihood Ratio test. Italicized records indicate p-values > 0.05