ArticleThe Journal of hand surgery2015
Utilization of Post-Acute Care Following Distal Radius Fracture Among Medicare Beneficiaries.
Article in The Journal of hand surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The Effect of Socioeconomic Factors on Outcomes of Distal Radius Fractures: A Systematic Review.Hand (New York, N.Y.) · 2018Pooled it
- The Relationship between Hand Therapy and Long-Term Outcomes after Distal Radius Fracture in Older Adults: Evidence from the Randomized Wrist and Radius Injury Surgical Trial.Plastic and reconstructive surgery · 2019Trial
- Association of Charlson Comorbidity Index and Charlson Fracture Index With Surgical Complications in Distal Radius Fractures: A Retrospective Review.Journal of hand surgery global online · 2026Article
- Navigating Postacute Care Pathways Following Hospital Discharge in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2026Article
- The Effect of Social Deprivation on Hospital Utilization Following Distal Radius Fracture Treatment.Journal of hand surgery global online · 2024Article
- Medicare Eligibility and Racial and Ethnic Disparities in Operative Fixation for Distal Radius Fracture.JAMA network open · 2023Article
- The Association between Bleeding Disorders and Postoperative Complications Following Operative Treatment of Distal Radius Fracture.Journal of wrist surgery · 2023Article
- The Effect of Steroid Use on Complications after Distal Radius Fracture Repair.Journal of wrist surgery · 2023Article
- The Primary Cost Drivers of Outpatient Distal Radius Fracture Fixation: A Cost-Minimalization Analysis of 15,379 Cases.Journal of wrist surgery · 2023Article
- Chronic obstructive pulmonary disease is an independent risk factor for postoperative complications following operative treatment of distal radius fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- The Cost-Effectiveness of Surgical Fixation of Distal Radial Fractures: A Computer Model-Based Evaluation of Three Operative Modalities.The Journal of bone and joint surgery. American volume · 2018Article
- National Trends and Geographic Variation in Availability of Home Health Care: 2002-2015.Journal of the American Geriatrics Society · 2017Observational
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo examine the utilization and cost of post-acute care following isolated distal radius fractures (DRFs) among Medicare beneficiaries.
methodsWe examined utilization of post-acute care among Medicare beneficiaries who experienced an isolated DRF (n = 38,479) during 2007 using 100% Medicare claims data. We analyzed the effect of patient factors on hospital admission following DRF and the receipt of post-acute care delivered by skilled nursing facilities, inpatient rehabilitation facilities, home health care agencies, and outpatient occupational therapy/physical therapy for the recovery of DRF.
resultsIn this cohort of isolated DRF patients, 1,694 (4.4%) were admitted to hospitals following DRF, and 20% received post-acute care. Women and patients with more comorbid conditions were more likely to require hospital admission. The utilization of post-acute care was higher among women, patients who resided in urban areas, and patients of higher socioeconomic status. The average cost per patient of post-acute care services from inpatient rehabilitation facilities and skilled nursing facilities ($15,888/patient) was significantly higher than the average cost other aspects of DRF care and accounted for 69% of the total DRF-related expenditure among patients who received inpatient rehabilitation.
conclusionsSociodemographic factors, including sex, socioeconomic status, and age, were significantly correlated with the use of post-acute care following isolated DRFs, and post-acute care accounted for a substantial proportion of the total expenditures related to these common injuries among the elderly. Identifying patients who will derive the greatest benefit from post-acute care can inform strategies to improve the cost efficiency of rehabilitation and optimize scarce health care resources. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
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