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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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