[Effects of Inpatient Rehabilitation on Long-Term Health-Related Quality of Life in Patients with Cancer and Rheumatoid Arthritis: An Analysis Based on the Classification of Therapeutic Procedures Codes (KTL)].

Kremsreiter, K; Henrich, G; Book, K; Herschbach, P; Marten-Mittag, B; Dinkel, A

doi:10.1055/s-0032-1321746

2013

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Titel:: [Effects of Inpatient Rehabilitation on Long-Term Health-Related Quality of Life in Patients with Cancer and Rheumatoid Arthritis: An Analysis Based on the Classification of Therapeutic Procedures Codes (KTL)].
Dokumenttyp:: Journal Article
Autor(en):: Kremsreiter, K; Henrich, G; Book, K; Herschbach, P; Marten-Mittag, B; Dinkel, A
Abstract:: This explorative study investigated associations among the amount of different rehabilitative interventions, based on the classification of therapeutic procedures codes (KTL), and long-term health-related quality of life in patients with cancer or rheumatoid arthritis.3 therapeutic modules of rehabilitative interventions were defined on the basis of KTL codes: (i) somatic interventions, (ii) psychological interventions, and (iii) medical counselling. Based on a median-split, patients were classified in 2 groups with low vs. high amount of rehabilitative interventions. Health-related quality of life was assessed on admission, at discharge from rehabilitative stay, as well as 3 and 12 months after discharge using the SF-12 health survey.166 patients with chronic arthritis and 159 patients with cancer undergoing inpatient rehabilitation were included in the analysis. Arthritis patients who received a high amount of somatic interventions showed a significant improvement in the SF-12 mental health component summary score up to 12 months after discharge (p<0.05). Cancer patients who received a high amount of psychological interventions showed higher SF-12 physical health component summary scores at 3 and 12 months follow-up (p<0.05).The results suggest differential relationships between amount of rehabilitative interventions and long-term rehabilitation outcome in 2 different disease groups. Routine classification of rehabilitative procedures (KTL) codes can be used for analysing dose-response relationships, although open questions remain concerning the validity of KTL codes.
Zeitschriftentitel:: Gesundheitswesen
Jahr:: 2013
Band / Volume:: 75
Heft / Issue:: 5
Seitenangaben Beitrag:: 317-20
Sprache:: de
Volltext / DOI:: doi:10.1055/s-0032-1321746
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/22864844
Print-ISSN:: 0941-3790
TUM Einrichtung:: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie (Prof. Henningsen)2013