Musculoskeletal Disorders

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Research conducted by: RAND Health

Journal Articles (35)

Evaluation of Centers of Excellence Program for Knee and Hip Replacement — Jan 1, 2013

The costs of knee and hip replacement in designated centers of excellence do not differ from costs in other hospitals. But hip replacements performed in such centers had lower complication rates. Complication rates for knee replacement did not differ.

Medicare's Bundled Payment Pilot for Acute and Postacute Care: Analysis and Recommendations on Where to Begin — Sep 1, 2011

Medicare's National Pilot Program on Payment Bundling should use hip fracture and joint replacement as the conditions to include and use longer episodes, capturing a higher percentage of costs and hospital readmissions but adding little financial risk.

The Minimally Important Difference for the Fatigue Visual Analog Scale in Patients with Rheumatoid Arthritis Followed in an Academic Clinical Practice — Jan 1, 2008

Estimates the minimally important difference for a fatigue visual analog scale (VAS) using patient-reported anchors (fatigue, pain, and overall health). This information can aid in interpreting fatigue VAS in day-to-day care in clinical practice.

The Complexity of Care for Patients with Rheumatoid Arthritis: Metrics for Better Understanding Chronic Disease Care — Jan 1, 2007

Patients with rheumatoid arthritis (RA) provide an important opportunity for understanding care of patients with a serious chronic condition.

Assessment of American College of Rheumatology Quality Criteria for Rheumatoid Arthritis in a Pre-Quality Criteria Patient Cohort — Jan 1, 2007

To evaluate the ACR starter set of quality measures for RA in an actual patient cohort that preceded publication of the quality measures.

Quality Indicators for the Care of Osteoarthritis in Vulnerable Elders — Jan 1, 2007

Osteoarthritis (OA) is the most common chronic disease affecting older persons.

Methods to Develop Arthritis and Osteoporosis Measures: A View from the National Committee for Quality Assurance (NCQA) — Jan 1, 2007

The key challenge to the feasibility of arthritis performance measures is the lack of administrative data to identify the eligible population.

Revalidation of the Original Cedars-Sinai Health-Related Quality of Life in Rheumatoid Arthritis Questionnaire — Jan 1, 2006

Results support the validity and reliability of both the original CSHQ-RA and the 11-item CSHQ-RA SF when tested in representative patient population

Quality of Osteoarthritis Care for Community-Dwelling Older Adults — Jan 1, 2006

Quality of osteoarthritis care provided to community-dwelling elderly patients and to characterize arthritis-related function in these patients.

Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence from Three States — Jan 1, 2006

Assesses the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin.

Application of Explicit Process of Care Measurement to Rheumatoid Arthritis: Moving from Evidence to Practice — Jan 1, 2006

The authors conducted a prospective cohort study of rates of change in disease-modifying antirheumatic drug (DMARD) and/or systemic corticosteroid drug or dose for 568 patients with rheumatoid arthritis (RA) across 6,159 clinical encounters within 12 months to examine how changes in clinical specifications change adherence.

Efficacy of Custom Foot Orthotics in Improving Pain and Functional Status in Children with Juvenile Idiopathic Arthritis: A Randomized Trial — Jan 1, 2005

To compare the clinical efficacy of custom foot orthotics, prefabricated off-the-shelf shoe inserts, and supportive athletic shoes worn alone.

Using Orthotics to Improve Pain and Function Status in Children with Arthritis — Jan 1, 2005

This paper studied foot pain and treatment options for children with juvenile arthritis, in particular the use of custom-made orthotics.

Treating Low Back Pain — Jan 1, 2005

Prediction rules have yet to be published for the interventions listed as brief pain-management programmes, but there is evidence that some tools are useful in detecting psychosocial aspects of low back pain and are predictive of poor outcomes.

Payback Arising from Research Funding: Evaluation of the Arthritis Research Campaign — Jan 1, 2005

There is a wide diversity of research payback. Short focused project grants seem to provide value for money.

Measuring Preference Weights for American College of Rheumatology Response Criteria for Patients with Rheumatoid Arthritis — Jan 1, 2005

To estimate weights for health states comprising ACR response and different levels of adverse events associated with rheumatoid arthritis treatments.

Effects of Omega-3 Fatty Acids on Lipids and Glycemic Control in Type II Diabetes and the Metabolic Syndrome and on Inflammatory Bowel Disease, Rheumatoid Arthritis, Renal Disease, Systemic Lupus Erythematosus, and Osteoporosis — Jan 1, 2004

The evidence for effects of omega-3 fatty acids on outcomes in the conditions assessed varies greatly. Omega-3 fatty acids appear to reduce serum triglycerides among type II diabetics, but have no effect on total cholesterol, HDL cholesterol, and LDL cholesterol.

Measuring Quality in Arthritis Care: Methods for Developing the Arthritis Foundation's Quality Indicator Set — Jan 1, 2004

To develop a comprehensive set of explicit process measures to assess the quality of health care for osteoarthritis, rheumatoid arthritis, and analgesics use.

Case Finding for Population-Based Studies of Rheumatoid Arthritis: Comparison of Patient Self-Reported ACR Criteria-Based Algorithms to Physician-Implicit Review for Diagnosis of Rheumatoid Arthritis — Jan 1, 2004

Implications for health services research and quality improvement interventions pertinent to case finding for RA through self-report data.

Development and Validation of Cedars-Sinai Health-Related Quality of Life in Rheumatoid Arthritis (CSHQ-RA) Short Form Instrument — Jan 1, 2004

The abridged CSHQ-RA short form is a valid and reliable instrument that can be used to examine the impact of RA on patients' health-related quality of life.

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Ian D. Coulter

RAND/Samueli Chair for Integrative Medicine and Senior Health Policy Researcher

Ian D. Coulter

Ian Coulter is a senior health policy analyst at the RAND Corporation, where he holds the Samueli Institute Chair in Policy for Integrative Medicine. He is a professor in the School of Dentistry, UCLA, in the Division of Public Health and Community Dentistry; a health consultant at RAND; and a…

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