A comparison of patient characteristics and rehabilitation treatment content of chronic low back pain (CLBP) and stroke patients across six European countries

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    Abstract

    Background: So far no studies have been conducted on the issue of comparability of rehabilitation treatment profiles and patient characteristics across countries. These aspects might have implications for the feasibility of treating patients abroad but also for the comparison of treatment outcome on an international level. Objective: This study attempts to compare the patient characteristics and treatment profiles in six European countries of two rehabilitation categories (chronic low back pain (CLBP) and stroke) and to reveal possible consequences for international treatment and multi-centre studies. Design: Cross-sectional study comparing demographic variables, treatment profiles, generic health (SF-36) and disabilities (RDQ for CLBP and the Barthel index for stroke) in six European countries. Subjects: 255 patients with CLBP and 246 patients with stroke, treated in 36 different institutions in Austria (AUT), Finland (FIN), Germany (GER), Ireland (IR), Italy (IT) and The Netherlands (NL). Results: The treatment profiles of CLBP patients show marked differences between countries and three categories of treatment can be distinguished: (a) predominant physiotherapy (IR, IT), (b) all disciplines equally provided (NL, GER, AUS) and (c) treatment concentrated in four disciplines (FIN). Striking differences are also found for patient characteristics, characterised by in particular the younger and more disabled Dutch patients and the older and less disabled (mostly female) Italian patients. International stroke rehabilitation was more similar between countries; however, a few differences in patient characteristics were found which again could mostly be ascribed to the Dutch and Italian patients. Conclusion: International treatment and outcome assessment of CLBP patients is not possible unless standardisation is considered of treatment content and patient selection. For stroke treatment international traffic and multi-centre outcome assessment might be more feasible.
    Original languageUndefined
    Pages (from-to)359-373
    Number of pages15
    JournalHealth policy
    Volume71
    Issue number3
    DOIs
    Publication statusPublished - 2005

    Keywords

    • EWI-19863
    • Rehabilitation
    • Chronic low back pain
    • METIS-230850
    • Stroke
    • Patient characteristics
    • Treatment content
    • International comparison
    • IR-76466

    Cite this

    @article{aa72c30a165c4c6993891e6db8e5cdb7,
    title = "A comparison of patient characteristics and rehabilitation treatment content of chronic low back pain (CLBP) and stroke patients across six European countries",
    abstract = "Background: So far no studies have been conducted on the issue of comparability of rehabilitation treatment profiles and patient characteristics across countries. These aspects might have implications for the feasibility of treating patients abroad but also for the comparison of treatment outcome on an international level. Objective: This study attempts to compare the patient characteristics and treatment profiles in six European countries of two rehabilitation categories (chronic low back pain (CLBP) and stroke) and to reveal possible consequences for international treatment and multi-centre studies. Design: Cross-sectional study comparing demographic variables, treatment profiles, generic health (SF-36) and disabilities (RDQ for CLBP and the Barthel index for stroke) in six European countries. Subjects: 255 patients with CLBP and 246 patients with stroke, treated in 36 different institutions in Austria (AUT), Finland (FIN), Germany (GER), Ireland (IR), Italy (IT) and The Netherlands (NL). Results: The treatment profiles of CLBP patients show marked differences between countries and three categories of treatment can be distinguished: (a) predominant physiotherapy (IR, IT), (b) all disciplines equally provided (NL, GER, AUS) and (c) treatment concentrated in four disciplines (FIN). Striking differences are also found for patient characteristics, characterised by in particular the younger and more disabled Dutch patients and the older and less disabled (mostly female) Italian patients. International stroke rehabilitation was more similar between countries; however, a few differences in patient characteristics were found which again could mostly be ascribed to the Dutch and Italian patients. Conclusion: International treatment and outcome assessment of CLBP patients is not possible unless standardisation is considered of treatment content and patient selection. For stroke treatment international traffic and multi-centre outcome assessment might be more feasible.",
    keywords = "EWI-19863, Rehabilitation, Chronic low back pain, METIS-230850, Stroke, Patient characteristics, Treatment content, International comparison, IR-76466",
    author = "L.H. Engbers and Vollenbroek-Hutten, {Miriam Marie Ros{\'e}} and {van Harten}, {Wim H.} and {van Harten}, {Willem H.}",
    year = "2005",
    doi = "10.1016/j.healthpol.2004.03.006",
    language = "Undefined",
    volume = "71",
    pages = "359--373",
    journal = "Health policy",
    issn = "0168-8510",
    publisher = "Elsevier",
    number = "3",

    }

    TY - JOUR

    T1 - A comparison of patient characteristics and rehabilitation treatment content of chronic low back pain (CLBP) and stroke patients across six European countries

    AU - Engbers, L.H.

