Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders
Choi H, Binder DS, Oropilla ML, Bernotus EE, Konya D, Nee MA, Tammaro EA, Sabharwal S. Evaluation of selected laboratory components of a comprehensive periodic health evaluation for veterans with spinal cord injury and disorders. To evaluate selected laboratory components of a comprehensive periodic...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2006-05, Vol.87 (5), p.603-610 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Choi, Howard Binder, David S. Oropilla, Marjorie L. Bernotus, Ervin E. Konya, Deniz Nee, Maura A. Tammaro, Elizabeth A. Sabharwal, Sunil |
| description | Choi H, Binder DS, Oropilla ML, Bernotus EE, Konya D, Nee MA, Tammaro EA, Sabharwal S. Evaluation of selected laboratory components of a comprehensive periodic health evaluation for veterans with spinal cord injury and disorders.
To evaluate selected laboratory components of a comprehensive periodic health evaluation program for patients with spinal cord injury and disorders (SCI/D).
A retrospective study.
A Department of Veterans Affairs spinal cord injury center.
Community-dwelling male veterans with SCI/D (N=350).
Not applicable.
Proportion of laboratory tests that resulted in new diagnoses (diagnostic yield) and proportion of laboratory tests that resulted in changes in management (therapeutic yield).
Although abnormality rates for many routine laboratory tests were high (up to 31.5%), diagnostic and therapeutic yields were low ( |
| doi_str_mv | 10.1016/j.apmr.2006.02.001 |
| format | Article |
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To evaluate selected laboratory components of a comprehensive periodic health evaluation program for patients with spinal cord injury and disorders (SCI/D).
A retrospective study.
A Department of Veterans Affairs spinal cord injury center.
Community-dwelling male veterans with SCI/D (N=350).
Not applicable.
Proportion of laboratory tests that resulted in new diagnoses (diagnostic yield) and proportion of laboratory tests that resulted in changes in management (therapeutic yield).
Although abnormality rates for many routine laboratory tests were high (up to 31.5%), diagnostic and therapeutic yields were low (<1.5%), with the exception of glucose (therapeutic yield, 3.4%) and lipid tests (up to a 4.1% diagnostic and 15.2% therapeutic yield).
Our data revealed that diagnostic and therapeutic yields for many laboratory components of the annual PHE program for veterans with SCI/D were low, consistent with findings in the general ambulatory population. Further data collection, particularly prospective longitudinal data, may help optimize the selection and frequency of laboratory tests performed as part of this program.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2006.02.001</identifier><identifier>PMID: 16635621</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Chemical Analysis ; Cerebrospinal fluid. Meninges. Spinal cord ; Cross-sectional studies ; Diseases of the osteoarticular system ; Hematologic Tests ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nervous system (semeiology, syndromes) ; Neurology ; Physical Examination ; Preventive medicine ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Retrospective Studies ; Severity of Illness Index ; Spinal Cord Diseases - blood ; Spinal cord injuries ; Spinal Cord Injuries - blood ; Veterans</subject><ispartof>Archives of physical medicine and rehabilitation, 2006-05, Vol.87 (5), p.603-610</ispartof><rights>2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-5e4206a65509510a0d1ef0ec0811b983879287387f364318addb82b68b5697153</citedby><cites>FETCH-LOGICAL-c384t-5e4206a65509510a0d1ef0ec0811b983879287387f364318addb82b68b5697153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2006.02.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17736587$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16635621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Howard</creatorcontrib><creatorcontrib>Binder, David S.</creatorcontrib><creatorcontrib>Oropilla, Marjorie L.</creatorcontrib><creatorcontrib>Bernotus, Ervin E.</creatorcontrib><creatorcontrib>Konya, Deniz</creatorcontrib><creatorcontrib>Nee, Maura A.</creatorcontrib><creatorcontrib>Tammaro, Elizabeth A.</creatorcontrib><creatorcontrib>Sabharwal, Sunil</creatorcontrib><title>Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Choi H, Binder DS, Oropilla ML, Bernotus EE, Konya D, Nee MA, Tammaro EA, Sabharwal S. Evaluation of selected laboratory components of a comprehensive periodic health evaluation for veterans with spinal cord injury and disorders.
To evaluate selected laboratory components of a comprehensive periodic health evaluation program for patients with spinal cord injury and disorders (SCI/D).
A retrospective study.
A Department of Veterans Affairs spinal cord injury center.
Community-dwelling male veterans with SCI/D (N=350).
Not applicable.
Proportion of laboratory tests that resulted in new diagnoses (diagnostic yield) and proportion of laboratory tests that resulted in changes in management (therapeutic yield).
Although abnormality rates for many routine laboratory tests were high (up to 31.5%), diagnostic and therapeutic yields were low (<1.5%), with the exception of glucose (therapeutic yield, 3.4%) and lipid tests (up to a 4.1% diagnostic and 15.2% therapeutic yield).
