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Musculoskeletal Disorders

Report

Quality and Safety of Pain Care in the Military Health System

Pain is the leading cause of disability among active-duty service members. Given its potential impact on well-being and force readiness, providing high-quality treatment is a strategic priority. An assessment of outpatient care for acute and chronic pain, including opioid prescribing, can help the MHS continue to improve care.

Mar 16, 2022
Journal Article

Income as a Predictor of Self-Efficacy for Managing Pain and for Coping With Symptoms Among Patients With Chronic Low Back Pain

The purpose of this study was to evaluate pain self-efficacy (PSE) and coping self-efficacy (CSE) for people with chronic low back pain, and to assess whether lower income may be associated with less PSE and CSE in the U.S.

Feb 25, 2022
Journal Article

Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients

The RAND/UCLA Appropriateness Method is applied to chiropractic manipulation for patients with chronic low-back pain and chronic neck pain, to determine the rate of appropriate care provided by U.S. chiropractors.

Feb 25, 2022
Journal Article

Predictors of Visit Frequency for Patients Using Ongoing Chiropractic Care for Chronic Low Back and Chronic Neck Pain: Analysis of Observational Data

An observational longitudinal study looking at visit frequency and outcomes for patients using ongoing chiropractic care for chronic low-back and neck pain.

Feb 25, 2022
Report

Societal Impact of Research Funding for Women's Health in Rheumatoid Arthritis

The authors find that small investments are likely to yield large gains from increasing research funding in rheumatoid arthritis; investing in women's health research yields benefits above investing in general research.

Jan 25, 2022
Journal Article

Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members

This study examines longitudinal associations between psychological symptoms and the Impact Stratification Score among military service members.

Nov 19, 2021
Journal Article

Crosswalking the Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Pain Intensity Scores to the Roland-Morris Disability Questionnaire and the Oswestry Disability Index

Using data from three large samples of adults with chronic low back pain, we examined associations of the three PROMIS scores with the Oswestry Disability Index and the Roland-Morris Disability Questionnaire.

Nov 19, 2021
Journal Article

Support for the Reliability and Validity of the National Institutes of Health Impact Stratification Score in a Sample of Active-Duty U.S. Military Personnel with Low Back Pain

This study provides support for the reliability and validity of the Impact Stratification Score as a patient-reported summary measure for acute, subacute, and chronic low back pain.

Nov 19, 2021
Report

Investment in Women's Health Research Could Reap Large Societal Benefits

The potential gains from women-focused research are substantial, given the limitations in knowledge about disease development and impacts for women relative to men. Savings would include increased life years, fewer disruptions to work productivity, and fewer years with disease and functional dependence.

Oct 11, 2021
Report

Quality Measurement Is Key to Improving Chronic Pain Care for Service Members

Chronic pain affects 31 to 44 percent of active-duty service members and is a leading cause of disability and reduced readiness. And factors such as traumatic brain injury and PTSD can complicate treatment. Research can guide efforts to improve the quality of care for this population.

Jul 1, 2021
Research Brief

Spinal Manipulation for Chronic Lower Back or Neck Pain

Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.

Mar 12, 2021
Journal Article

Geographic Variation and Disparities in Total Joint Replacement Use for Medicare Beneficiaries: 2009 to 2017

The study objectives are to determine whether Black Medicare beneficiaries undergo fewer hip and knee replacements across regions, and whether disparities affected all or mainly affected socioeconomically disadvantaged Black beneficiaries.

Jan 29, 2021
Journal Article

Impact of Hospital Readmissions Reduction Program Penalties on Hip and Knee Replacement Readmissions: Comparison of Hospitals at Risk of Varying Penalty Amounts

We examined whether hospitals at risk of relatively large penalties from this expansion experienced greater declines in joint replacement readmissions compared with hospitals at risk of smaller penalties.

Jan 28, 2021
Journal Article

Penalties and Rewards for Safety Net Vs Non-Safety Net Hospitals in the First 2 Years of the Comprehensive Care for Joint Replacement Model

We assessed whether safety net hospitals, which serve vulnerable patients, were more likely to be penalized and less likely to receive rewards compared with non-safety net hospitals that serve few vulnerable patients.

Jan 22, 2021
Journal Article

Performance Of Safety-Net Hospitals In Year 1 Of The Comprehensive Care For Joint Replacement Model

This article finds safety-net hospitals were less likely to receive rewards in year one of the Comprehensive Care for Joint Replacement model because of their quality and spending performance.

Jan 21, 2021
Journal Article

Impact of Medicare's Nonpayment Program on Venous Thromboembolism Following Hip and Knee Replacements

This article determines whether Medicare's Nonpayment Program was associated with decline in venous thromboembolism following hip and knee replacements, and whether the decline was greater among hospitals at risk of larger financial losses from the Program.

Jan 21, 2021
Journal Article

Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care

Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.

Dec 16, 2020
Journal Article

Medical Costs for Osteoporosis-Related Fractures in High-Risk Medicare Beneficiaries

The objective of this study was to estimate the incremental direct medical care costs associated with first fracture observable in high-risk older adults.

Nov 13, 2020
Journal Article

Digital Health Technologies: Opportunities and Challenges in Rheumatology

Digital health technology offers enormous potential to improve rheumatology care but this potential has so far been largely unrealized.

Sep 24, 2020
Journal Article

Association Between Disease Progression and Depression Onset in Persons with Radiographic Knee Osteoarthritis

In summary, study findings indicate that greater structural disease severity and decreased physical performance increase the risk of depression onset among individuals with radiographic knee osteoarthritis.

Jun 25, 2020

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Research conducted by

RAND Health Care