Evidence map›Paper›PMID 30974921›Full record

ArticleInternational journal of environmental research and public health2019

Impact of Outpatient Rehabilitation Service in Preventing the Deterioration of the Care-Needs Level Among Japanese Older Adults Availing Long-Term Care Insurance: A Propensity Score Matched Retrospective Study.

Michio Maruta, Takayuki Tabira, Hyuma Makizako, Akira Sagari, Hironori Miyata, Koji Yoshimitsu, Gwanghee Han, Kazuhiro Yoshiura, Masahiro Kawagoe

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

9 authors.

Michio MarutaMedical Corporation, Sansyukai, Okatsu Hospital, 3-9, Masagohommachi, Kagoshima 890-0067, Japan. m.maru0111@gmail.com.ORCID 0000-0003-0820-7738
Takayuki TabiraDepartment of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan. tabitaka@health.nop.kagoshima-u.ac.jp.
Hyuma MakizakoDepartment of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan. makizako@health.nop.kagoshima-u.ac.jp.
Akira SagariDivision of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinshu University, 3-1-1, Asahi, Matsumoto, Nagano 390-8621, Japan. sagaria@shinshu-u.ac.jp.
Hironori MiyataDepartment of Occupational Therapy, Faculty of Rehabilitation, Kyushu Nutrition Welfare University, 1-5-1, Kuzuharatakamatsu, Kokuraminami-ku, Kitakyushu, Fukuoka 800-0298, Japan. 814.miya.418@gmail.com.
Koji YoshimitsuDepartment of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima 890-8544, Japan. yoshimitsu@health.nop.kagoshima-u.ac.jp.
Gwanghee HanDepartment of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan. hans11057@gmail.com.
Kazuhiro YoshiuraDepartment of Neuropsychiatry, Kumamoto University Hospital, 1-1-1 Honjo Chuo-ku, Kumamoto 860-8556, Japan. kazuzak@kuh.kumamoto-u.ac.jp.
Masahiro KawagoeGraduate Course of Health and Social Services, Saitama Prefectural University, 820, Sannomiya, Koshigaya, Saitama 343-8540, Japan. kawagoe-masahiro@spu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outpatient rehabilitation (OR) and outpatient day long-term care (ODLC) services are frequently used by older adult patients in Japan. However, there is a need to clarify that OR service, which has more rehabilitation professionals than ODLC, has the role of providing rehabilitation. This retrospective study examined the impact of OR services by comparing the two services based on City A data from the care-needs certification survey conducted between 2015 to 2017. We performed a propensity score matched analysis to compare the changes in the care level and function of OR and ODLC users after two years. The results showed that OR users showed a lower deterioration in care levels and less decline in the activities of daily living (ADL) in dementia and adaptation to social life. In the analysis of older adults requiring support, OR users had a lower deterioration in care levels and less decline in the ADL in dementia and behavioral and psychological symptoms than ODLC users did. There was no difference between the two services with respect to older adults requiring long-term care. The OR service has had an increasingly preventive effect on the deterioration of care levels compared to the ODLC service, which was particularly evident in older adults requiring support.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAmbulatory CareAsian PeopleDementiaFemaleHome Care ServicesHumansInsurance, Long-Term CareJapanLong-Term CareMaleOutpatientsPropensity ScoreRetrospective StudiesgeriatrichealthcareLong-term care insuranceoutpatient day long-term careoutpatient rehabilitation

Identifiers

PMID30974921
PMCPMC6480242

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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.