Factors Associated with Survey Non-Response in a Cross-Sectional Survey of Persons with an Axial Spondyloarthritis or Osteoarthritis Claims Diagnosis
Abstract
:1. Introduction
- -
- Characterize respondents and non-respondents of the two surveys with respect to relevant characteristics available from the claims data (age, sex, health care utilization).
- -
- Compare differences in the response patterns among the two diagnoses and discuss the results in comparison to the diabetes sample in order to assess the generalizability of the results to other chronic diseases.
2. Materials and Methods
2.1. Sample Selection and Survey Procedure
- An introduction to the project with explanation of the data protection measures and an invitation to participate in the research project.
- A form to declare consent to participate.
- The study questionnaire (6 pages for the axSpA sample, 7 pages for the OA sample).
- A stamped envelope to send the consent form to the health insurance.
- A stamped envelope to send the questionnaire to the German rheumatism research center.
2.2. Claims Data Available for Analysis
2.3. Statistical Analysis
3. Results
3.1. Response by Age and Sex
3.2. Differences between Responders and Non-Responders
3.3. Analysis of the Response Time
4. Discussion
4.1. Implications
4.2. Limitations and Strengths
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Sample | Axial Spondyloarthritis | Osteoarthritis | ||
---|---|---|---|---|
Response status | Responder n = 2082 | Non-Responder n = 2389 | Responder n = 3564 | Non-Responder n = 5420 |
Age (years), mean | 58.3 | 56.7 | 67.2 | 67.5 |
Women, % | 49.9 | 48.2 | 70.5 | 69.0 |
NSAIDs 1, % | 57.9 | 50.1 | 48.0 | 39.6 |
Biologic disease-modifying anti-rheumatic drug, % | 13.9 | 9.0 | 0.9 | 0.5 |
Opioids, % | 16.5 | 14.8 | 15.2 | 14.3 |
Seeing a Rheumatologist, % | 32.7 | 21.1 | 7.1 | 3.9 |
Seeing an Orthopedist, % | 39.6 | 31.3 | 56.8 | 43.7 |
Elixhauser Score (0–31), Median | 2.6 | 2.5 | 2.8 | 2.6 |
Number of prescribed medication, Median | 6.0 | 5.0 | 6.4 | 5.8 |
Influenza vaccination, % | 32.5 | 22.3 | 39.2 | 29.0 |
Hospitalized, % | 27.1 | 25.1 | 30.9 | 28.1 |
Level of care present, % | 3.8 | 4.4 | 3.1 | 5.9 |
Physical therapy, % | 50.4 | 38.7 | 48.6 | 40.1 |
Persons with diagnosis in all quarters of survey year, % | 71.9 | 59.9 | 58.3 | 46.5 |
-Sample | - | - | Axial Spondyloarthritis | Osteoarthritis | ||
---|---|---|---|---|---|---|
Parameter | Effect | Reference | Odds Ratio (95% CI) | p-Value | Odds Ratio (95% CI) | p-Value |
Age | 40–49 | 18–39 | 1.40 (1.06; 1.85) | 0.02 | - | - |
50–59 | 1.73 (1.31; 2.28) | <0.001 | - | - | ||
60–69 | 1.84 (1.38; 2.45) | <0.001 | - | - | ||
70–79 | 1.79 (1.33; 2.40) | <0.001 | - | - | ||
40–49 | 30–39 | - | - | 1.32 (1.05; 1.66) | 0.02 | |
50–59 | - | - | 1.67 (1.33; 2.09) | <0.001 | ||
60–69 | - | - | 1.69 (1.35; 2.12) | <0.001 | ||
70–79 | - | - | 1.70 (1.34; 2.14) | <0.001 | ||
Sex | male | female | 0.75 (0.56; 1.00) | 0.047 | 0.51 (0.38; 0.67) | <0.001 |
Age * Sex | 18–39, male | 18–39, female | Reference | - | - | - |
30–39, male | 30–39, female | - | - | Reference | - | |
40–49, male | 40–49, female | 1.06 (0.71; 1.57) | 0.78 | 1.30 (0.90; 1.87) | 0.16 | |
50–59, male | 50–59, female | 1.03 (0.69; 1.52) | 0.89 | 1.45 (1.02; 2.05) | 0.04 | |
60–69, male | 60–69, female | 1.47 (0.99; 2.18) | 0.06 | 1.67 (1.19; 2.35) | 0.003 | |
70–79, male | 70–79, female | 1.83 (1.23; 2.73) | 0.003 | 2.56 (1.83; 3.63) | <0.001 | |
Elixhauser Comorbidity Index | per comorbidity | 0.95 (0.92; 0.98) | <0.001 | 1.00 (0.98; 1.04) | 0.78 | |
Opioids | Yes | No | - | - | 1.00 (0.84; 1.21) | 0.96 |
Biologic disease-modifying anti-rheumatic drug | Yes | No | 1.28 (1.02; 1.59) | 0.03 | - | - |
In Rheumatologic treatment | Yes | No | 1.71 (1.46; 2.01) | <0.001 | - | - |
Orthopedist treating | Yes | No | - | - | 1.56 (1.37; 1.78) | <0.001 |
Influenza Vaccination | Yes | No | 1.32 (1.13; 1.55) | <0.001 | 1.40 (1.22; 1.61) | <0.001 |
Level of care present | Yes | No | 0.79 (0.56; 1.11) | 0.17 | 0.43 (0.30; 0.62) | <0.001 |
Physical therapy | Yes | No | 1.42 (1.25; 1.62) | <0.001 | 1.18 (1.03; 1.35) | 0.01 |
Number of quarters with diagnosis in survey year | per quarter | 1.18 (1.12; 1.25) | <0.001 | 1.04 (1.00; 1.09) | 0.07 |
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Callhoff, J.; Jacobs, H.; Albrecht, K.; Saam, J.; Zink, A.; Hoffmann, F. Factors Associated with Survey Non-Response in a Cross-Sectional Survey of Persons with an Axial Spondyloarthritis or Osteoarthritis Claims Diagnosis. Int. J. Environ. Res. Public Health 2020, 17, 9186. https://doi.org/10.3390/ijerph17249186
Callhoff J, Jacobs H, Albrecht K, Saam J, Zink A, Hoffmann F. Factors Associated with Survey Non-Response in a Cross-Sectional Survey of Persons with an Axial Spondyloarthritis or Osteoarthritis Claims Diagnosis. International Journal of Environmental Research and Public Health. 2020; 17(24):9186. https://doi.org/10.3390/ijerph17249186
Chicago/Turabian StyleCallhoff, Johanna, Hannes Jacobs, Katinka Albrecht, Joachim Saam, Angela Zink, and Falk Hoffmann. 2020. "Factors Associated with Survey Non-Response in a Cross-Sectional Survey of Persons with an Axial Spondyloarthritis or Osteoarthritis Claims Diagnosis" International Journal of Environmental Research and Public Health 17, no. 24: 9186. https://doi.org/10.3390/ijerph17249186