Evidence map›Paper›PMID 22172017›Full record

ArticleHealth services research2012

Decomposing racial and ethnic disparities in the use of postacute rehabilitation care.

George M Holmes, Janet K Freburger, Li-Jung E Ku

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Racial and Ethnic Disparities in Hip Fracture Surgery: A Systematic Review and Meta-Analysis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  6. Article
  7. Methods and early recruitment of the Brain Attack Surveillance in Corpus Christi-Post-acute Care (BASIC-PAC) Project.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  8. Article
  9. Article
  10. Racial and Ethnic Disparities in Bone Health and Outcomes in the United States.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

George M HolmesDepartment of Health Policy & Management, Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA. mark_holmes@unc.edu
Janet K Freburger
Li-Jung E Ku
University of North Carolina at Chapel Hill · USInstitute on Aging · US

Funding

Disparities in Post-Acute Rehabilitation CareR21HD057980 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FREBURGER, JANET KUES · 2008 to 2009
$364k
NICHD NIH HHS R21 HD057980
6 · The paper itself

Abstract

objectiveTo determine the degree to which racial and ethnic disparities in the use of postacute rehabilitation care (PARC) are explained by observed characteristics. DATA SOURCES: State inpatient databases (SIDs) for 2005 and 2006 from four diverse states were used to identify patients with stays for joint replacement, stroke, or hip fracture. STUDY

designOur primary outcomes were use of institutional PARC (versus discharge home) and, conditional on discharge to an institution, skilled nursing facility (versus inpatient rehabilitation facility) care. We modified the Oaxaca-Blinder decomposition method to account for the dichotomous outcome and multilevel nature of the data. DATA COLLECTION/EXTRACTION

methodsDischarges from the four SIDs were included if the principal diagnosis (stroke, hip fracture) or procedure (joint replacement) was in the sample inclusion criteria. PRINCIPAL

findingsObserved characteristics explained roughly half of the unadjusted differences in use of institutional PARC. Patient-level factors (clinical, age) were more explanatory of disparities in institutional PARC use, while hospital-level factors were more explanatory of skilled nursing facility versus inpatient rehabilitation facility care.

conclusionsAdjustment for characteristics influencing PARC use both mitigated and exacerbated racial/ethnic disparities in use. The degree to which the characteristics explained the disparity varied across conditions and outcomes.

Indexed as

Stroke RehabilitationAgedArthroplasty, ReplacementBlack or African AmericanFemaleHealthcare DisparitiesHip FracturesHispanic or LatinoHome Care ServicesHumansMaleMiddle AgedMultivariate AnalysisRegression AnalysisRehabilitation CentersSkilled Nursing Facilities

Identifiers

PMID22172017
PMCPMC3307916
OpenAlexW2046456726

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.