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Racial/ethnic differences in utilization of post-stroke rehabilitation services: a systematic review. Ethn Dis 2008;18(3):365-72 PMID: 18785453

Pubmed ID

18785453

Abstract

OBJECTIVE: To examine racial/ethnic differences in utilization of stroke-related rehabilitation.

METHODS: We searched Medline (from 1966-2007), CINAHL (from 1982-2007), PsycINFO (1966-2007), REHABDATA (1966-2007), the Cochrane Library, and reference lists of published articles. We identified 82 studies in our initial search, including randomized and quasirandomized controlled trials, working papers, technical reports, and conference presentations of stroke patients that reported utilization of rehabilitation services including physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), and at least two groups that differed by race/ethnicity. Because of limited information on outcomes and heterogeneity of the studies, a formal meta-analysis was not conducted. A qualitative aggregation of study findings was performed instead.

RESULTS: Ten studies involving 214,229 patients met the final criteria for review. Racial/ethnic minorities were more likely to receive rehabilitation and have longer lengths of stays in studies that reported use of rehabilitation services. In contrast, when studies reported discipline-specific (PT, OT, SLP) utilization of services, the results were mixed.

CONCLUSIONS: Racial/ethnic differences in the utilization of rehabilitation services primarily reflected the manner in which service utilization was reported. Future studies should be designed to ensure an accurate comparison of service utilization by race/ethnicity.

Author List

Ellis C, Breland HL, Egede LE

Author

Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin




Scopus

2-s2.0-55249085207   12 Citations

MESH terms used to index this publication - Major topics in bold

Continental Population Groups
Ethnic Groups
Humans
Occupational Therapy
Physical Therapy Modalities
Stroke
Stroke Rehabilitation
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e