[Analysis of therapeutic procedures in 5,838 rehab patients following total hip or total knee replacement].
In the framework of the Practice Guidelines programme of the German Federal Pension Insurance (DRV Bund) evidence-based standards for rehabilitation following total hip or knee replacement are to be developed. The results of a quantitative analysis of present health-care on the basis of documented treatments (KTL) from 5 838 rehab patients are reported here. Based on a systematic review of international trials, treatment modules were specified and analyzed as to frequency and duration of current treatment. Furthermore, separate analyses were conducted for gender, age, and different clinics. No differences were found among rehab facilities as to exercise therapy, physiotherapy, or health education. However, psychological treatment and specific trainings differed considerably between centres.
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Universitätsklinikum Freiburg, Abteilung Qualitätsmanagement und Sozialmedizin, Freiburg. michael.guelich@uniklinik-freiburg.de
Mittag
O
O
Müller
E
E
Uhlmann
A
A
Brüggemann
S
S
Jäckel
W H
WH
D000328:Adult; D017677:Age Distribution; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation* / Q000706:statistics & numerical data*; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017678:Sex Distribution; D016896:Treatment Outcome