Table 6 Multinomial Logistic Regression Models: Correlates of Caregiver Overreporting and Underreporting of Patient-Reported Scale Scores (Four models were run–one for each scale score. Each model has a 3-level dependent variable, with concordance being the reference group; the odds ratios (ORs) for over- and under-reporting are relative to the reference group Differences are calculated as (Caregiver-estimated score)‒(Patient-reported score). Concordance was defined as a difference within ± 2 standard errors of measurement (SEM). Overreporting = Difference > 2 SEM higher. Underreporting = Difference > 2 SEM lower. Percentages in column headings are the proportion of caregivers that over- and underreported for each scale.)
From: Agreement between older adult patient and caregiver proxy symptom reports
Patient/caregiver variable†| SymTrak multimorbidity | PEG pain | PHQ-8 depression | GAD-7 anxiety | ||||
|---|---|---|---|---|---|---|---|---|
OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |||||
Over (21.3%) | Under (20.2%) | Over (24.2%) | Under (18.7%) | Over (18.7%) | Under (15.0%) | Over (34.2%) | Under (26.2%) | |
Patient-reported scale score | 0.91 (0.85, 0.97) | 1.17 (1.10, 1.26) | 0.84 (0.72, 0.97) | 1.41 (1.18, 1.69) | 0.90 (0.79, 1.04) | 1.60 (1.33, 1.92) | 0.98 (0.84, 1.14) | 1.55 (1.32, 1.81) |
Caregiver difficulty (Oberst) | 1.10 (1.05, 1.16) | 0.83 (0.72, 0.95) | 1.07 (1.02, 1.12) | 0.95 (0.88, 1.03) | 1.08 (1.03, 1.13) | 0.92 (0.81, 1.05) | 1.09 (1.04, 1.15) | 0.98 (0.91, 1.07) |
Age, ≥ 75 vs < 75 | 0.76 (0.30, 1.87) | 1.42 (0.51, 3.98) | 1.07 (0.46, 2.47) | 0.97 (0.37, 2.55) | 0.67 (0.28, 1.02) | 0.85 (0.22, 3.25) | 1.43 (0.64, 3.20) | 3.54 (1.17, 10.7) |
Sex, female vs male | 1.86 (0.59, 5.88) | 0.91 (0.19, 4.37) | 2.32 (0.80, 6.72) | 2.99 (0.61, 14.6) | 1.72 (0.57, 5.19) | 0.95 (0.12, 7.29) | 1.29 (0.48, 3.45) | 1.99 (0.44, 9.01) |
Race, black vs white/other | 0.64 (0.25, 1.63) | 0.81 (0.28, 2.33) | 0.83 (0.35, 1.96) | 2.15 (0.78, 5.91) | 0.98 (0.40, 2.38) | 2.28 (0.52, 9.96) | 0.63 (0.28, 1.43) | 0.35 (0.11, 1.13) |
Income (> 30,000 vs. ≤ 30,000 annually) | 0.51 (0.16, 1.56) | 0.41 (0.12, 1.47) | 0.91 (0.34, 2.38) | 1.37 (0.44, 4.32) | 1.13 (0.41, 3.10) | 7.06 (1.12, 44.6) | 0.46 (0.18, 1.20) | 0.86 (0.27, 2.76) |
Cognitive function (TICS, > 30 vs ≤ 30) | 1.46 (0.55, 3.86) | 1.13 (0.40, 3.15) | 0.52 (0.21, 1.28) | 0.48 (0.18, 1.28) | 1.61 (0.63, 4.13) | 2.68 (0.62, 11.6) | 0.61 (0.26, 1.42) | 0.79 (0.27, 2.32) |
Caregiver sex, female vs male | 0.52 (0.18, 1.45) | 0.58 (0.13, 2.53) | 1.53 (0.55, 4.28) | 1.46 (0.37, 5.78) | 0.74 (0.27, 2.00) | 1.04 (0.18, 6.09) | 0.38 (0.14, 1.04) | 0.82 (0.20, 3.35) |
Caregiver relationship, spouse/partner vs all other | 0.79 (0.25, 2.53) | 2.30 (0.55, 9.71) | 0.86 (0.30, 2.52) | 2.75 (0.65, 11.7) | 1.85 (0.63, 5.42) | 0.64 (0.09, 4.56) | 0.55 (0.20, 1.49) | 1.20 (0.30, 4.85) |