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dc.contributor.authorOsundolire, Seun
dc.contributor.authorMbrah, Attah
dc.contributor.authorLiu, Shao-Hsien
dc.contributor.authorLapane, Kate L
dc.date.accessioned2023-05-20T22:02:43Z
dc.date.available2023-05-20T22:02:43Z
dc.date.issued2023-01-04
dc.identifier.citationOsundolire S, Mbrah A, Liu SH, Lapane KL. Association Between Patient and Facility Characteristics and Rehabilitation Outcomes After Joint Replacement Surgery in Different Rehabilitation Settings for Older Adults: A Systematic Review. J Geriatr Phys Ther. 2023 Jan 4. doi: 10.1519/JPT.0000000000000369. Epub ahead of print. PMID: 36598848.en_US
dc.identifier.eissn2152-0895
dc.identifier.doi10.1519/JPT.0000000000000369en_US
dc.identifier.pmid36598848
dc.identifier.urihttp://hdl.handle.net/20.500.14038/52086
dc.description.abstractBackground and purpose: In the United States, an exponential increase in total hip arthroplasty (THA) and total knee arthroplasty (TKA) demand has occurred over the last 2 decades. Evidence suggesting patients receiving inpatient rehabilitation following a TKA or THA experience similar outcomes as those with rehabilitation in other settings led to dramatic shifts in postsurgical care settings owing to Centers for Medicare & Medicaid Services (CMS) payment reforms. A contemporary synthesis of evidence about the association between patient and facility factors and outcomes from older adults undergoing THA or TKA in the United States is needed. Methods: To identify eligible studies, we searched PubMed, Scopus, and CINAHL. We followed PRISMA guidelines to identify articles evaluating either patient or facility factors associated with outcomes after THA or TKA for older adults who may have been cared for in inpatient settings (ie, inpatient rehabilitation or skilled nursing facility [SNF]). Eligible articles were conducted in the United States and were published between January 1, 2000, and December 31, 2021. Results: We included 8 articles focused on patient factors and 9 focused on facility factors. Most included older adults and the majority were White (in those reporting race/ethnicity). Most studies evaluated outcomes at discharge and showed that patients admitted to inpatient rehabilitation facilities had either similar or better functional outcomes (mobility, self-care, and functional independence measure (FIM) score) and lower length of stay compared with those in SNFs. Few studies focused on home health care. Conclusions: The systematic review focused on older adults showed that findings in these patients are consistent with previous research. Older adults undergoing THA/TKA had acceptable outcomes regardless of postsurgical, inpatient setting of care. Research conducted after CMS payment reforms, in home health care settings, and in more diverse samples is needed. Given the known racial/ethnic disparities in THA/TKA and the shifts to postsurgical home health care with little regulatory oversight of care quality, contemporary research on outcomes of postsurgical THA/TKA outcomes is warranted.en_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Geriatric Physical Therapyen_US
dc.relation.urlhttps://doi.org/10.1519/jpt.0000000000000369en_US
dc.rightsCopyright © 2023 APTA Geriatrics, An Academy of the American Physical Therapy Association.en_US
dc.subjectUMCCTS fundingen_US
dc.subjecthome health careen_US
dc.subjectinpatient rehabilitationen_US
dc.subjectskilled nursing facilitiesen_US
dc.subjecttotal hip replacementen_US
dc.subjecttotal knee replacementen_US
dc.titleAssociation Between Patient and Facility Characteristics and Rehabilitation Outcomes After Joint Replacement Surgery in Different Rehabilitation Settings for Older Adults: A Systematic Reviewen_US
dc.typeJournal Articleen_US
dc.source.journaltitleJournal of geriatric physical therapy (2001)
dc.source.countryUnited States
dc.source.countryUnited States
dc.identifier.journalJournal of geriatric physical therapy (2001)
dc.contributor.departmentMorningside Graduate School of Biomedical Sciencesen_US
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US
dc.contributor.studentSeun Osundolire


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