title: Impact of board-certificated physiatrists on rehabilitation outcomes in elderly patients after hip fracture: An observational study using the Japan Rehabilitation Database.
abstract: OBJECTIVE
  To clarify the impact on rehabilitation outcomes of board-certificated physiatrists (BCP) as the physicians with primary responsibility for elderly patients in convalescent rehabilitation wards after hip fracture.
  
  
  METHODS
  The present retrospective observational study used 2005-2013 data from the Japan Rehabilitation Database. We identified in-hospital patients with hip fracture admitted to rehabilitation wards. After applying exclusion criteria, 824 patients were eligible. The primary outcome was functional independence measure instrument efficiency.
  
  
  RESULTS
  BCP were responsible for the care of 46% of patients with hip fracture. Patients who were managed by a BCP had significantly higher mean functional independence measure efficiency than patients who were not, both before and after adjustment by inverse propensity-score weighting (0.37 vs 0.26; P = 0.04 and 0.39 vs 0.26; P < 0.01, respectively). Additionally, the mean length of stay was significantly shorter in patients who were managed by BCP than in those who were not, both before and after inverse propensity-score weighting (65 vs 71 days, P = 0.04 and 64 vs 69 days, P < 0.01, respectively).
  
  
  CONCLUSIONS
  Our data suggest that the participation of BCP is associated with good rehabilitation outcomes in patients with hip fracture at convalescent rehabilitation wards. Geriatr Gerontol Int 2016; 16: 963-968.
authors: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
authors: Ryo
authors: R
authors: Momosaki
authors: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
authors: Wataru
authors: W
authors: Kakuda
authors: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
authors: Naoki
authors: N
authors: Yamada
authors: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
authors: Masahiro
authors: M
authors: Abo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002568:Certification / Q000379:methods*; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D006620:Hip Fractures / Q000175:diagnosis / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D007564:Japan; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D000072157:Physiatrists / Q000145:classification / Q000600:supply & distribution*; D026741:Physical Therapy Modalities; D010819:Physician's Role; D011379:Prognosis; D057216:Propensity Score; D020127:Recovery of Function; D012047:Rehabilitation Centers / Q000458:organization & administration; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: activities of daily living; aged; hip fracture; physical rehabilitation; retrospective study