Abstract:
BACKGROUND:Rehabilitation after hip and knee replacement surgery is effective, but cost intensive. To ensure consistent cost-effectiveness across different providers prospective cohort studies on its clinical and economic outcome are recommended. Comparisons alongside suitable outcome quality indicators enable to contrast different providers and--in case of clinically or economically relevant differences--reveal constructive approaches to quality improvement. AIM:Therefore an external benchmarking for posthospital curative treatment after hip and knee arthroplasty between nine inpatient rehabilitation departments in the German Federal Land Rhineland-Palatinate was implemented based on data acquired between 01/2007 and 12/2009. DESIGN:Multi-centre retrospective cohort benchmarking study. SETTING:Inpatient rehabilitation in nine rehabilitation departments POPULATION:A total of 8672 patients after unilateral hip arthroplasty (THA) and 8180 patients after unilateral knee replacement (TKA) surgery were investigated. The median age of the patients after hip arthroplasty varied between 71 and 75 years, after knee arthroplasty between 72 and 75 years. The department-wise proportions of female patients ranged from 62% to 77% (THA) and from 70% to 81% (TKA). METHODS:Data on clinical outcome of inpatient rehabilitation after THA and TKA were documented using the EVAReha® software. As primary indicator of clinical outcome quality the intra-individual pre-post change in the total Staffelstein Index was determined [%], as primary economic indicator the cost-normalized effect estimate (CNEE) was estimated [%/€] relating the individual Staffelstein Index change to a patient's respective direct costs [€] paid by the statutory health insurance. RESULTS:In the nine departments the median Staffelstein index increase after THA ranged between 18% to 31% corresponding to median CNEEs ranging from 9% to 15% Staffelstein increase per €1000 investment of the statutory health (Kruskal/Wallis P<0.001). After TKA the median Staffelstein index increase ranged between 19% to 34% corresponding to median CNEEs ranging from 9% to 16% Staffelstein increase per 1,000 € investment of the statutory health (Kruskal / Wallis P<0.001). CONCLUSION:Inpatient follow-up treatment after hip and after knee replacement surgery demonstrated a statistically significant and both clinically and economically relevant heterogeneity between the departments. Additional exploratory analyses by means of adjustment with further predictors could not resolve these heterogeneities. CLINICAL REHABILITATION IMPACT:Benchmark information on cost effectiveness would enable departments to learn from the "best" and to implement corresponding peer cooperation, to then identify own shortcomings and potentials, and thereby to analyze and optimize local processes.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Baulig C,Grams M,Röhrig B,Linck-Eleftheriadis S,Krummenauer Fsubject
Has Abstractpub_date
2015-12-01 00:00:00pages
803-13issue
6eissn
1973-9087issn
1973-9095pii
R33Y9999N00A150040journal_volume
51pub_type
杂志文章,多中心研究abstract::The World Health Organization's International Classification of Functioning, Disability and Health (ICF) has provided a new foundation for our understanding of health, functioning, and disability. However, different challenges have to be addressed during its implementation process. The objective of this paper is to ad...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2008-09-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the proportion of left and right congenital muscular torticollis (CMT) in both genders and age groups of the patients as well as to evaluate the duration of physical therapy and treatment outcome in observed population. METHODS:In our study, 980 children with CMT without hemato...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract:AIM:Since 2007 we have been focusing our attention to EJPRM as the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field does exist), some reviews in the field of PRM are not easy to find. Consequently, the EJPRM lists and presents...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05501-6
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The growth and popularity of complementary physical therapies for Parkinson's disease (PD) attempt to fill the gap left by conventional exercises, which does not always directly target wellbeing, enjoyment and social participation. AIM:To evaluate the effects of complementary physical therapies on motor per...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Very few studies have investigated the influence of single activities of daily living (ADL) at admission as possible predictors of functional outcome after rehabilitation. AIM:The aim of the current study was to investigate admission functional status and performance of basic ADLs as assessed by Functional ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract::Case reports (CR) have led to the description and discovery of new diseases, syndromes, therapeutic complications or side-effects, and previously unknown potential benefits of pharmacologic agents. CRs may also be used as an effective training strategy for novice authors to develop the skills needed for medical writin...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Turner syndrome (TS) is a sex chromosome abnormality in females characterized by gonadal dysgenesis, short stature and skeletal malformations like kyphosis and scoliosis. AIM:To evaluate the prevalence of scoliosis and its incidence over 4 year follow-up. DESIGN:Consists in two parts: cross sectional study...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION:This paper improves the methodology of the first edition of the rapid living systematic review started in April 2020, with the aim to gather and present the current evidence informing rehabilitation of patients with COVID-19 and/or describing the consequences due to the disease and its treatment. EVIDENCE...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06501-6
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Studies investigating depression and anxiety levels in mothers of children with CP and related factors are limited, and controversial findings are reported in these studies. AIM:The study was aimed to determine depression and anxiety levels in mothers of children with cerebral palsy (CP) and to define facto...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:The influence of spirituality and religious beliefs on health-related quality of life and disability in the rehabilitation field is discussed in literature. AIM:To describe the role of spiritual belief on functional recovery and health-related quality of life in acute inpatient rehabilitation ward. DESIGN:...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) pandemic is quickly spreading, putting under heavy stress health systems worldwide and especially Intensive Care Units (ICU). Rehabilitation Units have a crucial role in reducing disability in order to reintroduce patients in the community. AIM:The aim of this study is to...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06339-X
