Weber M, Hyde J, Hyde JC, Nick T; Academy for Health Services Research and Health Policy. Meeting.
Abstr Acad Health Serv Res Health Policy Meet. 2002; 19: 18.
University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216; Tel: (601) 984-6352; Fax: (601) 815-1715; E-mail: jhyde@shrp.umsmed.edu
RESEARCH OBJECTIVE: To determine factors that influence health status outcomes of patients with adhesive capsulitis treated with physical therapy (PT). STUDY DESIGN: A retrospective study using secondary analysis of an existing database (FOTO). Patients completed standardized questionnaires developed by FOTO at intake and within 7 days of PT discharge, and staff completed a FOTO designed dishcarge questionnaire. Questionnaires captured demographic, administrative and clinical episode of care data. FOTO processed all questionnaires. Both patient questionnaires included the SF-12 allowing for the calculation of SF-12 Physcial Component Summary (PCS) and SF-12 Mental Component Summary (MCS) scores. Health status outcome was determined by subtracting the intake PCS or MCS from the respective discharge score. A positive change in PCS or MCS represented improvement over the course of treatment. POPULATION STUDIED: 1403 patients from 294 participating clinics across the US with adhesive capsulitis determined by ICD-9 code 726.0 were studied. Data was from 1998 and 1999 Focus on Therapeutic Outcomes (FOTO) database. PRINCIPAL FINDINGS: Mean intake PCS as 39 (SD=9), mean change in PCS was 6 (SD=8). Mean intake MCS was 52 (SD=10), and mean change in MCS was 3 (SD=9). PCS model R2 was .30 (F=16.2, p less than .001). MCS model R2 was .42 (F=27.9, p less than .001). Factors that influenced PCS outcome were: employment status (p=.047); intake PCS (p=.001); intake MCS (p=.001) mobilization (p=.008); patient compliance (p=.001); medication use (p=.001); payer (p=.018). MCS outcome was influnced by intake PCS (p=.02); intake MCS (p=.001); patient compliance (p=.003); and medication use (p=.001). CONCLUSIONS: This study indentified several factors related to physical and mental health outcome of patients with adhesive capsulitis. Physical health status outcome was better for patients who were employed fulltime, had higher intake MCS scores, received mobilization, were more compliant, were able to reduce medication usage, and had indemnity or a PPO as the primary payer. Mental health status outcome was better for patients who had higher intake PCS scores, were more compliant, and were able to reduce medication usage. IMPLICATIONS FOR POLICY, DELIVERY OR PRACTICE: This information should be used for risk adjustment when examining outcomes of patients with adhesive capsulitis.
Publication Types:
Keywords:
- Health Status
- Health Status Indicators
- Humans
- Mental Health
- Patient Compliance
- Questionnaires
- Retrospective Studies
- hsrmtgs
Other ID:
UI: 102274078
From Meeting Abstracts