ArticleArthritis care & research2011
Disparities in post-acute rehabilitation care for joint replacement.
Article in Arthritis care & research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03120052 (Defining Components of Physical Therapy Achieving Maximum Function After Total Knee Replacement), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Defining Components of Physical Therapy Achieving Maximum Function After Total Knee Replacement
Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.
- Post-Acute Care Trends and Disparities After Joint Replacements in the United States, 1991-2018: A Systematic Review.Journal of the American Medical Directors Association · 2024Pooled it
- Variation in Outcomes and Number of Visits Following Care Guideline Implementation: Part 2 of an Analysis of 12 355 Patients After Total Knee Arthroplasty.The Journal of orthopaedic and sports physical therapy · 2023Trial
- Trial
- Impact of social determinants of health on physical therapy utilization in home health and outpatient settings: a retrospective cohort study.Physical therapy · 2026Article
- Trends in Discharge to Institutional Post-Acute Care After Total Joint Arthroplasty in the United States and Canada.Journal of the American Geriatrics Society · 2026Article
- Impact of Rurality on Total Joint Arthroplasty Access and Outcomes: A Systematic Review.Arthroplasty today · 2026Review
- Associations between Social Determinants of Health and Posthospitalization Rehabilitation among Critically Ill Older Adults.Annals of the American Thoracic Society · 2026Observational
- Changes in skilled nursing and home health admissions associated with Medicare payment reforms and the COVID-19 pandemic.Journal of the American Geriatrics Society · 2025Article
- A Snapshot of Hip and Knee Replacement Rehabilitation Care Across Canada: A Cross-Sectional Survey Using an Online Clinician Quality Indicator Questionnaire.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Social determinants of health and rehabilitation service areas: an urban and rural mediation analysis.Frontiers in public health · 2025Observational
- Utilization and Potential Disparities in Access to Physical Therapy for Spine Pain in the Long-Term Care Population.Archives of physical medicine and rehabilitation · 2024Article
- Utilization of Rehabilitation Services and Rehabilitation-Related Patient Satisfaction Following Total Knee Arthroplasty-Results of the Prospective FInGK Study.Healthcare (Basel, Switzerland) · 2024Article
- Beyond Discharge Disposition: A Scoping Review on Sociodemographic Disparities in Rehabilitation Use After Hip and Knee Arthroplasty.Physical therapy · 2024Article
- Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers-A Protocol.International journal of environmental research and public health · 2023Article
- Examining sources of post-acute care inequities with layered target matching.Health services research · 2023Article
- The Influence of Rural Healthcare Systems and Communities on Surgery and Recovery: A Qualitative Study.The Journal of surgical research · 2023Article
- Medicaid Payer Status Is Associated With Increased 90-Day Resource Utilization, Reoperation, and Infection Following Aseptic Revision Total Hip Arthroplasty.The Iowa orthopaedic journal · 2022Article
- Monitoring Patient Recovery After THA or TKA Using Mobile Technology.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Article
- Rehabilitation After Total Knee Arthroplasty: Do Racial Disparities Exist?The Journal of arthroplasty · 2020Article
- Benefits of direct patient discharge to outpatient physical therapy after total knee arthroplasty.Disability and rehabilitation · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine the extent to which demographic and geographic disparities exist in the use of post-acute rehabilitation care (PARC) for joint replacement.
methodsWe conducted a cross-sectional analysis of 2 years (2005 and 2006) of population-based hospital discharge data from 392 hospitals in 4 states (Arizona, Florida, New Jersey, and Wisconsin). A total of 164,875 individuals who were age ≥ 45 years, admitted to the hospital for a hip or knee joint replacement, and who survived their inpatient stay were identified. Three dichotomous dependent variables were examined: 1) discharge to home versus institution (i.e., skilled nursing facility [SNF] or inpatient rehabilitation facility [IRF]), 2) discharge to home with versus without home health (HH), and 3) discharge to an SNF versus an IRF. Multilevel logistic regression analyses were conducted to identify demographic and geographic disparities in PARC use, controlling for illness severity/comorbidities, hospital characteristics, and PARC supply. Interactions among race, socioeconomic, and geographic variables were explored.
resultsConsidering PARC as a continuum from more to less intensive care in regard to hours of rehabilitation per day (e.g., IRF→SNF→HH→no HH), the uninsured received less intensive care in all 3 models. Individuals receiving Medicaid and those of lower socioeconomic status received less intensive care in the HH versus no HH and SNF versus IRF models. Individuals living in rural areas received less intensive care in the institution versus home and HH versus no HH models. The effect of race was modified by insurance and by state. In most instances, minorities received less intensive care. PARC use varied by hospital.
conclusionEfforts to further understand the reasons behind these disparities and their effect on outcomes are needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.