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Osteoarthritis (OA) is a theme currently representing an emerging topic for its increasing incidence. It is well known that it is a chronic disease that could lead to important long-lasting disability; this generates increasing costs for the health care system. OA treatment options vary: localization, etiolo...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.19.05633-8
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Decreased range of motion is a common secondary complication of motor neuron disease (MND) that can contribute to functional decline and decreased participation in daily activities. AIM:The purpose of this study was to develop and assess the effectiveness of educational brochures and videos aimed at improvi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06245-0
更新日期:2020-08-03 00:00:00
abstract::Idiopathic scoliosis (IS) is a three-dimensional deformity of the spine and trunk. The most common form involve adolescents. The prevalence is 2-3% of the population, with 1 out of 6 patients requiring treatment of which 25% progress to surgery. Physical and rehabilitation medicine (PRM) plays a primary role in the so...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION:This systematic literature review aims to check the current state of affairs of non-gait-related optoelectronic trunk movement analysis; results have been analyzed from a clinical and a methodological perspective. EVIDENCE ACQUISITION:Extensive research was performed on all papers published until December...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Neurorehabilitation programs are among the most popular therapies aimed at reducing the disabilities that result from multiple sclerosis. Video games have recently gained importance in the rehabilitation of patients with motor neurological dysfunctions. Currently, the studies describing the perspective of pa...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Critical illness polyneuropathy and myopathy (CIPNM) frequently occur in intensive care unit (ICU) critically ill subjects; about 55-70% of subjects achieve full recovery. CIPNM can occur in ICU subjects with severe acquired brain injury (sABI), but no data have been reported regarding their outcome. AIM:Th...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04595-6
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Lumbar spinal stenosis (LSS) is the leading cause of spinal surgery in people over 65-years old. In people with LSS, generic self-administered questionnaires are the most commonly used PROs to assess health-related quality of life, global activity limitation, and low back pain-located activity limitation. A...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06189-4
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Myofascial trigger points (MTrPs) are commonly observed in the neck, parascapular region, and upper back muscles of patients with cervical pathology. AIM:To assess the frequency of latent and active myofascial trigger point (aMTrP) in the neck and upper back muscles in patients with cervical radiculopathy a...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract::The translation of scientific knowledge into clinical practice is still not consistently achieved and the Cochrane Knowledge Translation (KT) Strategy, has been developed in response to this issue, as key step in moving from knowledge to action. "Blogshots" are a new means of presenting evidence in a way that can be e...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05313-3
更新日期:2018-06-01 00:00:00
abstract::Low back pain (LBP) and radicular pain are very common health problems. They are rarely caused by serious underlying pathology and will usually recover spontaneously in time. In about one third of the cases however, the pain and functional impairment will persist one year after onset, being responsible for high health...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.19.05983-5
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Assessment of rehabilitation outcome is based on measuring the change in Functional Independence Measure (FIMTM) score between the start and end of rehabilitation. However, the raw FIMTM score gain is subject to a ceiling effect. Proposed solutions to this problem have incongruities that limit their use. AI...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Trunk training after stroke is an effective method for improving trunk control, standing balance and mobility. The SWEAT² study attempts to discover the underlying mechanisms leading to the observed mobility carry-over effects after trunk training. AIM:A secondary analysis investigating the effect of trunk ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06409-6
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Mesenchymal stem cells can be differentiated into muscle satellite cells. Testosterone replacement therapy (TRT) promotes the differentiation of satellite cells into muscle cells. CASE REPORT:A 31-year-old male with a T4 complete chronic spinal cord injury (SCI) had fixation for a mid-shaft fracture of the ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.17.04452-5
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:New technologies, such as telerehabilitation and gaming devices offer the possibility for patients to train at home. This opens the challenge of safety for the patient as he/she is called to exercise neither with a therapist on the patients' side nor with a therapist linked remotely to supervise the sessions...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04802-X
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Microcurrent therapy (MCT) is a novel electrotherapy modality with very low current-levels that may reduce pain especially in joints and muscles. AIM:The aim of this study is to explore potential effects of MCT on pain in patients with knee osteoarthritis, to explore effects of different treatment parameter...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.05921-3
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Inspiratory muscle training (IMT) has been shown to generate significant benefits in different clinical conditions; however, there is scarce information regarding acute clinical and hemodynamic effects. AIM:The aim of this study was to evaluate clinical, hemodynamic and electrocardiographic responses during...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a well-known questionnaire used to evaluate disability. We can not only evaluate disability but also obtain additional information by using the standardized WHODAS 2.0 scores. AIM:To predict the institutionalization of the pati...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04615-9
更新日期:2017-12-01 00:00:00
abstract::The subsequent full-text publication of abstracts presented at a scientific congress reflects the latter's scientific quality. The aim of this paper was to evaluate the publication rate for abstracts presented at the 2008 European Congress of Physical and Rehabilitation Medicine (ECPRM), characterize the publications ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2015-08-01 00:00:00