ArticleStroke2017
No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke.
Article in Stroke, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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
25 citing papers in PubMed, 47 citations in OpenAlex.
- Priming and task-specific training for arm weakness post stroke: A randomized controlled trial.Annals of clinical and translational neurology · 2025Trial
- Trial
- Aphasia among Medicare fee for service beneficiaries: initial encounter for services and discharge disposition.Aphasiology · 2026Article
- Utilization of rehabilitation health professions' services in chronic stroke: A scoping review.BMC health services research · 2026Article
- Associations between Social Determinants of Health and Posthospitalization Rehabilitation among Critically Ill Older Adults.Annals of the American Thoracic Society · 2026Observational
- Disparities in Community-Based Rehabilitation Following Stroke: Findings From the COMPASS Trial.Journal of the American Heart Association · 2025Observational
- Article
- A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis.JMIR serious games · 2025Article
- Racial, Ethnic, and Regional Disparities of Post-Acute Service Utilization After Stroke in the United States.Neurology. Clinical practice · 2024Article
- Racial and Ethnic Disparities in the Medical Management of Poststroke Complications Among Patients With Acute Stroke.Journal of the American Heart Association · 2024Article
- Black Americans have worse stroke outcome compared with non-Hispanic whites.Journal of the National Medical Association · 2023Article
- Article
- Examining sources of post-acute care inequities with layered target matching.Health services research · 2023Article
- Combining high dose therapy, bilateral motor priming, and vagus nerve stimulation to treat the hemiparetic upper limb in chronic stroke survivors: a perspective on enhancing recovery.Frontiers in neurology · 2023Article
- Consistent long-term practice leads to consistent improvement: Benefits of self-managed therapy for language and cognitive deficits using a digital therapeutic.Frontiers in digital health · 2023Article
- Partnering With a Home Health Agency to Implement a Brief Stroke Preparedness Intervention: Stroke Ready-Home Health.Journal of the American Heart Association · 2022Article
- Dosage Frequency Effects on Treatment Outcomes Following Self-managed Digital Therapy: Retrospective Cohort Study.Journal of medical Internet research · 2022Article
- The impact of ethnicity on stroke care access and patient outcomes: a New Zealand nationwide observational study.The Lancet regional health. Western Pacific · 2022Article
- Is There a Research-Practice Dosage Gap in Aphasia Rehabilitation?American journal of speech-language pathology · 2021Review
- Divergent poststroke outcomes for black patients: Lower mortality, but greater disability.Neurology · 2019Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
background and purposeBlack stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke.
methodsWe used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute care setting (inpatient rehabilitation facility, skilled nursing facility, and home health agency), minutes of therapy, and number of transitions between settings. We then used generalized linear models to determine whether racial differences in minutes of physical therapy were influenced by demographics, comorbidities, thrombolysis, and markers of stroke severity.
resultsBlack stroke patients were more likely to receive each type of therapy than white stroke patients. Compared with white stroke patients, black stroke patients received more minutes of physical therapy (897.8 versus 743.4;
conclusionsThere are no clinically significant racial differences in rehabilitation therapy utilization or intensity after accounting for patient characteristics. It is unlikely that differences in rehabilitation utilization or intensity are important contributors to racial disparities in poststroke disability.
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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.