Prediction of healthcare utilization following an episode of physical therapy for musculoskeletal pain

Lentz, Trevor A.; Beneciuk, Jason M.; George, Steven Z.

doi:10.1186/s12913-018-3470-6

BMC Health Services Research

Table 6 Parsimonious multivariate logistic regression model results for prediction of any care and individual service utilization (n = 246) ^a

From: Prediction of healthcare utilization following an episode of physical therapy for musculoskeletal pain

Dependent variable	Independent variable	Complete case					Inverse probability of attrition weighted
Dependent variable	Independent variable	B	S.E.	Sig.	Odds ratio	Pseudo R²	B	S.E.	Sig.	Odds ratio	Pseudo R²
Any care	Chronicity	0.79	0.38	0.04	2.19	0.30	0.73	0.41	0.07	2.08	0.31
	Baseline pain	0.37	0.12	0.002	1.45
	CCI	0.21	0.12	0.07	1.23		0.31	0.14	0.03	1.36
	Baseline disability	0.39	0.20	0.05	1.48		0.90	0.19	< 0.001	2.47
	Change in pain	0.37	0.11	< 0.001	1.45		0.25	0.10	0.02	1.28
Opioids	Surgery for condition					0.33	0.95	0.49	0.51	2.58	0.36
	Chronicity	1.03	0.59	0.08	2.80
	CCI	0.43	0.13	< 0.001	1.54		0.47	0.14	< 0.001	1.60
	Baseline pain	0.53	0.13	< 0.001	1.70		0.57	0.15	< 0.001	1.76
	Baseline 10-item OSPRO-YF						0.01	0.03	0.96	1.00
	Change in pain	0.54	0.14	< 0.001	1.71		0.53	0.15	< 0.001	1.70
	Additional OSPRO-YF 7-items (baseline)	−0.09	0.05	0.08	0.92		−0.01	0.05	0.07	0.91
Injection	Race (non-white) ^b	−1.79	1.05	0.09	0.17	0.22	−2.15	1.19	0.07	0.12	0.24
	Chronicity	1.27	0.65	0.05	3.57		1.31	0.73	0.07	3.71
	Baseline disability	0.76	0.20	< 0.01	2.14		0.76	0.21	< 0.01	2.14
Surgery	CCI					0.30	0.15	0.10	0.15	1.16	0.34
	Baseline disability	1.14	0.28	< 0.001	3.13		1.18	0.31	< 0.001	3.25
	Change in 10-item OSPRO-YF score	0.12	0.05	0.03	1.12		0.13	0.06	0.02	1.14
	Change in disability	1.11	0.42	0.01	3.04		1.12	0.44	0.01	3.05
Diagnostic tests or imaging	Chronicity	0.60	0.43	0.16	1.82	0.29					0.33
	CCI	0.30	0.12	0.02	1.35		0.37	0.13	< 0.001	1.45
	Baseline disability	0.81	0.18	< 0.001	2.25		0.98	0.19	< 0.001	2.66
	Change in pain	0.34	0.11	< 0.001	1.41		0.37	0.11	< 0.001	1.45
Emergency room	Age	−0.09	0.03	< 0.001	0.91	0.48	−0.06	0.03	0.03	0.94	0.50
	Anatomical location (neck) ^c	0.54	0.97	0.58	1.71		−0.37	0.92	0.69	0.69
	Anatomical location (low back) ^c	0.72	0.95	0.45	2.05		−0.04	0.89	0.97	0.96
	Anatomical location (shoulder) ^c	−2.86	1.49	0.06	0.06		−3.52	1.53	0.02	0.03
	Insurance (public) ^d	1.89	1.06	0.08	6.65		1.81	1.11	0.10	6.11
	Insurance (other) ^d	2.20	0.88	0.01	8.99		2.58	0.86	< 0.001	13.15
	Chronicity	1.76	1.26	0.16	5.81
	Surgery for condition	1.69	0.94	0.07	5.43		1.77	0.93	0.06	5.86
	Baseline disability	1.59	0.47	< 0.001	4.88		1.20	0.34	< 0.001	3.33
	Additional OSPRO-YF 7-items (baseline)	−0.20	0.09	0.03	0.82
	Change in 10-item OSPRO-YF score						0.14	0.07	0.05	1.15
	Change in pain	0.57	0.22	0.01	1.77		0.46	0.21	0.03	1.59

CCI Charlson comorbidity index, OSPRO-YF Pain-related psychological distress screening tool
^a Health care utilization (dependent) variables refer to utilization during the follow-up period, whereas independent variables refer to measurements taken before the follow-up period
^b Reference value is White
^c Reference value is knee
^d Reference value is private insurance

Back to article page

ISSN: 1472-6963

Contact us

General enquiries: journalsubmissions@springernature.com