دورية أكاديمية
Insurance Status Predicts Hand Therapy Adherence following Flexor Tendon Repair: A Retrospective Cohort Study.
| العنوان: | Insurance Status Predicts Hand Therapy Adherence following Flexor Tendon Repair: A Retrospective Cohort Study. |
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| المؤلفون: | McLaughlin MT; From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health., Moura SP; From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health.; Boston University School of Medicine., Edalatpour A; From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health., Seitz AJ; From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health.; McGovern Medical School, University of Texas Health Science Center., Michelotti BF; From the Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health. |
| المصدر: | Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 May 01; Vol. 153 (5), pp. 942e-951e. Date of Electronic Publication: 2023 May 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Baltimore : Williams & Wilkins, |
| مواضيع طبية MeSH: | Insurance Coverage*/statistics & numerical data , Tendon Injuries*/surgery , Tendon Injuries*/rehabilitation , Patient Compliance*/statistics & numerical data, Humans ; Retrospective Studies ; Female ; Male ; Adult ; Middle Aged ; United States ; Occupational Therapy/statistics & numerical data ; Medicaid/statistics & numerical data ; Hand Injuries/surgery ; Hand Injuries/rehabilitation ; Insurance, Health/statistics & numerical data ; Young Adult |
| مستخلص: | Background: Many patients are not adherent to hand therapy rehabilitation following surgical repair of traumatic flexor tendon injuries, which can negatively affect surgical outcomes and long-term hand function. The authors aimed to identify the factors that predict patient nonadherence to hand therapy following flexor tendon repair surgery. Methods: This retrospective cohort study included 154 patients who underwent surgical repair of flexor tendon injuries at a level I trauma center between January of 2015 and January of 2020. A manual chart review was performed to collect demographic data, insurance status, injury characteristics, and details of the postoperative course, including health care use. Results: Factors significantly associated with occupational therapy no-shows included Medicaid insurance (OR, 8.35; 95% CI, 2.91 to 24.0; P < 0.001), self-identified Black race (OR, 7.28; 95% CI, 1.78 to 29.7; P = 0.006), and current cigarette smoker status (OR, 2.69; 95% CI, 1.18 to 6.15; P = 0.019). Patients without insurance attended 73.8% of their occupational therapy visits, and patients with Medicaid attended 72.0% of their visits, rates significantly lower than the rate of those with private insurance (90.7%; P = 0.026 and P = 0.001, respectively). Patients with Medicaid were eight times more likely to seek emergency department care postoperatively than patients with private insurance ( P = 0.002). Conclusions: Significant disparities in hand therapy adherence following flexor tendon repair surgery exist between patients with different insurance statuses, races, and tobacco use. Understanding these disparities can help providers identify at-risk patients to improve hand therapy use and postoperative outcomes. Clinical Question/level of Evidence: Risk, II. (Copyright © 2023 by the American Society of Plastic Surgeons.) |
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| تواريخ الأحداث: | Date Created: 20230516 Date Completed: 20240424 Latest Revision: 20240607 |
| رمز التحديث: | 20240608 |
| DOI: | 10.1097/PRS.0000000000010702 |
| PMID: | 37189235 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1529-4242 |
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| DOI: | 10.1097/PRS.0000000000010702 |