Evidence map›Paper›PMID 36301608›Full record

ArticleJMIR rehabilitation and assistive technologies2022

Web-Based System to Capture Consistent and Complete Real-world Data of Physical Therapy Interventions Following Total Knee Replacement: Design and Evaluation Study.

Patricia D Franklin, Carol A Oatis, Hua Zheng, Marie D Westby, Wilfred Peter, Jeremie Laraque-Two Elk, Joseph Rizk, Ellen Benbow, Wenjun Li

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2022. 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
0.2field-weighted citation impact, top 46% 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, 1 citations in OpenAlex.

  1. Article
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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

9 authors at 8 institutions in 3 countries.

Patricia D FranklinDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4441-0533
Carol A OatisArcadia University, Glenside, PA, United States.ORCID https://orcid.org/0000-0002-4874-6392
Hua ZhengDepartment of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, MA, United States.ORCID https://orcid.org/0000-0002-0632-161X
Marie D WestbyCentre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0003-2547-8441
Wilfred PeterDepartment of Orthopedics, Rehabilitation, and Physical Therapy, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0003-1456-2429
Jeremie Laraque-Two ElkHealthPRO Heritage, Bellevue, WA, United States.ORCID https://orcid.org/0000-0003-1914-1877
Joseph RizkCascade Rehabilitation Associates, Everett, WA, United States.ORCID https://orcid.org/0000-0002-1941-4516
Ellen BenbowMagee Rehabilitation Hospital, Philadelphia, PA, United States.ORCID https://orcid.org/0000-0002-3931-5347
Wenjun LiDepartment of Public Health, University of Massachusetts-Lowell, Lowell, MA, United States.ORCID https://orcid.org/0000-0001-5335-7386
Arcadia University · USCascade (United States) · USLeiden University Medical Center · NLMagee Rehabilitation Hospital · USNorthwestern University · USUniversity of Massachusetts Chan Medical School · USUniversity of Massachusetts Lowell · USVancouver Coastal Health · CA

Funding

Defining Components of Physical Therapy Achieving Maximum Function after TKRR01AR071048 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FRANKLIN, PATRICIA D · 2017 to 2019
$673k
NIAMS NIH HHS R01 AR071048
6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) have the potential to facilitate consistent clinical data capture to support excellence in patient care, quality improvement, and knowledge generation. Despite widespread EHR use, the vision to transform health care system and its data to a "learning health care system" generating knowledge from real-world data is limited by the lack of consistent, structured clinical data.

objectiveThe purpose of this paper was to demonstrate the design of a web-based structured clinical intervention data capture system and its evaluation in practice. The use case was ambulatory physical therapy (PT) treatment after total knee replacement (TKR), one of the most common and costly procedures today.

methodsTo identify the PT intervention type and intensity (or dose) used to treat patients with knee arthritis following TKR, an iterative user-centered design process refined an initial list of PT interventions generated during preliminary chart reviews. Input from practicing physical therapists and national and international experts refined and categorized the interventions. Next, a web-based, hierarchical structured system for intervention and intensity documentation was designed and deployed.

resultsThe PT documentation system was implemented by 114 physical therapists agreeing to record all interventions at patient visits. Data for 161 patients with 2615 PT visits were entered by 83 physical therapists. No technical problems with data entry were reported, and data entry required less than 2 minutes per visit. A total of 42 (2%) interventions could not be categorized and were recorded using free text.

conclusionsThe use of user-centered design principles provides a road map for developing clinically feasible data capture systems that employ structured collection of uniform data for use by multiple practitioners across institutions to complement and augment existing EHRs. Secondarily, these data can be analyzed to define best practices and disseminate knowledge to practice.

Indexed as

clinical interventiondataelectronic health recordskneeknee replacementphysical therapyreal-world datareal-world evidencestructured datatherapytotal knee replacementweb-based clinical data capture

Identifiers

PMID36301608
PMCPMC9650563
OpenAlexW4292234404

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.