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Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy

The extent to which physical therapy (PT) is used after meniscectomy is unknown. The objective of this study was to estimate the extent to which PT is implemented after meniscectomy and to identify factors associated with its utilization. METHODS: The Mariner PearlDiver database was queried to ident...

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Autores principales: Mercier, Michael R., Galivanche, Anoop R., Wiggins, Anthony J., Kahan, Joseph B., McLaughlin, William, Radford, Zachary J., Grauer, Jonathan N., Gardner, Elizabeth C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276169/
https://www.ncbi.nlm.nih.gov/pubmed/35816646
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00135
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author Mercier, Michael R.
Galivanche, Anoop R.
Wiggins, Anthony J.
Kahan, Joseph B.
McLaughlin, William
Radford, Zachary J.
Grauer, Jonathan N.
Gardner, Elizabeth C.
author_facet Mercier, Michael R.
Galivanche, Anoop R.
Wiggins, Anthony J.
Kahan, Joseph B.
McLaughlin, William
Radford, Zachary J.
Grauer, Jonathan N.
Gardner, Elizabeth C.
author_sort Mercier, Michael R.
collection PubMed
description The extent to which physical therapy (PT) is used after meniscectomy is unknown. The objective of this study was to estimate the extent to which PT is implemented after meniscectomy and to identify factors associated with its utilization. METHODS: The Mariner PearlDiver database was queried to identify patients who underwent uncomplicated meniscectomy. The number of PT visits for each patient was tabulated. Logistic regressions were used to compare demographic factors associated with no use of PT and use of nine or more PT visits. RESULTS: In total, 92,291 patients met inclusion criteria. Of these patients, 72.21% did not use PT and 27.8% used 1 or more PT visits. Of the patients who used PT, 19.76% had 1 to 8 PT visits and 8.03% had 9 or more PT visits. Older age and noncommercial insurance types were associated with no PT use. Male sex, Medicaid, and Medicare were associated with markedly lower odds of increased PT utilization. CONCLUSION: PT is used in the minority of the time after meniscectomy. Among patients who do use PT, however, notable variation exists in the amount of PT visits used. Patient age, sex, insurance status, and geographic variables were independently associated with PT utilization.
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spelling pubmed-92761692022-07-13 Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy Mercier, Michael R. Galivanche, Anoop R. Wiggins, Anthony J. Kahan, Joseph B. McLaughlin, William Radford, Zachary J. Grauer, Jonathan N. Gardner, Elizabeth C. J Am Acad Orthop Surg Glob Res Rev Research Article The extent to which physical therapy (PT) is used after meniscectomy is unknown. The objective of this study was to estimate the extent to which PT is implemented after meniscectomy and to identify factors associated with its utilization. METHODS: The Mariner PearlDiver database was queried to identify patients who underwent uncomplicated meniscectomy. The number of PT visits for each patient was tabulated. Logistic regressions were used to compare demographic factors associated with no use of PT and use of nine or more PT visits. RESULTS: In total, 92,291 patients met inclusion criteria. Of these patients, 72.21% did not use PT and 27.8% used 1 or more PT visits. Of the patients who used PT, 19.76% had 1 to 8 PT visits and 8.03% had 9 or more PT visits. Older age and noncommercial insurance types were associated with no PT use. Male sex, Medicaid, and Medicare were associated with markedly lower odds of increased PT utilization. CONCLUSION: PT is used in the minority of the time after meniscectomy. Among patients who do use PT, however, notable variation exists in the amount of PT visits used. Patient age, sex, insurance status, and geographic variables were independently associated with PT utilization. Wolters Kluwer 2022-07-11 /pmc/articles/PMC9276169/ /pubmed/35816646 http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00135 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Mercier, Michael R.
Galivanche, Anoop R.
Wiggins, Anthony J.
Kahan, Joseph B.
McLaughlin, William
Radford, Zachary J.
Grauer, Jonathan N.
Gardner, Elizabeth C.
Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title_full Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title_fullStr Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title_full_unstemmed Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title_short Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
title_sort patient demographic and socioeconomic factors associated with physical therapy utilization after uncomplicated meniscectomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276169/
https://www.ncbi.nlm.nih.gov/pubmed/35816646
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00135
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