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


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.

SUBMITTER: Gold LS 

PROVIDER: S-EPMC5384601 | biostudies-literature | 2017 Jan-Dec

REPOSITORIES: biostudies-literature

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

Gold Laura S LS   Bryan Matthew M   Comstock Bryan A BA   Bresnahan Brian W BW   Deyo Richard A RA   Nedeljkovic Srdjan S SS   Nerenz David R DR   Heagerty Patrick P   Jarvik Jeffrey G JG  

Gerontology & geriatric medicine 20170116


<b>Objective:</b> To describe associations between health care utilization measures and patient-reported outcomes (PROs). <b>Method:</b> 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-  ...[more]

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