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

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 ind...

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Main Authors: Laura S. Gold PhD, Matthew Bryan PhD, Bryan A. Comstock MS, Brian W. Bresnahan PhD, Richard A. Deyo MD, MPH, Srdjan S. Nedeljkovic MD, David R. Nerenz PhD, Patrick Heagerty PhD, Jeffrey G. Jarvik MD, MPH
Format: Article
Language:English
Published: SAGE Publishing 2017-01-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/2333721416686019
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author Laura S. Gold PhD
Matthew Bryan PhD
Bryan A. Comstock MS
Brian W. Bresnahan PhD
Richard A. Deyo MD, MPH
Srdjan S. Nedeljkovic MD
David R. Nerenz PhD
Patrick Heagerty PhD
Jeffrey G. Jarvik MD, MPH
author_facet Laura S. Gold PhD
Matthew Bryan PhD
Bryan A. Comstock MS
Brian W. Bresnahan PhD
Richard A. Deyo MD, MPH
Srdjan S. Nedeljkovic MD
David R. Nerenz PhD
Patrick Heagerty PhD
Jeffrey G. Jarvik MD, MPH
author_sort Laura S. Gold PhD
collection DOAJ
description 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.
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spelling doaj.art-0c2e739ee4884493a3f83b8a24d9355a2022-12-21T22:44:40ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142017-01-01310.1177/233372141668601910.1177_2333721416686019Associations Between Relative Value Units and Patient-Reported Back Pain and DisabilityLaura S. Gold PhD0Matthew Bryan PhD1Bryan A. Comstock MS2Brian W. Bresnahan PhD3Richard A. Deyo MD, MPH4Srdjan S. Nedeljkovic MD5David R. Nerenz PhD6Patrick Heagerty PhD7Jeffrey G. Jarvik MD, MPH8University of Washington, Seattle, WA, USAUniversity of Pennsylvania, Philadelphia, PA, USAUniversity of Washington, Seattle, WA, USAUniversity of Washington, Seattle, WA, USAOregon Health & Science University, Portland, OR, USAHarvard Vanguard Medical Associates, Chestnut Hill, MA, USAHenry Ford Hospital, Detroit, MI, USAUniversity of Washington, Seattle, WA, USAUniversity of Washington, Seattle, WA, USAObjective: 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.https://doi.org/10.1177/2333721416686019
spellingShingle Laura S. Gold PhD
Matthew Bryan PhD
Bryan A. Comstock MS
Brian W. Bresnahan PhD
Richard A. Deyo MD, MPH
Srdjan S. Nedeljkovic MD
David R. Nerenz PhD
Patrick Heagerty PhD
Jeffrey G. Jarvik MD, MPH
Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
Gerontology and Geriatric Medicine
title Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
title_full Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
title_fullStr Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
title_full_unstemmed Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
title_short Associations Between Relative Value Units and Patient-Reported Back Pain and Disability
title_sort associations between relative value units and patient reported back pain and disability
url https://doi.org/10.1177/2333721416686019
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