Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.

<h4>Background</h4>Osteoarthritis (OA) is a leading cause of musculoskeletal pain and disability among Americans. Physical therapy (PT) is recommended per the 2019 ACR /Arthritis Foundation Guideline for Treatment of OA of the Hand, Hip, and Knee. During COVID-19, access to healthcare ha...

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Autores principales:	Manmeet Kaur, Daniel Black, Jeffrey Fine, Barton L Wise
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/efeb46696b4b4aabaefdb98225893afd
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spelling	oai:doaj.org-article:efeb46696b4b4aabaefdb98225893afd2021-12-02T20:16:24ZReferrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.1932-620310.1371/journal.pone.0259679https://doaj.org/article/efeb46696b4b4aabaefdb98225893afd2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259679https://doaj.org/toc/1932-6203<h4>Background</h4>Osteoarthritis (OA) is a leading cause of musculoskeletal pain and disability among Americans. Physical therapy (PT) is recommended per the 2019 ACR /Arthritis Foundation Guideline for Treatment of OA of the Hand, Hip, and Knee. During COVID-19, access to healthcare has been altered in a variety of clinical settings, with the pandemic creating delays in healthcare, with an unknown impact on access to PT care for OA.<h4>Objectives</h4>We sought to determine whether referrals to PT for OA were reduced in 2020 during the COVID-19 pandemic compared to 2019.<h4>Methods</h4>A retrospective analysis was done of 3586 PT referrals placed by the University of California, Davis for 206 OA ICD-10 codes from January to November 2019 and from January to November 2020. The numbers of PT referrals per month of each year were compared using both descriptive statistics and Poisson Regression analysis.<h4>Results</h4>A total of 1972 PT referrals for OA were placed from January to November 2019. Only 1614 referrals for OA were placed from January to November 2020, representing a significant decrease (p = 0.001). Month-by-month analysis of 2020 compared to 2019 revealed statistically significant drops in PT referrals for OA in April (p = 0.001), May (p = 0.001), and August (p = 0.001).<h4>Conclusions</h4>These findings reveal a significant reduction in the number of referrals for PT for OA placed in 2020 during the first year of the COVID-19 pandemic. These reductions were particularly evident in the months following state-mandated actions and closures. Factors associated with this outcome may include decreased access to primary care providers, perceptions of PT availability by health care providers, decreased mobility limiting access to both clinic and PT appointments, and/or willingness to engage in PT by patients during the pandemic.Manmeet KaurDaniel BlackJeffrey FineBarton L WisePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259679 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Manmeet Kaur Daniel Black Jeffrey Fine Barton L Wise Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
description	<h4>Background</h4>Osteoarthritis (OA) is a leading cause of musculoskeletal pain and disability among Americans. Physical therapy (PT) is recommended per the 2019 ACR /Arthritis Foundation Guideline for Treatment of OA of the Hand, Hip, and Knee. During COVID-19, access to healthcare has been altered in a variety of clinical settings, with the pandemic creating delays in healthcare, with an unknown impact on access to PT care for OA.<h4>Objectives</h4>We sought to determine whether referrals to PT for OA were reduced in 2020 during the COVID-19 pandemic compared to 2019.<h4>Methods</h4>A retrospective analysis was done of 3586 PT referrals placed by the University of California, Davis for 206 OA ICD-10 codes from January to November 2019 and from January to November 2020. The numbers of PT referrals per month of each year were compared using both descriptive statistics and Poisson Regression analysis.<h4>Results</h4>A total of 1972 PT referrals for OA were placed from January to November 2019. Only 1614 referrals for OA were placed from January to November 2020, representing a significant decrease (p = 0.001). Month-by-month analysis of 2020 compared to 2019 revealed statistically significant drops in PT referrals for OA in April (p = 0.001), May (p = 0.001), and August (p = 0.001).<h4>Conclusions</h4>These findings reveal a significant reduction in the number of referrals for PT for OA placed in 2020 during the first year of the COVID-19 pandemic. These reductions were particularly evident in the months following state-mandated actions and closures. Factors associated with this outcome may include decreased access to primary care providers, perceptions of PT availability by health care providers, decreased mobility limiting access to both clinic and PT appointments, and/or willingness to engage in PT by patients during the pandemic.
format	article
author	Manmeet Kaur Daniel Black Jeffrey Fine Barton L Wise
author_facet	Manmeet Kaur Daniel Black Jeffrey Fine Barton L Wise
author_sort	Manmeet Kaur
title	Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
title_short	Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
title_full	Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
title_fullStr	Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
title_full_unstemmed	Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.
title_sort	referrals for physical therapy for osteoarthritis during the covid-19 pandemic: a retrospective analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/efeb46696b4b4aabaefdb98225893afd
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Referrals for physical therapy for osteoarthritis during the COVID-19 pandemic: A retrospective analysis.

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