Evidence map›Paper›PMID 35428256›Full record

ArticleBMC musculoskeletal disorders2022

Associations between quality of health care and clinical outcomes in patients with rheumatic and musculoskeletal diseases: a rehabilitation cohort study.

Anne-Lene Sand-Svartrud, Gunnhild Berdal, Maryam Azimi, Ingvild Bø, Turid Nygaard Dager, Siv Grødal Eppeland, Guro Ohldieck Fredheim, Anne Sirnes Hagland, Åse Klokkeide, Anita Dyb Linge and 6 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03102814 (The BRIDGE Trial), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% 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.

NCT03102814 nacompletednot on this map

The BRIDGE Trial: A Multicenter RCT to Improve Continuity and Quality in Rehabilitation of People With Rheumatic and Musculoskeletal Diseases

TypeinterventionalSponsorNational Resource Center for Rehabilitation in RheumatologyRan2017 to 2019Enrolled381ConditionsMusculoskeletal DiseaseArmsCurrent rehabilitation, The BRIDGE program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Moving forward, leaving the patients behind? A multilevel assessment framework for evaluating patient-centred, integrated care quality.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Review
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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

16 authors at 3 institutions in 1 country.

Anne-Lene Sand-SvartrudNational Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway. anne-lene.svartrud@diakonsyk.no.
Gunnhild BerdalNational Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway.
Maryam AzimiPatient Advisory Board, Division of Rheumatology and Research Diakonhjemmet Hospital, Oslo, Norway.
Ingvild BøHospital for Rheumatic Diseases Lillehammer, Margrethe Grundtvigs veg 6, N-2609, Lillehammer, Norway.
Turid Nygaard DagerNational Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway.
Siv Grødal EppelandSørlandet Hospital Arendal, PO Box 416, Lundsiden, N-4604, Kristiansand, Norway.
Guro Ohldieck FredheimVikersund Rehabilitation Centre, Haaviks vei 25, N-3370, Vikersund, Norway.
Anne Sirnes HaglandHospital for Rheumatic Diseases Haugesund, PO Box 2175, N-5504, Haugesund, Norway.
Åse KlokkeideRehabilitering Vest Rehabilitation Centre, PO Box 2175,, N-5504, Haugesund, Norway.
Anita Dyb LingeMuritunet Rehabilitation Centre, Grandedata 58, N-6210, Valldal, Norway.
Joseph SextonDivision of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway.
Kjetil TennebøValnesfjord Health Sports Centre, Østerkløftveien 249, N-8215, Valnesfjord, Norway.
Helene Lindtvedt ValaasVikersund Rehabilitation Centre, Haaviks vei 25, N-3370, Vikersund, Norway.
Kristin MjøsundMeråker Rehabilitation Centre, Østigardsveien 24, N-7530, Meråker, Norway.
Hanne DagfinrudNational Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway.
Ingvild KjekenNational Advisory Unit on Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23, Vinderen, N-0319, Oslo, Norway.
Diakonhjemmet Hospital · NOPrivatsykehuset Haugesund · NOSørlandet Hospital Arendal · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe quality of provided health care may be an important source of variation in rehabilitation outcomes, increasing the interest in associations between quality indicators (QIs) and improved patient outcomes. Therefore, we examined the associations between the quality of rehabilitation processes and subsequent clinical outcomes among patients with rheumatic and musculoskeletal diseases (RMDs).

methodsIn this multicentre prospective cohort study, adults with RMDs undergoing multidisciplinary rehabilitation at eight participating centres reported the quality of rehabilitation after 2 months and outcomes after 2, 7, and 12 months. We measured perceived quality of rehabilitation by 11 process indicators that cover the domains of initial assessments, patient participation and individual goal-setting, and individual follow-up and coordination across levels of health care. The patients responded "yes" or "no" to each indicator. Scores were calculated as pass rates (PRs) from 0 to 100% (best score). Clinical outcomes were goal attainment (Patient-Specific Functional Scale), physical function (30 s sit-to-stand test), and health-related quality of life (EuroQoL 5D-5L). Associations between patient-reported quality of care and each outcome measure at 7 months was analysed by linear mixed models.

resultsA total of 293 patients were enrolled in this study (mean age 52 years, 76% female). Primary diagnoses were inflammatory rheumatic disease (64%), fibromyalgia syndrome (18%), unspecific neck, shoulder, or low back pain (8%), connective tissue disease (6%), and osteoarthritis (4%). The overall median PR for the process indicators was 73% (range 11-100%). The PR was lowest (median 40%) for individual follow-up and coordination across levels of care. The mixed model analyses showed that higher PRs for the process indicators were not associated with improved goal attainment or improved physical function or improved health-related quality of life.

conclusionsThe quality of rehabilitation processes was not associated with important clinical outcomes. An implication of this is that measuring only the outcome dimension of quality may result in incomplete evaluation and monitoring of the quality of care, and we suggest using information from both the structure, process, and outcome dimensions to draw inferences about the quality, and plan future quality initiatives in the field of complex rehabilitation.

trial registrationThe study is part of the larger BRIDGE trial (ClinicalTrials.gov NCT03102814 ).

Indexed as

Musculoskeletal DiseasesQuality of LifeAdultCohort StudiesDelivery of Health CareFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeHealth services researchMusculoskeletal diseaseQuality indicatorsQuality of health careRehabilitation

Identifiers

PMID35428256
PMCPMC9011960
OpenAlexW4224101304

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.