Evidence map›Paper›PMID 33339716›Full record

ArticleParkinsonism & related disorders2021

Patterns and predictors of referrals to allied health services for individuals with Parkinson's disease: A Parkinson's foundation (PF) QII study.

Angela C Roberts, Miriam R Rafferty, Samuel S Wu, Guanhuong Miao, Fernando Cubillos, Tanya Simuni, Parkinson's Foundation Quality Improvement Initiative Investigators Steering Committee Members, PF QII Principal Investigators

Open access · greenAbstract readClinical StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Parkinsonism & related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
0.9field-weighted citation impact, top 21% of its field
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

29 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Review
  3. Physical Activity and Exercise for People with Parkinson's Disease: The Past, Present, and Future.Movement disorders : official journal of the Movement Disorder Society · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. 'It Would've Been Nice to Know About Allied Health Earlier': Insights From People With Parkinson's Disease.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Frontiers in sports and active living · 2025
    Article
  16. Article
  17. Breaking barriers in Parkinson's care: the multidisciplinary team approach.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Angela C RobertsRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, 2240 Campus Drive, Evanston, IL, 60025, USA. Electronic address: angela.roberts@northwestern.edu.
Miriam R RaffertyShirley Ryan AbilityLab, Northwestern University Department of Physical Medicine and Rehabilitation and Department of Psychiatry and Behavioral Science, 355 E Erie St. 19th Floor, Chicago, IL, 60611, USA. Electronic address: mrafferty@sralab.org.
Samuel S WuDepartment of Biostatistics, College of Public Health & Health Professions College of Medicine, University of Florida, 2004 Mowry Rd P.O. Box 117450, Gainesville, FL, 32611, USA.
Guanhuong MiaoDepartment of Biostatistics, College of Public Health & Health Professions College of Medicine, University of Florida, 2004 Mowry Rd P.O. Box 117450, Gainesville, FL, 32611, USA.
Fernando CubillosParkinson's Foundation, 200 SE 1st Street Ste 800, Miami, FL, 33131, USA.
Tanya SimuniFeinberg School of Medicine, Department of Neurology, Northwestern University Parkinson's Disease and Movement Disorders Center, Room 1900, NMH/259 E Erie, Chicago, IL, 60611, USA.
Parkinson's Foundation Quality Improvement Initiative Investigators Steering Committee Members
PF QII Principal Investigators
Northwestern University · USParkinson's Foundation · USUniversity of Florida · USShirley Ryan AbilityLab · US

Funding

Phase 2 Development of a Spoken Language Biomarker of Cognitive Impairment in Parkinson's DiseaseR21DC017255 · NIDCD · NORTHWESTERN UNIVERSITY · PI ROBERTS, ANGELA CHRISTINE · 2019 to 2021
$489k
Physical Therapy Delivery Models for Long-Term Parkinsons Disease ManagementF32HS025077 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RAFFERTY, MIRIAM ROSE · 2016 to 2017
$137k
AHRQ HHS F32 HS025077NIDCD NIH HHS R21 DC017255
6 · The paper itself

Abstract

introductionRehabilitation therapies are critical for optimizing quality-of-life and daily functions for individuals living with Parkinson's disease (PD). Thus, understanding the patterns of and under what conditions physicians make rehabilitation referrals is important for optimizing care.

methodWe analyzed data from 5020 participants (4 countries) collected from 1/3/2016 to 4/20/2018 as part of the Parkinson's Foundation Quality Improvement Initiative (PF QII). Data were analyzed for single discipline and multidiscipline referrals to speech language pathology (SLP), physical therapy (PT), and occupational therapy (OT). Group comparisons (referred vs. not-referred) and regression procedures were implemented to determine demographic and clinical variables that were associated with an increased likelihood of rehabilitation referral.

results35.3% of participants were referred to rehabilitation services. Of these, 25.1% received a multidiscipline referral. There was a statistically significant effect of disease stage on both single discipline (χ

conclusionsDespite evidence supporting multidiscipline and proactive rehabilitation in PD, the majority of referrals were made to a single service and may be reactions to falls or advancing disease. Data suggest there may be missed opportunities for optimizing care through proactive rehabilitation interventions.

Indexed as

AgedAmbulatory Care FacilitiesFemaleHumansLanguage TherapyMaleMiddle AgedNeurological RehabilitationOccupational TherapyParkinson DiseasePhysical Therapy ModalitiesProspective StudiesQuality ImprovementReferral and ConsultationAllied healthExpert care centersOccupational therapyOTParkinson's diseasePhysical therapyPhysiotherapyPTReferralsRehabilitationSLPSpeech language pathologySpeech therapyUtilization

Identifiers

PMID33339716
PMCPMC11283279
OpenAlexW3110588810

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.