    AU - Vollenbroek-Hutten, Miriam Marie Rosé

    AU - van Harten, Wim H.

    AU - van Harten, Willem H.

    PY - 2005

    Y1 - 2005

    N2 - Background: So far no studies have been conducted on the issue of comparability of rehabilitation treatment profiles and patient characteristics across countries. These aspects might have implications for the feasibility of treating patients abroad but also for the comparison of treatment outcome on an international level. Objective: This study attempts to compare the patient characteristics and treatment profiles in six European countries of two rehabilitation categories (chronic low back pain (CLBP) and stroke) and to reveal possible consequences for international treatment and multi-centre studies. Design: Cross-sectional study comparing demographic variables, treatment profiles, generic health (SF-36) and disabilities (RDQ for CLBP and the Barthel index for stroke) in six European countries. Subjects: 255 patients with CLBP and 246 patients with stroke, treated in 36 different institutions in Austria (AUT), Finland (FIN), Germany (GER), Ireland (IR), Italy (IT) and The Netherlands (NL). Results: The treatment profiles of CLBP patients show marked differences between countries and three categories of treatment can be distinguished: (a) predominant physiotherapy (IR, IT), (b) all disciplines equally provided (NL, GER, AUS) and (c) treatment concentrated in four disciplines (FIN). Striking differences are also found for patient characteristics, characterised by in particular the younger and more disabled Dutch patients and the older and less disabled (mostly female) Italian patients. International stroke rehabilitation was more similar between countries; however, a few differences in patient characteristics were found which again could mostly be ascribed to the Dutch and Italian patients. Conclusion: International treatment and outcome assessment of CLBP patients is not possible unless standardisation is considered of treatment content and patient selection. For stroke treatment international traffic and multi-centre outcome assessment might be more feasible.

    AB - Background: So far no studies have been conducted on the issue of comparability of rehabilitation treatment profiles and patient characteristics across countries. These aspects might have implications for the feasibility of treating patients abroad but also for the comparison of treatment outcome on an international level. Objective: This study attempts to compare the patient characteristics and treatment profiles in six European countries of two rehabilitation categories (chronic low back pain (CLBP) and stroke) and to reveal possible consequences for international treatment and multi-centre studies. Design: Cross-sectional study comparing demographic variables, treatment profiles, generic health (SF-36) and disabilities (RDQ for CLBP and the Barthel index for stroke) in six European countries. Subjects: 255 patients with CLBP and 246 patients with stroke, treated in 36 different institutions in Austria (AUT), Finland (FIN), Germany (GER), Ireland (IR), Italy (IT) and The Netherlands (NL). Results: The treatment profiles of CLBP patients show marked differences between countries and three categories of treatment can be distinguished: (a) predominant physiotherapy (IR, IT), (b) all disciplines equally provided (NL, GER, AUS) and (c) treatment concentrated in four disciplines (FIN). Striking differences are also found for patient characteristics, characterised by in particular the younger and more disabled Dutch patients and the older and less disabled (mostly female) Italian patients. International stroke rehabilitation was more similar between countries; however, a few differences in patient characteristics were found which again could mostly be ascribed to the Dutch and Italian patients. Conclusion: International treatment and outcome assessment of CLBP patients is not possible unless standardisation is considered of treatment content and patient selection. For stroke treatment international traffic and multi-centre outcome assessment might be more feasible.

    KW - EWI-19863

    KW - Rehabilitation

    KW - Chronic low back pain

    KW - METIS-230850

    KW - Stroke

    KW - Patient characteristics

    KW - Treatment content

    KW - International comparison

    KW - IR-76466

    U2 - 10.1016/j.healthpol.2004.03.006

    DO - 10.1016/j.healthpol.2004.03.006

    M3 - Article

    VL - 71

    SP - 359

    EP - 373

    JO - Health policy

    JF - Health policy

    SN - 0168-8510

    IS - 3

    ER -