Agreement of patient and physician ratings on mobility and self-care in neurological diseases

Farin, Erik

doi:10.1007/s11136-009-9520-0

Cited by 12 publications

(12 citation statements)

References 55 publications

(71 reference statements)

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“…In agreement with other studies examining staff's estimates of QoL in neurological patients (Gauggel et al, 2004; Siosteen et al, 2005), we saw trends of equal estimates in some areas, whereas in areas focusing on psychological aspects, staff often underestimated the patients' QoL. Contrary to our results, one study of treatment effects in neurological patients before and after rehabilitation showed that physicians overestimated patients' function and effect of treatment in comparison with patients' own estimates (Farin, 2009).…”

Section: Discussioncontrasting

confidence: 93%

“…Another study examining patients in neurological rehabilitation found that physicians' estimates more closely approximated the self-estimates of the physical functions of patients at the beginning of the rehabilitation than after it. After rehabilitation, the patients estimated themselves as having more limitations than the physicians estimated them as having (Farin, 2009). One study also found that stroke patients and their professional caregivers estimated the patients' activity limitations differently (Gauggel et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Correlations in health status between estimates of families of people with amyotrophic lateral sclerosis and estimates of staff

Ozanne

Persson

2012

Pall Supp Care

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Even though the staff's estimates of participants were roughly equivalent to their self-estimates, there were some differences. This result calls attention to the importance of working in teams in which different professional roles are combined and integrated, making it possible to form a holistic view of the situation of each family. A concern overlooked by one member of staff might be covered by another, and different focuses on the family may give a better composite picture of their life situation, which could lead to better support to the family.

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Section: Discussioncontrasting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Correlations in health status between estimates of families of people with amyotrophic lateral sclerosis and estimates of staff

Ozanne

Persson

2012

Pall Supp Care

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“…A stepwise method of variable inclusion was used (PIN = 0.05 POUT = 0.10). Only those predictors were considered whose bivariate correlation with the criterion [congruence of patient's preferences and physician's goals (yes/ no)] had a significance value of P of less than 0.20 (Robitail et al, 2007;Farin, 2009) except for the variables age and sex, which were included in all models as basis data. For every target area (e.g.…”

Section: Discussionmentioning

confidence: 99%

Congruence or discrepancy? Comparing patients’ health valuations and physicians’ treatment goals for rehabilitation for patients with chronic conditions

Nagl

Farin²

2012

International Journal of Rehabilitation Research

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The aim of this study was to test the congruence of patients' health valuations and physicians' treatment goals for the rehabilitation of chronically ill patients. In addition, patient characteristics associated with greater or less congruence were to be determined. In a questionnaire study, patients' health valuations and physicians' goals were assessed in three chronic conditions [breast cancer (BC), chronic ischemic heart disease (CIHD), and chronic back pain (CBP)] using a ranking method. Sociodemographic variables and health-related quality of life were assessed as patient-related factors that influence congruence. Congruence was determined at the group (Spearman's ρ) and individual levels (percentage of congruence). Patient-related influencing factors were calculated after a simple imputation using multiple logistic regression analysis. At the group level, there were often only low correlations. The mean percentage of congruence was 34.7% (BC), 48.5% (CIHD), and 31.9% (CBP). Patients with BC or CIHD who have a higher level of education showed greater congruence. Our results indicate some high discrepancy rates between physicians' treatment goals and patients' health valuations. It is possible that patients have preferences that do not correspond well with realistic rehabilitation goals or that physicians do not take patients' individual health valuations sufficiently into consideration when setting goals.

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“…Gegebenenfalls wurden die UV dummy-kodiert. Zur Vermeidung von Multikollinearität der UV wurden nur solche Prädiktoren berücksichtigt, deren bivariate Korrelation mit dem Kriterium einen Signifikanzwert von p > 0.20 aufwies [11][12][13]. Als Einschlussmethode wurde backward stepwise verwendet.…”

Section: Logistische Regressionunclassified

Eingangsbelastungen, kurzfristige Reha-Effekte und Prädiktoren des Entlassungsstatus bei 1 803 Patientinnen mit Fibromyalgie-Syndrom

Gerdes

Farin

2016

Rehabilitation

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Taking Fibromyalgia syndrome (FMS) as an example, the article illustrates a problem that to our knowledge has not been addressed in rehabilitation research so far: According to our large dataset, a sizeable proportion of patients had to be sent home with extremely severe burdens (<2 percentile in the normal population) at discharge - in spite of good improvements during their stay. Since 2009, patients in the RehaKlinikum Bad Säckingen, an in-patient rehab center for orthopedic-rheumatic diseases, answer the questionnaire "Indicators of Rehabilitation Status" (IRES) at the beginning and the end of their stay. We analysed IRES-data of 1 803 patients with FMS (94% women). In addition to analyses of change, we determined the degrees of severity at admission and discharge on the basis of a comparison with the normative sample of the IRES. In order to predict membership of the high-risk group of patients with still "extremely severe" values at discharge, we performed binary logistic regression analyses. At admission, about 90% of the patients showed either "extreme" (65%<2 percentile) or "severe" (27% 2-10 percentile) values on the IRES summary score as well as on the scores for "psychic status", "pain", "symptoms of orthopedic and cardiovascular diseases", and "functioning in everyday life". In sum, then, FMS-patients have come to rehabilitation with multiple burdens of a severe to extreme degree. At discharge, the mean summary score had improved with a "strong" effect size of SRM=1.07. In spite of these good overall improvements, however, 37.4% of the patients went home with "extreme" burdens remaining, even though almost 60% of them had experienced "strong" (28%) or "relevant" (31%) improvements. The most important predictor of affiliation to this "high-risk group" was - as expected - the IRES summary score at admission. But unexpectedly influential were also some characteristics of social status such as lower household income and lower degrees of education. In rehabilitation research, analyses of change between pre- and post-measurement values should be accompanied by assessments of severity of rehabilitation status at discharge because even good improvements do not necessarily mean that a patient has been rehabilitated successfully.

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Agreement of patient and physician ratings on mobility and self-care in neurological diseases

Abstract: Our study indicates that general organizational conditions can have an influence on the extent of agreement.

Cited by 12 publications

References 55 publications

Correlations in health status between estimates of families of people with amyotrophic lateral sclerosis and estimates of staff

Correlations in health status between estimates of families of people with amyotrophic lateral sclerosis and estimates of staff

Congruence or discrepancy? Comparing patients’ health valuations and physicians’ treatment goals for rehabilitation for patients with chronic conditions

Eingangsbelastungen, kurzfristige Reha-Effekte und Prädiktoren des Entlassungsstatus bei 1 803 Patientinnen mit Fibromyalgie-Syndrom

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