Injury · 2026
Association between financial distress and levels of discomfort and incapability after musculoskeletal injury.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Parser Niek, Melendez J Eduardo, Shields Cassidy, Lewis Andrew, Ring David, Jaarsma Emily
Аннотация
OBJECTIVES: To determine whether self-reported financial stress is associated with levels of capability during recovery from musculoskeletal injury.
METHODS: Design: Cross-sectional survey SETTING: Multiple metropolitan musculoskeletal outpatient specialty offices PATIENT SELECTION CRITERIA: Adult outpatients seeking specialty care within 6 months of a musculoskeletal injury (fracture, tendon rupture, sprain, or dislocation).
OUTCOME MEASURES AND COMPARISONS: Capability was measured using the PROMIS Physical Function Computer Adaptive Test. Financial stress was measured using the FACIT-COST Version 2 questionnaire. Explanatory variables included levels of distress and unhelpful thoughts regarding sensations, social health, and sociodemographic characteristics. Associations with capability were examined using bivariate analyses and multivariable linear regression.
RESULTS: Among 131 participants (56% men, mean age 42 ± 17 years), and an average of 8 ± 6 weeks had elapsed since injury. In multivariable analysis, higher capability was associated with longer time since injury (regression coefficient [RC] = 0.51, p < 0.01) and uninsured status (relative to Medicare coverage; RC = 13, p < 0.01). Lower capability was observed among unemployed participants (RC = -4.6, p = 0.033) and those with lower extremity injuries (RC = -4.5, p < 0.01). Financial stress demonstrated a modest inverse association with capability (RC = -0.20, p = 0.014). Measures of distress and unhelpful thinking were not independently associated with capability.
CONCLUSIONS: LEVEL OF EVIDENCE: Level IIIb, Cross Sectional Observational study.
METHODS: Design: Cross-sectional survey SETTING: Multiple metropolitan musculoskeletal outpatient specialty offices PATIENT SELECTION CRITERIA: Adult outpatients seeking specialty care within 6 months of a musculoskeletal injury (fracture, tendon rupture, sprain, or dislocation).
OUTCOME MEASURES AND COMPARISONS: Capability was measured using the PROMIS Physical Function Computer Adaptive Test. Financial stress was measured using the FACIT-COST Version 2 questionnaire. Explanatory variables included levels of distress and unhelpful thoughts regarding sensations, social health, and sociodemographic characteristics. Associations with capability were examined using bivariate analyses and multivariable linear regression.
RESULTS: Among 131 participants (56% men, mean age 42 ± 17 years), and an average of 8 ± 6 weeks had elapsed since injury. In multivariable analysis, higher capability was associated with longer time since injury (regression coefficient [RC] = 0.51, p < 0.01) and uninsured status (relative to Medicare coverage; RC = 13, p < 0.01). Lower capability was observed among unemployed participants (RC = -4.6, p = 0.033) and those with lower extremity injuries (RC = -4.5, p < 0.01). Financial stress demonstrated a modest inverse association with capability (RC = -0.20, p = 0.014). Measures of distress and unhelpful thinking were not independently associated with capability.
CONCLUSIONS: LEVEL OF EVIDENCE: Level IIIb, Cross Sectional Observational study.