Evidence map›Paper›PMID 33522593›Full record

ArticlePhysical therapy2021

Outpatient Physical Therapy Use Following Tibial Fractures: A Retrospective Commercial Claims Analysis.

Kevin H McLaughlin, Lisa M Reider, Renan C Castillo, James R Ficke, Joseph F Levy

Open access · hybridAbstract read
In one paragraph

Article in Physical therapy, 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
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  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

5 authors at 1 institution in 1 country.

Kevin H McLaughlinJohns Hopkins University School of Medicine, Physical Medicine and Rehabilitation, Baltimore, Maryland, USA.ORCID 0000-0002-5957-0935
Lisa M ReiderJohns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland, USA.
Renan C CastilloJohns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland, USA.
James R FickeJohns Hopkins University School of Medicine, Orthopaedic Surgery, Baltimore, Maryland, USA.
Joseph F LevyJohns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland, USA.
Johns Hopkins University · US

Funding

Training In Orthopaedic Team ScienceT32AR067708 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI JONES, LYNNE C., SHAFIQ, BABAR · 2015 to 2024
$2.0M
NIAMS NIH HHS T32 AR067708
6 · The paper itself

Abstract

objectiveThe purpose of this study was to characterize outpatient physical therapy (OPT) use following tibial fractures and examine the variability of OPT attendance, time of initiation, number of visits, and length of care by patient, injury, and treatment factors. In the absence of clinical guidelines, results will guide future efforts to optimize OPT following tibial fractures.

methodsThis study used 2016 to 2017 claims from the IBM MarketScan Commercial Claims Research Database. The cohort included 9079 patients with International Classification of Diseases: Tenth Revision (ICD-10) diagnosis codes for tibial fractures. Use in the year following initial fracture management was determined using Current Procedural Terminology codes. Differences in use were examined using χ2 tests, t tests, and Kruskal-Wallace tests.

resultsSixty-seven percent of patients received OPT the year following fracture. OPT attendance was higher in female patients, in patients with 1 or no major comorbidity, and in the western United States. Attendance was higher in patients with upper tibial fractures, moderate-severity injuries, and treatment with external fixation and in patients discharged to an inpatient rehabilitation facility. Patients started OPT on average [SD] 50 [52.6] days after fracture and attended 18 [16.1] visits over the course of 101 [86.4] days. The timing of OPT, the number of visits attended, and the length of OPT care varied by patient, injury, and treatment-level factors.

conclusionsOne-third of insured patients do not receive OPT following tibial fracture. The timing of OPT initiation, the length of OPT care, and the number of visits attended by patients with tibial fractures were highly variable. Further research is needed to standardize referral and prescription practices for OPT following tibial fractures. IMPACT: OPT use varies based on patient, injury, and treatment-level factors following tibial fractures. Results from this study can be used to inform future efforts to optimize rehabilitation care for patients with tibial fractures.

Indexed as

AdolescentAdultAmbulatory CareFemaleHumansInsurance Claim ReviewMaleMiddle AgedPhysical Therapy ModalitiesRetrospective StudiesTibial FracturesYoung AdultClaims AnalysisFracturesOrthopedicsTrauma

Identifiers

PMID33522593
PMCPMC8152919
OpenAlexW3129070328

What OpenQuestion holds

Textmetadata
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.