ArticleDer Orthopade2018
[Prescription frequency of physical therapy and analgesics before total hip and knee arthroplasy : An epidemiological analysis of routine health care data from Germany].
Article in Der Orthopade, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Utilisation of outpatient physiotherapy in patients following total knee arthroplasty - a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- Exploring utilisation of knee and hip osteoarthritis healthcare services and its predictors: a scoping review.BMJ open · 2026Article
- Exploring heterogeneity in coxarthrosis medication use patterns before total hip replacement: a State Sequence Analysis.BMJ open · 2024Article
- Indication for spinal surgery: associated factors and regional differences in Germany.BMC health services research · 2022Article
- Evaluation of a collaborative ambulatory orthopedic care program for patients with hip and knee osteoarthritis: a comparative observational cohort study.BMC musculoskeletal disorders · 2022Observational
- [Prescription frequency of physical therapy for inflammatory rheumatic diseases].Zeitschrift fur Rheumatologie · 2022Article
- [Multimodal rheumatological complex treatment : A current inventory].Zeitschrift fur Rheumatologie · 2022Review
- Use of Physiotherapy Prior to Total Knee Arthroplasty-Results of the Prospective FInGK Study.Healthcare (Basel, Switzerland) · 2022Article
- Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis-An Analysis of the Population-Based German Health Update Study.Healthcare (Basel, Switzerland) · 2021Article
- Identifying patients who access musculoskeletal physical therapy: a retrospective cohort analysis.Family practice · 2021Article
- [Decision for total hip arthroplasty-the surgeons' view].Der Orthopade · 2021Review
- Which disease-related factors influence patients' and physicians' willingness to consider joint replacement in hip and knee OA? Results of a questionnaire survey linked to claims data.BMC musculoskeletal disorders · 2020Article
- Reality of care for musculoskeletal diseases at the population level : Results of the PROCLAIR collaborative project.Zeitschrift fur Rheumatologie · 2019Review
- [Reality of care for musculoskeletal diseases at the population level : Results of the PROCLAIR collaborative project. German version].Zeitschrift fur Rheumatologie · 2019Review
- [Non-drug treatment of rheumatoid arthritis : An analysis of claims data and a survey of insured persons (Project PROCLAIR)].Zeitschrift fur Rheumatologie · 2019Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthritis of the hip or knee joint is a widespread disease with a strong influence on the quality of life. At present, the extent of conservative treatment with physical therapies and analgesics before the use of a total joint arthroplasty (TJA) of the hip or knee is largely unclear in Germany.
objectivesThe aim was to analyze the prescription frequency according to regional and socio-demographic factors. MATERIALS AND
methodsBased on routine health care data from BARMER insurance, patients who received a TJA of the hip or knee from 2011 to 2013 were analyzed. Included were consistently insured patients with the main discharge diagnosis of osteoarthritis who did not receive any further TJA for eight quarters before and after replacement. The prescription frequency of physical therapies and analgesics, stratified according to age groups, gender, number of comorbidities and federal state was analyzed.
results40,242 persons with hip TJA and 35,652 persons with knee TJA were included. In the year prior to surgery, 49.4% of patients (hip TJA: 49.9%; knee TJA: 48.9%) received at least one physical therapy and 81.0% were prescribed analgesics. Regionally, the prescription frequency of physical therapies for hip TJA varied between 35.7% (Bremen) and 70.6% (Saxony) and for knee TJA between 37.6% (Saarland) and 66.9% (Saxony).
conclusionThe prescription frequency of physical therapy does not fully correspond to current treatment recommendations. The prescription of physical therapies in the year before the TEP shows regional differences, with fundamentally lower prescription frequencies in the former states of West Germany.
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Registered trials
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