Evidence map›Paper›PMID 37150426›Full record

ArticleArchives of physical medicine and rehabilitation2023

Utilization and Cost of Outpatient Rehabilitation Services for Pediatric Patients Treated for Acute Lymphoblastic Leukemia Using a Commercial Claims Database.

Laura Gilchrist, Lynn Tanner, Mike Finch, Dave Watson, Alex Hoover, Lucie Turcotte, Yoav Messinger

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Laura GilchristCancer and Blood Disorder Program, Children's Minnesota, Minneapolis, MN; Doctor of Physical Therapy Program, St. Catherine University, St. Paul, MN. Electronic address: lsgilchrist@stkate.edu.
Lynn TannerCancer and Blood Disorder Program, Children's Minnesota, Minneapolis, MN.
Mike FinchCancer and Blood Disorder Program, Children's Minnesota, Minneapolis, MN.
Dave WatsonCancer and Blood Disorder Program, Children's Minnesota, Minneapolis, MN.
Alex HooverUniversity of Minnesota Medical School, Minneapolis, MN.
Lucie TurcotteUniversity of Minnesota Medical School, Minneapolis, MN.
Yoav MessingerCancer and Blood Disorder Program, Children's Minnesota, Minneapolis, MN.
Children’s Minnesota - St. Paul Hospital · USUniversity of Minnesota Medical Center · US

Funding

Translational Pediatric Cancer Epidemiology Research Training GrantT32CA099936 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Logan G. Spector · 2004 to 2026
$5.1M
Treatment Modifications, Outcomes and Provider Decision Making in the Management of Subsequent Breast Cancers Among Survivors of Childhood CancerK08CA234232 · NCI · UNIVERSITY OF MINNESOTA · PI TURCOTTE, LUCIE MARIE · 2018 to 2021
$714k
NCI NIH HHS K08 CA234232NCI NIH HHS T32 CA099936
6 · The paper itself

Abstract

objectiveTo investigate the temporal trends and factors associated with outpatient rehabilitation utilization and costs for pediatric acute lymphoblastic leukemia (ALL).

designDeidentified administrative claims data and longitudinal health information on patients representing a mixture of ages, ethnicities, and geographic regions across the United States were accessed using Optum Labs Data Warehouse. Regression models were constructed to assess associations of outpatient rehabilitation with age, sex, race and ethnicity, year of diagnosis, and region.

settingOutpatient rehabilitation.

participants1000 Patients aged 1-30 years with a new diagnosis of ALL between 1993 and 2017 and continuous insurance coverage (N=1000).

interventionNot applicable.

main outcome measuresOutpatient rehabilitation service utilization and cost based on reimbursed charge codes, summarized over 36 months after cancer diagnosis.

resultsIn 1000 patients, utilization of outpatient rehabilitation services increased from 20% in 1993-2002 to 55% in 2013-2017. In the earliest era examined, physical and/or occupational therapy was provided to 18% and increased to 54% in the latest years. Speech service utilization remained between 5%-8% across timepoints. Inflation-adjusted cost for provision of services did not change significantly across time and remained low, accounting for a median of 1.3% (Q1, Q3 0.3, 3.4) of total treatment cost in 1993-2002 and decreasing to a median 0.4% (Q1, Q3, 0.1, 1.0) in 2013-2017. Age 1 to 5 years at ALL diagnosis was associated with increased rehabilitation visit number and cost, and treatment in the Midwest was associated with increased likelihood of outpatient rehabilitation service utilization compared to other geographic regions.

conclusionsOutpatient rehabilitation services are being increasingly provided to patients with ALL at a relatively low cost per patient, yet geographic variability in care utilization is evident. These services do not add excessively to the overall cost of leukemia care and thus cost containment should not be an excuse to limit access.

Indexed as

OutpatientsPrecursor Cell Lymphoblastic Leukemia-LymphomaAmbulatory CareChildHealth Care CostsHumansRetrospective StudiesUnited StatesChildhood cancerRehabilitationSupportive care

Identifiers

PMID37150426
PMCPMC10625645
OpenAlexW4372294705

What OpenQuestion holds

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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.