Evidence map›Paper›PMID 41549769›Full record

ArticleACR open rheumatology2026

Rehabilitation Referral in Rheumatology: Insights From the RISE Registry.

Astia Allenzara, Jing Li, Gabriela Schmajuk, Samannaaz S Khoja, Louise M Thoma

Abstract read
In one paragraph

Article in ACR open rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Astia AllenzaraDivision of Rheumatology, Allergy and Immunology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID https://orcid.org/0000-0003-2212-009X
Jing LiDepartment of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, California.ORCID https://orcid.org/0000-0002-3298-2112
Gabriela SchmajukDepartment of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, California.ORCID https://orcid.org/0000-0003-2687-5043
Samannaaz S KhojaDepartment of Physical Therapy, School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0003-4312-3441
Louise M ThomaThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID https://orcid.org/0000-0002-3077-0423

Funding

UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Amanda E Nelson · 2019 to 2026
$6.1M
Helping Adults with RA PREVAIL: Developing a model to Preserve Valued Activities In LifeK23AR079037 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THOMA, LOUISE M. · 2021 to 2025
$663k
The Rheumatic and Musculoskeletal Disease Epidemiology and Outcomes Training Program at the University of North CarolinaT32AR082310 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2024 to 2026
$616k
NIAMS NIH HHS K23 AR079037NIAMS NIH HHS K23AR079037NIAMS NIH HHS L30 AR074207NIAMS NIH HHS L30AR074207NIAMS NIH HHS L30 AR084776NIAMS NIH HHS L30AR084776NIAMS NIH HHS P30 AR072580NIAMS NIH HHS P30AR072580NIAMS NIH HHS T32 AR082310
6 · The paper itself

Abstract

objectiveThe aim was to describe the percentage of patients with axial spondyloarthritis (axSpA), rheumatoid arthritis (RA), and systemic lupus erythematosus (SLE) in the Rheumatology Informatics System for Effectiveness (RISE) Registry who received a rehabilitation referral.

methodsData were derived from RISE, an electronic health record enabled registry of approximately 30% of the US clinical rheumatology workforce. Practices were eligible if there was at least one patient record indicating a referral to rehabilitation (physical or occupational therapy) in any plan of care. Patients from eligible practices were included if they were ≥18 years old, had two or more qualifying International Classification of Disease (ICD) codes for axSpA, RA, or SLE at least 30 days apart, and had at least one visit in 2022. The primary outcome was percentage of patients with at least one rehabilitation referral documented in 2022 and at any time, reported by patient and practice characteristics.

resultsA total of 20,574 adult patients with axSpA, 198,517 with RA, and 37,060 with SLE were identified. In 2022, 4.4%, 2.7%, and 2.6% of patients with axSpA, RA, and SLE were referred to rehabilitation at least once, whereas 11.8%, 9.2%, and 8.7% of these patients received a referral to rehabilitation at any time, respectively. Among practices, 52%, 61%, and 60% of practices referred <1% of patients with axSpA, RA, and SLE to rehabilitation in 2022.

conclusionRehabilitation referral from rheumatology practices was low, with considerable variation across practices. The strength of recommendations for rehabilitation in treatment guidelines seem to have limited impact on referral practices.

Identifiers

PMID41549769
PMCPMC12813549

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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.