Our data revealed that diagnostic and therapeutic yields for many laboratory components of the annual PHE program for veterans with SCI/D were low, consistent with findings in the general ambulatory population. Further data collection, particularly prospective longitudinal data, may help optimize the selection and frequency of laboratory tests performed as part of this program.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood Chemical Analysis</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cross-sectional studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Hematologic Tests</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Physical Examination</subject><subject>Preventive medicine</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Spinal Cord Diseases - blood</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - blood</subject><subject>Veterans</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQxi0EotuFF-CAfIFbwtjeOInEBS2lrbQSSOXfzXLsiepVYgc7WakPwTvjZVcqJ06jmfnNJ_v7CHnFoGTA5Lt9qacxlhxAlsBLAPaErFgleNFw9vMpWQGAKNq2FRfkMqV9bmUl2HNywaQUleRsRX5fHfSw6NkFT0NP73BAM6OlO92FqOcQH-g2jFPw6Od0JPTfPuI9-uQOSL9gdME6Q29QD_M9_UevD5F-xxmj9on-cHl5Nzmvh6wQLb31-yWra2_pR5fyBGN6QZ71ekj48lzX5Nunq6_bm2L3-fp2-2FXGNFs5qLCDQepZVVBWzHQYBn2gAYaxrq2EU3d8qbOpRdyI1ijre0a3smmq2RbZ4fW5O1Jd4rh14JpVqNLBodBewxLUrJu2hqAZ5CfQBNDShF7NUU36vigGKhjCGqvjiGoYwgKuMoh5KPXZ_WlG9E-npxdz8CbM6CT0UOfDTIuPXJ1LWSVP7Am708cZi8ODqNKxqE3aF3MMSkb3P_e8QfHQKYs</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Choi, Howard</creator><creator>Binder, David S.</creator><creator>Oropilla, Marjorie L.</creator><creator>Bernotus, Ervin E.</creator><creator>Konya, Deniz</creator><creator>Nee, Maura A.</creator><creator>Tammaro, Elizabeth A.</creator><creator>Sabharwal, Sunil</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders</title><author>Choi, Howard ; Binder, David S. ; Oropilla, Marjorie L. ; Bernotus, Ervin E. ; Konya, Deniz ; Nee, Maura A. ; Tammaro, Elizabeth A. ; Sabharwal, Sunil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-5e4206a65509510a0d1ef0ec0811b983879287387f364318addb82b68b5697153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Chemical Analysis</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Cross-sectional studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Hematologic Tests</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Physical Examination</topic><topic>Preventive medicine</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Spinal Cord Diseases - blood</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - blood</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Howard</creatorcontrib><creatorcontrib>Binder, David S.</creatorcontrib><creatorcontrib>Oropilla, Marjorie L.</creatorcontrib><creatorcontrib>Bernotus, Ervin E.</creatorcontrib><creatorcontrib>Konya, Deniz</creatorcontrib><creatorcontrib>Nee, Maura A.</creatorcontrib><creatorcontrib>Tammaro, Elizabeth A.</creatorcontrib><creatorcontrib>Sabharwal, Sunil</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Howard</au><au>Binder, David S.</au><au>Oropilla, Marjorie L.</au><au>Bernotus, Ervin E.</au><au>Konya, Deniz</au><au>Nee, Maura A.</au><au>Tammaro, Elizabeth A.</au><au>Sabharwal, Sunil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>87</volume><issue>5</issue><spage>603</spage><epage>610</epage><pages>603-610</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Choi H, Binder DS, Oropilla ML, Bernotus EE, Konya D, Nee MA, Tammaro EA, Sabharwal S. Evaluation of selected laboratory components of a comprehensive periodic health evaluation for veterans with spinal cord injury and disorders.
To evaluate selected laboratory components of a comprehensive periodic health evaluation program for patients with spinal cord injury and disorders (SCI/D).
A retrospective study.
A Department of Veterans Affairs spinal cord injury center.
Community-dwelling male veterans with SCI/D (N=350).
Not applicable.
Proportion of laboratory tests that resulted in new diagnoses (diagnostic yield) and proportion of laboratory tests that resulted in changes in management (therapeutic yield).
Although abnormality rates for many routine laboratory tests were high (up to 31.5%), diagnostic and therapeutic yields were low (<1.5%), with the exception of glucose (therapeutic yield, 3.4%) and lipid tests (up to a 4.1% diagnostic and 15.2% therapeutic yield).
Our data revealed that diagnostic and therapeutic yields for many laboratory components of the annual PHE program for veterans with SCI/D were low, consistent with findings in the general ambulatory population. Further data collection, particularly prospective longitudinal data, may help optimize the selection and frequency of laboratory tests performed as part of this program.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16635621</pmid><doi>10.1016/j.apmr.2006.02.001</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Blood Chemical Analysis Cerebrospinal fluid. Meninges. Spinal cord Cross-sectional studies Diseases of the osteoarticular system Hematologic Tests Humans Male Medical sciences Middle Aged Miscellaneous Nervous system (semeiology, syndromes) Neurology Physical Examination Preventive medicine Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Retrospective Studies Severity of Illness Index Spinal Cord Diseases - blood Spinal cord injuries Spinal Cord Injuries - blood Veterans |
| title | Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders |
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