Evidence map›Paper›PMID 26251040›Full record

ArticleHealth services research2016

Benchmarking Outpatient Rehabilitation Clinics Using Functional Status Outcomes.

Pedro L Gozalo, Linda J Resnik, Benjamin Silver

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Health Services Research in Rehabilitation and Disability-The Time is Now.Archives of physical medicine and rehabilitation · 2018
    Article
  7. Article
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 1 country.

Pedro L GozaloCenter for Gerontology and Health Care Research, School of Public Health, Brown University, Providence, RI.
Linda J ResnikCenter for Gerontology and Health Care Research, School of Public Health, Brown University, Providence, RI.
Benjamin SilverDepartment of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, RI.
Brown University · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo utilize functional status (FS) outcomes to benchmark outpatient therapy clinics. DATA SOURCES: Outpatient therapy data from clinics using Focus on Therapeutic Outcomes (FOTO) assessments. STUDY

designRetrospective analysis of 538 clinics, involving 2,040 therapists and 90,392 patients admitted July 2006-June 2008. FS at discharge was modeled using hierarchical regression methods with patients nested within therapists within clinics. Separate models were estimated for all patients, for those with lumbar, and for those with shoulder impairments. All models risk-adjusted for intake FS, age, gender, onset, surgery count, functional comorbidity index, fear-avoidance level, and payer type. Inverse probability weighting adjusted for censoring. DATA COLLECTION

methodsFunctional status was captured using computer adaptive testing at intake and at discharge. PRINCIPAL

findingsClinic and therapist effects explained 11.6 percent of variation in FS. Clinics ranked in the lowest quartile had significantly different outcomes than those in the highest quartile (p < .01). Clinics ranked similarly in lumbar and shoulder impairments (correlation = 0.54), but some clinics ranked in the highest quintile for one condition and in the lowest for the other.

conclusionsBenchmarking models based on validated FS measures clearly separated high-quality from low-quality clinics, and they could be used to inform value-based-payment policies.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsBenchmarkingFemaleHumansLength of StayMaleMiddle AgedOutcome Assessment, Health CarePhysical Therapy ModalitiesQuality of Health CareRehabilitation CentersReproducibility of Resultsbench-markingphysical therapyprofilingquality measurementRehabilitation

Identifiers

PMID26251040
PMCPMC4799911
OpenAlexW1494690293

What OpenQuestion holds

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Registered trials

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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.