Cost-efficiency of specialist inpatient rehabilitation for adults with multiple sclerosis: A multicentre prospective cohort analysis of the UK Rehabilitation Outcomes Collaborative national clinical dataset for rehabilitation centres in England

Turner-Stokes, Lynne; Harding, Richard; Yu, Peihan; Dzingina, Mendwas; Gao, Wei

doi:10.1177/2055217320912789

Cited by 3 publications

(2 citation statements)

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“…Other FIM efficiency values from large population-based samples of people with stroke have ranged from 0.48 (95% CI: 0.15, 0.89; n =1995) [27] to 1.59 [19]. The only large sample study of FIM efficiency in people with MS reported a value of 0.23 (95% CI: 0.22, 0.23) over the period 2010 to 2018 [28] considerably lower than ours, although for the same time period. One of the differences between our study and one from UK was the average length of stay was 39 days in Canada and 59 days in the UK.…”

Section: Discussionmentioning

confidence: 99%

Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

Mate,

Ow,

Hum

et al. 2023

Multiple Sclerosis and Related Disorders

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Section: Discussionmentioning

confidence: 99%

Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

Mate,

Ow,

Hum

et al. 2023

Multiple Sclerosis and Related Disorders

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“…Multidisciplinary rehabilitation in MS is also good value for money in terms of its cost-effectiveness. 33 Unfortunately, unlike in many northern hemisphere countries, MS-specific multidisciplinary rehabilitation services (ie teams including cognitive rehabilitation specialists as well as other rehabilitation specialists) are not readily available in Australia; they are not available in most states and territories, and certainly not in rural or remote settings. Fortunately, cognitive rehabilitation as a stand-alone intervention is nevertheless a viable option.…”

Section: Next Steps: Choosing Between the Effective Cognitive Rehabil...mentioning

confidence: 99%

Cognitive rehabilitation in multiple sclerosis

Longley¹

2022

Aust J Gen Pract

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Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

Mate

Hum

et al. 2023

Preprint

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Background: Rehabilitation is the mainstay of management for people with disabilities of neurological origin to maximize function and reduce disability. Access to in-patient rehabilitation is usually reserved for people after crises or those who are discharged from acute care such as in stroke or trauma. Access to people with Multiple Sclerosis (MS) differs across countries and unknown for Canada. With the progression of MS, quality of life (QOL) becomes more closely coupled with independence and hence timely access to rehabilitation is important. The objectives of this paper are (i) to characterize the disability profiles of people with MS admitted to in-patient rehabilitation in Canada; and (ii) to estimate the extent to which disability profiles differ from admission to discharge. Methods: A longitudinal study of a rehabilitation admission-to-discharge cohort of 3500 people with MS was conducting using latent class analysis on the five Functional Independence Measure (FIM) subscales for Self-care, Transfers, Locomotion, Bladder/Bowel, and Cognition. The extent to which age, sex, and calendar time was associated with latent class membership, at both admission and discharge, was estimated using ordinal logistic regression, and proportional odds model was calculated for each age and sex. Results: A five-class model fit the data at admission and a four-class model fit the data at discharge determined using likelihood ratio G2, Akaike's Information Criterion, and Bayesian Information Criterion. Conclusion: At admission, the disability profiles showed a hierarchical progression across the FIM subscales. The least disabled profile was characterized by locomotion dependency only; the most disabled profile was characterized by dependencies in all subscales except cognition. At discharge, the least disabled class, representing 28% of discharges, was characterized by no dependencies; the most disabled class remained with dependencies (23%) in all areas. The study highlights the importance of reserving scarce rehabilitation services to those with more disability.

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Cost-efficiency of specialist inpatient rehabilitation for adults with multiple sclerosis: A multicentre prospective cohort analysis of the UK Rehabilitation Outcomes Collaborative national clinical dataset for rehabilitation centres in England

Cited by 3 publications

References 34 publications

Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

Cognitive rehabilitation in multiple sclerosis

Admission and discharge profiles of people with MS accessing in-patient rehabilitation in Canada

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