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Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care.

Publication ,  Journal Article
Green, CE; Pastore, A; Cronley, L; Walker, MD; Thigpen, CA; Cook, CE; Givens, DL
Published in: J Back Musculoskelet Rehabil
2019

BACKGROUND: Direct access physical therapy (DAPT) may result in improved patient outcomes and reduced healthcare costs. Prognostic factors associated with spine-related outcomes and insurance claims with DAPT are needed. OBJECTIVE: To identify factors that predict variations in outcomes for spine pain and insurance claims using DAPT. METHODS: Individuals (N = 250) with spine pain were analyzed. Outcomes were classified into High, Low, or Did Not Meet minimal clinically important difference (MCID) scores. Claims were categorized into low, medium, or high tertiles. Prognostic variables were identified from patient information. RESULTS: Females were more likely to meet High MCID (odds ratio [OR] 2.84 (95% CI = 1.32, 6.11) and Low MCID (OR 2.86, 95% CI = 1.34, 6.10). Higher initial ODI/NDI scores were associated with High MCID (OR 1.04, 95% CI = 1.07, 1.22) and Low MCID (OR 0.91, 95% CI = 0.77, 1.07). Odds of a high claim were lowered by the absence of imaging (OR 0.04, 95% CI = 0.02, 0.09) and an active versus passive treatment (OR 0.38, 95% CI = 0.18, 0.80). CONCLUSION: Females and higher initial disability predicted favorable outcomes. The novel introduction of claims into the prognostic modeling supports that active interventions and avoiding imaging may reduce claims.

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Published In

J Back Musculoskelet Rehabil

DOI

EISSN

1878-6324

Publication Date

2019

Volume

32

Issue

5

Start / End Page

769 / 777

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Spine
  • Sex Factors
  • Prognosis
  • Physical Therapy Modalities
  • Pain Measurement
  • Orthopedics
  • Models, Theoretical
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Green, C. E., Pastore, A., Cronley, L., Walker, M. D., Thigpen, C. A., Cook, C. E., & Givens, D. L. (2019). Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care. J Back Musculoskelet Rehabil, 32(5), 769–777. https://doi.org/10.3233/BMR-171074
Green, Christopher E., Anthony Pastore, Leah Cronley, Merritt D. Walker, Charles A. Thigpen, Chad E. Cook, and Deborah L. Givens. “Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care.J Back Musculoskelet Rehabil 32, no. 5 (2019): 769–77. https://doi.org/10.3233/BMR-171074.
Green CE, Pastore A, Cronley L, Walker MD, Thigpen CA, Cook CE, et al. Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care. J Back Musculoskelet Rehabil. 2019;32(5):769–77.
Green, Christopher E., et al. “Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care.J Back Musculoskelet Rehabil, vol. 32, no. 5, 2019, pp. 769–77. Pubmed, doi:10.3233/BMR-171074.
Green CE, Pastore A, Cronley L, Walker MD, Thigpen CA, Cook CE, Givens DL. Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care. J Back Musculoskelet Rehabil. 2019;32(5):769–777.

Published In

J Back Musculoskelet Rehabil

DOI

EISSN

1878-6324

Publication Date

2019

Volume

32

Issue

5

Start / End Page

769 / 777

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Spine
  • Sex Factors
  • Prognosis
  • Physical Therapy Modalities
  • Pain Measurement
  • Orthopedics
  • Models, Theoretical
  • Middle Aged
  • Male