Evidence map›Paper›PMID 32858537›Full record

ArticleAmerican journal of physical medicine & rehabilitation2021

Understanding Variation in Postacute Care: Developing Rehabilitation Service Areas Through Geographic Mapping.

Timothy A Reistetter, Karl Eschbach, John Prochaska, Daniel C Jupiter, Ickpyo Hong, Allen M Haas, Kenneth J Ottenbacher

Abstract readComparative Study
In one paragraph

Article in American journal of physical medicine & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

7 authors.

Timothy A ReistetterFrom the Department of Occupational Therapy, University of Texas Health Science Center at San Antonio, School of Health Professions, San Antonio, Texas (TAR); Department of Preventive Medicine and Population Health, University of Texas Medical Branch, School of Medicine, Galveston, Texas (KE, JP, DCJ, AMH); Department of Occupational Therapy, Yonsei University, College of Health Sciences, Gangwon-do, Republic of Korea (IH); and Division of Rehabilitation Sciences, University of Texas Medical Branch, School of Health Professions, Galveston, Texas (KJO).
Karl Eschbach
John Prochaska
Daniel C Jupiter
Ickpyo Hong
Allen M Haas
Kenneth J Ottenbacher

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2015 to 2019
$5.2M
Development and Evaluation of Rehabilitation Service AreasR01HS024711 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI REISTETTER, TIMOTHY · 2016 to 2019
$1.2M
AHRQ HHS R01 HS024711NCATS NIH HHS UL1 TR001439NIA NIH HHS P30 AG024832NICHD NIH HHS K12 HD055929NICHD NIH HHS P2C HD065702
6 · The paper itself

Abstract

objectiveThe aims of the study were to demonstrate a method for developing rehabilitation service areas and to compare service areas based on postacute care rehabilitation admissions to service areas based on acute care hospital admissions.

designWe conducted a secondary analysis of 2013-2014 Medicare records for older patients in Texas (N = 469,172). Our analysis included admission records for inpatient rehabilitation facilities, skilled nursing facilities, long-term care hospitals, and home health agencies. We used Ward's algorithm to cluster patient ZIP Code Tabulation Areas based on which facilities patients were admitted to for rehabilitation. For comparison, we set the number of rehabilitation clusters to 22 to allow for comparison to the 22 hospital referral regions in Texas. Two methods were used to evaluate rehabilitation service areas: intraclass correlation coefficient and variance in the number of rehabilitation beds across areas.

resultsRehabilitation service areas had a higher intraclass correlation coefficient (0.081 vs. 0.076) and variance in beds (27.8 vs. 21.4). Our findings suggest that service areas based on rehabilitation admissions capture has more variation than those based on acute hospital admissions.

conclusionsThis study suggests that the use of rehabilitation service areas would lead to more accurate assessments of rehabilitation geographic variations and their use in understanding rehabilitation outcomes.

Indexed as

Geographic MappingAgedAged, 80 and overHealth Services AccessibilityHome Care ServicesHumansLong-Term CarePatient AdmissionRehabilitation CentersSkilled Nursing FacilitiesSubacute CareTexas

Identifiers

PMID32858537
PMCPMC8262929

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.