Evidence map›Paper›PMID 33905514›Full record

ArticlePain medicine (Malden, Mass.)2021

Predicting Recurrent Care Seeking of Physical Therapy for Musculoskeletal Pain Conditions.

Steven Z George, Anna Giczewska, Brooke Alhanti, Adam D Lutz, Ellen Shanley, Charles A Thigpen, Nrupen A Bhavsar

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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.

Steven Z GeorgeDepartment of Orthopaedic Surgery.ORCID 0000-0003-4988-9421
Anna GiczewskaDuke Clinical Research Institute.
Brooke AlhantiDuke Clinical Research Institute.
Adam D LutzATI Physical Therapy, Chicago, Illinois, USA.
Ellen ShanleyATI Physical Therapy, Chicago, Illinois, USA.
Charles A ThigpenATI Physical Therapy, Chicago, Illinois, USA.
Nrupen A BhavsarDivision of General Internal Medicine, Duke University, Durham, North Carolina.

Funding

Addressing Bias from Missing Data in EHR Based Studies of CVDK01HL140146 · NHLBI · DUKE UNIVERSITY · PI BHAVSAR, NRUPEN · 2018 to 2022
$829k
NHLBI NIH HHS K01 HL140146
6 · The paper itself

Abstract

objectiveMusculoskeletal pain conditions are a leading cause of pain and disability internationally and a common reason to seek health care. Accurate prediction of recurrence of health care seeking due to musculoskeletal conditions could allow for better tailoring of treatment. The aim of this project was to characterize patterns of recurrent physical therapy seeking for musculoskeletal pain conditions and to develop a preliminary prediction model to identify those at increased risk of recurrent care seeking.

designRetrospective cohort.

settingAmbulatory care. SUBJECTS: Patients (n = 578,461) seeking outpatient physical therapy (United States).

methodsPotential predictor variables were extracted from the electronic medical record, and patients were placed into three different recurrent care categories. Logistic regression models were used to identify individual predictors of recurrent care seeking, and the least absolute shrinkage and selection operator (LASSO) was used to develop multivariate prediction models.

resultsThe accuracy of models for different definitions of recurrent care ranged from 0.59 to 0.64 (c-statistic), and individual predictors were identified from multivariate models. Predictors of increased risk of recurrent care included receiving workers' compensation and Medicare insurance, having comorbid arthritis, being postoperative at the time of the first episode, age range of 44-64 years, and reporting night sweats or night pain. Predictors of decreased risk of recurrent care included lumbar pain, chronic injury, neck pain, pregnancy, age range of 25-44 years, and smoking.

conclusionThis analysis identified a preliminary predictive model for recurrence of care seeking of physical therapy, but model accuracy needs to improve to better guide clinical decision-making.

Indexed as

Musculoskeletal PainAdultAgedCohort StudiesHumansMedicareMiddle AgedPhysical Therapy ModalitiesRetrospective StudiesUnited States

Identifiers

PMID33905514
PMCPMC8502462

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.