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Associations of Race and Ethnicity With Patient-Reported Outcomes and Health Care Utilization Among Older Adults Initiating a New Episode of Care for Back Pain.


ABSTRACT: STUDY DESIGN:Secondary analysis of the Back Pain Outcomes using Longitudinal Data (BOLD) cohort study. OBJECTIVE:To characterize associations of self-reported race/ethnicity with back pain (BP) patient-reported outcomes (PROs) and health care utilization among older adults with a new episode of care for BP. SUMMARY OF BACKGROUND DATA:No prior longitudinal studies have characterized associations between multiple race/ethnicity groups, and BP-related PROs and health care utilization in the United States. METHODS:This study included 5117 participants ?65 years from three US health care systems. The primary BP-related PROs were BP intensity and back-related functional limitations over 24 months. Health care utilization measures included common diagnostic tests and treatments related to BP (spine imaging, spine-related relative value units [RVUs], and total RVUs) over 24 months. Analyses were adjusted for multiple potential confounders including sociodemographics, clinical characteristics, and study site. RESULTS:Baseline BP ratings were significantly higher for blacks vs. whites (5.8 vs. 5.0; P?

SUBMITTER: Milani CJ 

PROVIDER: S-EPMC5972040 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Associations of Race and Ethnicity With Patient-Reported Outcomes and Health Care Utilization Among Older Adults Initiating a New Episode of Care for Back Pain.

Milani Carlo J CJ   Rundell Sean D SD   Jarvik Jeffrey G JG   Friedly Janna J   Heagerty Patrick J PJ   Avins Andy A   Nerenz David D   Gold Laura S LS   Turner Judith A JA   Annaswamy Thiru T   Nedeljkovic Srdjan S SS   Suri Pradeep P  

Spine 20180701 14


<h4>Study design</h4>Secondary analysis of the Back Pain Outcomes using Longitudinal Data (BOLD) cohort study.<h4>Objective</h4>To characterize associations of self-reported race/ethnicity with back pain (BP) patient-reported outcomes (PROs) and health care utilization among older adults with a new episode of care for BP.<h4>Summary of background data</h4>No prior longitudinal studies have characterized associations between multiple race/ethnicity groups, and BP-related PROs and health care util  ...[more]

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