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Musculoskeletal Disorders

Journal Article

Development of Key Performance Indicators to Evaluate Centralized Intake for Patients with Osteoarthritis and Rheumatoid Arthritis

The aim of this study was to develop key performance indicators (KPIs) to evaluate centralized intake systems for patients with osteoarthritis (OA) and rheumatoid arthritis (RA).

Nov 30, 2015
Report

Policy Implications of Complementary and Alternative Medicine Definitions

Complementary and alternative medicine (CAM) treats the whole person, but political definitions of CAM have focused only on treatment methods. Policies that impact patient access and care need to consider the full scope of CAM professions.

Oct 2, 2015
Journal Article

Out-of-pocket Expenditures on Complementary Health Approaches Associated with Painful Health Conditions in a Nationally Representative Adult Sample

National surveys suggest that millions of adults in the United States use complementary health approaches such as acupuncture, chiropractic manipulation, and herbal medicines to manage painful conditions such as arthritis, back pain and fibromyalgia.

Sep 14, 2015
Journal Article

Development of Cardiovascular Quality Indicators for Rheumatoid Arthritis: Results from an International Expert Panel Using a Novel Online Process

Patients with rheumatoid arthritis (RA) have a high risk of premature cardiovascular disease (CVD).

Jul 24, 2015
Journal Article

Urological Surveillance and Medical Complications After Spinal Cord Injury in the United States

Urological complications are common in SCI who receive Medicare. Most of these patients with SCI are not receiving even the minimum recommended surveillance for these urological complications.

Jul 15, 2015
Journal Article

Bundled Payments Fall Short in California

Despite widespread interest in bundled payments as a strategy to control health care costs, implementation efforts continue to disappoint. A pilot program in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden, and concerns about financial risk.

Aug 4, 2014
Journal Article

Comparison of Complementary and Alternative Medicine with Conventional Mind–body Therapies for Chronic Back Pain: Protocol for the Mind–body Approaches to Pain (MAP) Randomized Controlled Trial

Cognitive-behavioral therapy (CBT), which addresses psychosocial factors, has been found to be effective for back pain, but access to qualified therapists is limited. Another treatment option with potential for addressing psychosocial issues, mindfulness-based stress reduction (MBSR), is increasingly available.

Jun 1, 2014
Journal Article

Variation in the Spillover Effects of Illness on Parents, Spouses, and Children of the Chronically Ill

Given the broad scope of the spillover effects of illness, it is important to characterize the variability in these outcomes to identify relationship types in which secondary impacts of illness are particularly important to include in health economic evaluations.

Apr 1, 2014
Journal Article

Yoga Vs. Physical Therapy Vs. Education for Chronic Low Back Pain in Predominantly Minority Populations: Study Protocol for a Randomized Controlled Trial

Several randomized controlled trials show yoga is an effective treatment. However, the comparative effectiveness of yoga and physical therapy, a common mainstream treatment for chronic low back pain, is unknown.

Feb 1, 2014
Journal Article

Comparative Effectiveness of Pharmacologic Treatments to Prevent Fractures: An Updated Systematic Review

Osteoporosis is a major contributor to the propensity to fracture among older adults, and various pharmaceuticals are available to treat it.

Jan 1, 2014
Journal Article

Patients with Multiple Health Conditions Have Lower Health-Related Quality of Life

Patients with multi-morbid diabetes, arthritis, neurological, or long-term mental health problems have significantly lower health-related quality of life (HRQoL) than other people. The associations of physical health with HRQoL were stronger in the presence of long-term mental health problems.

Jan 1, 2014
Journal Article

Project JOINTS: What Factors Affect Bundle Adoption in a Voluntary Quality Improvement Campaign?

The authors examine how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery.

Jan 1, 2014
Journal Article

Upper-extremity and Mobility Subdomains from the Patient-Reported Outcomes Measurement Information System (PROMIS) Adult Physical Functioning Item Bank

Upper-extremity and mobility subdomains shared about 35% of the variance in common, and produced comparable scores whether calibrated separately or together.

Nov 1, 2013
Journal Article

SCOPE: A Scorecard for Osteoporosis in Europe

The scorecard summarises key indicators of the burden of osteoporosis and its management in each of the member states of the European Union.

Sep 23, 2013
Journal Article

Centers of Excellence: No Difference in Costs But Better Hip Replacement

Medicare and private plans encourage individuals to use hospitals that are designated as centers of excellence. Evidence shows that the costs of knee and hip replacements in centers of excellence do not differ from other hospitals, but patients who had hip replacements in such centers had lower complication rates.

Jan 1, 2013
Journal Article

Medicare's Bundled Payment Pilot for Acute and Postacute Care: Analysis and Recommendations on Where to Begin

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.

Sep 1, 2011
Report

The Frequency, Severity, and Economic Consequences of Musculoskeletal Injuries to Firefighters

The most common work-related injuries among firefighters are musculoskeletal disorders (MSDs). The strict physical demands of the job and limited modified work opportunities suggest that MSDs are potentially more disruptive and costly to firefighters than to others.

Jun 21, 2010
News Release

Middle-Aged Americans Reporting More Mobility-Related Disabilities

The proportion of older middle-aged Americans who report disabilities related to mobility increased significantly from 1997 to 2007, in contrast to the disability decline that has been found among Americans ages 65 and over.

Apr 6, 2010
Journal Article

Middle-Aged Americans Reporting More Mobility-Related Disabilities

The proportion of older middle-aged Americans who report disabilities related to mobility increased significantly from 1997 to 2007, in contrast to the disability decline that has been found among Americans ages 65 and over.

Jan 1, 2010
Journal Article

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

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.

Jan 1, 2008

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RAND Health Care