Statewide Prehabilitation Program and Episode Payment in Medicare Beneficiaries
作者: Charles A. MouchBrooke C. KenneyShawna LorchJohn R. MontgomeryMonica Gonzalez-WalkerKathy BishopWilliam C. PalazzoloJune A. SullivanStewart C. WangMichael J. Englesbe
作者单位: 1Department of Surgery, University of Michigan, Ann Arbor, MI
刊名: Journal of the American College of Surgeons, 2020, Vol.230 (3), pp.306-313.e6
来源数据库: Elsevier Journal
DOI: 10.1016/j.jamcollsurg.2019.10.014
英文摘要: Background(#br)Prehabilitation has been shown to improve postoperative outcomes in a variety of patient populations undergoing major operations. The feasibility, generalizability, and value of broad implementation of prehabilitation outside the research environment are unknown.(#br)Methods(#br)Medicare claims data from 2014 to 2017 were used to conduct a multicenter (21 Michigan hospitals) pragmatic cohort study. Patients and controls were followed for the duration of their index surgical hospitalization and for 90 days postoperatively. Medicare beneficiaries older than 18 years who underwent inpatient surgical procedures at a participating hospital during the study time period were eligible for inclusion. The prehabilitation program involved a home-based walking program with...
全文获取路径: Elsevier  (合作)