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Associations Between Relative Value Units and Patient-Reported Back Pain and Disability

View Article: PubMed Central - PubMed

ABSTRACT

Objective:method:results:discussion:: To describe associations between health care utilization measures and patient-reported outcomes (PROs). Primary data were collected from patients ≥65 years with low back pain visits from 2011 to 2013. Six PROs of pain and functionality were collected 12 and 24 months after the index visits and total and spine-specific relative value units (RVUs) from electronic health records were tabulated over 1 year. We calculated correlation coefficients between RVUs and 12- and 24-month PROs and conducted linear regressions with each 12- and 24-month PRO as the outcome variables and RVUs as predictors of interest. We observed very weak correlations between worse PROs at 12 and 24 months and greater 12-month utilization. In regression analyses, we observed slight associations between greater utilization and worse 12- and 24-month PROs. We found that 12-month health care utilization is not strongly associated with PROs at 12 or 24 months.

No MeSH data available.


Related in: MedlinePlus

Study population with exclusion criteria.Note. BOLD = Back Pain Outcomes Using Longitudinal Data.
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fig1-2333721416686019: Study population with exclusion criteria.Note. BOLD = Back Pain Outcomes Using Longitudinal Data.

Mentions: The cohort for the 12-month analyses was comprised of 4,361 patients and, for the 24-month analyses, 3,754 patients. We excluded 878 (17%) patients from the 12-month analyses and 607 (12%) additional patients from the 24-month analysis because of missing follow-up assessments (and, therefore, missing the main PROs of this analysis), death, withdrawal, unavailable EHR data, or because they had lumbar surgery or visits for cancer in the year prior to their index visits (Figure 1).


Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
Study population with exclusion criteria.Note. BOLD = Back Pain Outcomes Using Longitudinal Data.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC5384601&req=5

fig1-2333721416686019: Study population with exclusion criteria.Note. BOLD = Back Pain Outcomes Using Longitudinal Data.
Mentions: The cohort for the 12-month analyses was comprised of 4,361 patients and, for the 24-month analyses, 3,754 patients. We excluded 878 (17%) patients from the 12-month analyses and 607 (12%) additional patients from the 24-month analysis because of missing follow-up assessments (and, therefore, missing the main PROs of this analysis), death, withdrawal, unavailable EHR data, or because they had lumbar surgery or visits for cancer in the year prior to their index visits (Figure 1).

View Article: PubMed Central - PubMed

ABSTRACT

Objective:method:results:discussion:: To describe associations between health care utilization measures and patient-reported outcomes (PROs). Primary data were collected from patients ≥65 years with low back pain visits from 2011 to 2013. Six PROs of pain and functionality were collected 12 and 24 months after the index visits and total and spine-specific relative value units (RVUs) from electronic health records were tabulated over 1 year. We calculated correlation coefficients between RVUs and 12- and 24-month PROs and conducted linear regressions with each 12- and 24-month PRO as the outcome variables and RVUs as predictors of interest. We observed very weak correlations between worse PROs at 12 and 24 months and greater 12-month utilization. In regression analyses, we observed slight associations between greater utilization and worse 12- and 24-month PROs. We found that 12-month health care utilization is not strongly associated with PROs at 12 or 24 months.

No MeSH data available.


Related in: MedlinePlus