Some patients may not benefit from inpatient rehabilitation, but numerous factors must be considered
In this issue of the MJA, Kimmel and her co‐authors report analysing data from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR)1 with the aim of determining whether inpatient rehabilitation after isolated lower extremity fracture in working age people might be associated with poorer long term outcomes. For those of us in the rehabilitation services, this investigation further develops a familiar theme, doubt about the value of inpatient rehabilitation services.
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- 1. Kimmel LA, Simpson PM, Holland AE, et al. Discharge destination and patient‐reported outcomes after inpatient treatment for isolated lower limb fractures. Med J Aust 2020; 212: 263–270.
- 2. Naylor JM, Hart A, Mittal R, et al. The value of inpatient rehabilitation after uncomplicated knee arthroplasty: a propensity score analysis. Med J Aust 2017; 207: 250–255. https://www.mja.com.au/journal/2017/207/6/value-inpatient-rehabilitation-after-uncomplicated-knee-arthroplasty-propensity
- 3. Peel NM, Paul SK, Cameron ID, et al. Promoting activity in geriatric rehabilitation: a randomized controlled trial of accelerometry. PLoS One 2016; 11: e0160906.
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- 6. Donnellan L. Patients pay the price for Scott Morrison's botched NDIS [media release: Minister for Disability, Ageing and Carers (Victoria)]. 19 May 2019. https://www.premier.vic.gov.au/patients-pay-the-price-for-scott-morrisons-botched-ndis (viewed December 2019).
- 7. Commonwealth of Australia, Joint Standing Committee on the National Disability Insurance Scheme. National Disability Insurance Scheme oversight (official committee Hansard). 15 Mar 2015, Brisbane; p. 23. https://parlinfo.aph.gov.au/parlInfo/search/display/display.w3p;query=Id:%22committees/commjnt/b6ae4692-f09f-4fe9-80a5-1fa4256d360d/0003%22 (viewed Dec 2019).
- 8. Levin HS, Boake C, Song J, et al. Validity and sensitivity to change of the extended Glasgow Outcome Scale in mild to moderate traumatic brain injury. J Neurotrauma 2001; 18: 575–584.
I am supported by a National Health and Medical Research Council (NHMRC) Practitioner Fellowship, the NSW State Insurance Regulatory Authority, and Insurance and Care (icare) NSW.
I have received grants from the NHMRC, the Australian Research Council, the New South Wales State Insurance Regulatory Authority, and icare NSW.