Evidence map›Paper›PMID 33812884›Full record

ArticleArchives of physical medicine and rehabilitation2021

Relationship Between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery After Hip Replacement.

Brian Downer, Timothy A Reistetter, Yong-Fang Kuo, Shuang Li, Amol Karmarkar, Ickpyo Hong, James S Goodwin, Kenneth J Ottenbacher

Abstract read
In one paragraph

Article in Archives of physical medicine and 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. Trial
  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

8 authors.

Brian DownerUniversity of Texas Medical Branch, School of Health Professions, Division of Rehabilitation Sciences, Galveston, TX; University of Texas Medical Branch, Sealy Center on Aging, Galveston, TX. Electronic address: brdowner@utmb.edu.
Timothy A ReistetterUniversity of Texas Health Science Center at San Antonio, School of Health Professions, Department of Occupational Therapy, San Antonio, TX.
Yong-Fang KuoUniversity of Texas Medical Branch, Sealy Center on Aging, Galveston, TX; University of Texas Medical Branch, Preventive Medicine and Population Health, Office of Biostatistics, Galveston, TX.
Shuang LiUniversity of Texas Medical Branch, Sealy Center on Aging, Galveston, TX.
Amol KarmarkarVirginia Commonwealth University, School of Medicine, Department of Physical Medicine and Rehabilitation, Richmond, VA.
Ickpyo HongYonsei University, College of Health Sciences, Department of Occupational Therapy, Seoul, Korea.
James S GoodwinUniversity of Texas Medical Branch, Sealy Center on Aging, Galveston, TX; University of Texas Medical Branch, Department of Internal Medicine, Division of Geriatrics, Galveston, TX.
Kenneth J OttenbacherUniversity of Texas Medical Branch, School of Health Professions, Division of Rehabilitation Sciences, Galveston, TX; University of Texas Medical Branch, Sealy Center on Aging, Galveston, TX.

Funding

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
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
Hospital Readmission and Inpatient Medical RehabilitationR01HD069443 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2012 to 2015
$927k
Comparing Access and Effectiveness of Post-Acute Care Settings Among Medicare BeneficiariesK01HD086290 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI KARMARKAR, AMOL · 2016 to 2020
$636k
Improvement in Patients' Cognition and Relationship with SNF Quality MeasuresK01AG058789 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI DOWNER, BRIAN GREGORY · 2019 to 2023
$613k
Academic Leadership Award in Data Science and DiscoveryK07AG064031 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI KUO, YONG-FANG · 2020 to 2020
$135k
NIA NIH HHS K01 AG058789NIA NIH HHS K07 AG064031NIA NIH HHS P30 AG024832NICHD NIH HHS K01 HD086290NICHD NIH HHS K12 HD055929NICHD NIH HHS P2C HD065702NICHD NIH HHS R01 HD069443NICHD NIH HHS R24 HD065702
6 · The paper itself

Abstract

objectiveTo determine whether patients with a total or partial hip replacement admitted to a skilled nursing facility (SNF) after the improvement in function quality measure was added to Nursing Home Compare in July 2016 have greater physical recovery than patients admitted before July 2016.

designPre (January 1, 2015-June 30, 2016) vs post (July 1, 2016-December 31, 2017) design.

settingSkilled nursing facilities (n=12,829).

participantsMedicare fee-for-service beneficiaries (N=106,832) discharged from acute hospitals to SNF after hip replacement between January 1, 2015 and December 31, 2017.

interventionsNot applicable.

main outcome measuresThe 5- and 14-day minimum data set assessments were used to calculate total scores for the quality measure, self-care, mobility, and balance. We calculated the average adjusted change per 10 days and any improvement between the 5- and 14-day assessments.

resultsThe average adjusted change per 10 days for the quality measure total score for patients admitted before July 2016 and after July 2016 was 1.00 points (standard error, 0010) and 1.06 points (standard error, 0.010), respectively (P<.01). This was a relative increase of 6.0%. Among patients admitted to a SNF before July 2016, 44.4% (standard error, 0.06) had any improvement in the quality measure total score compared with 45.5% (standard error, 0.23) of patients admitted after July 2016 (P<.01). This was a relative increase of 2.5%. The adjusted change per 10 days and percentage of patients who had any improvement in the total scores for self-care, mobility, and balance were all significantly higher after July 2016.

conclusionsPatients admitted to a SNF after a hip replacement after July 2016 had greater physical recovery than patients admitted before the improvement in function quality measure was added to Nursing Home Compare.

Indexed as

Quality Indicators, Health CareSkilled Nursing FacilitiesAgedAged, 80 and overArthroplasty, Replacement, HipFemaleHumansMaleMedicareRecovery of FunctionUnited StatesArthroplastyNursing homesQuality of health careRehabilitationSkilled nursing facilities

Identifiers

PMID33812884
PMCPMC8429053

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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.