Associations Between Relative Value Units and Patient-Reported Back Pain and Disability

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Associations Between Relative Value Units and Patient-Reported Back Pain and Disability

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Title: Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
Author: Gold, Laura S.; Bryan, Matthew; Comstock, Bryan A.; Bresnahan, Brian W.; Deyo, Richard A.; Nedeljkovic, Srdjan S.; Nerenz, David R.; Heagerty, Patrick; Jarvik, Jeffrey G.

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Citation: Gold, Laura S., Matthew Bryan, Bryan A. Comstock, Brian W. Bresnahan, Richard A. Deyo, Srdjan S. Nedeljkovic, David R. Nerenz, Patrick Heagerty, and Jeffrey G. Jarvik. 2017. “Associations Between Relative Value Units and Patient-Reported Back Pain and Disability.” Gerontology and geriatric medicine 3 (1): 2333721416686019. doi:10.1177/2333721416686019. http://dx.doi.org/10.1177/2333721416686019.
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Abstract: Objective: To describe associations between health care utilization measures and patient-reported outcomes (PROs). Method: Primary data were collected from patients ≥65 years with low back pain visits from 2011 to 2013. Six PROs of pain and functionality were collected 12 and 24 months after the index visits and total and spine-specific relative value units (RVUs) from electronic health records were tabulated over 1 year. We calculated correlation coefficients between RVUs and 12- and 24-month PROs and conducted linear regressions with each 12- and 24-month PRO as the outcome variables and RVUs as predictors of interest. Results: We observed very weak correlations between worse PROs at 12 and 24 months and greater 12-month utilization. In regression analyses, we observed slight associations between greater utilization and worse 12- and 24-month PROs. Discussion: We found that 12-month health care utilization is not strongly associated with PROs at 12 or 24 months.
Published Version: doi:10.1177/2333721416686019
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384601/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:32630619
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