Predictors of Prescriptions for Management of Fatigue Among Veterans With Multiple Sclerosis
| Autor: | Aaron P. Turner, Michael Hatzakis, Rhonda M. Williams, Jodie K. Haselkorn, Arthur A. Rodriquez, James D. Bowen |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Multiple Sclerosis Northwestern United States Hospitals Veterans medicine.medical_treatment Dopamine Agents Psychological intervention Patient characteristics Physical Therapy Sports Therapy and Rehabilitation Drug Prescriptions Cohort Studies Health facility Surveys and Questionnaires medicine Humans Medical prescription Fatigue health care economics and organizations Aged Veterans Aged 80 and over Rehabilitation business.industry Multiple sclerosis Age Factors Middle Aged medicine.disease Cross-Sectional Studies Logistic Models Cohort Physical therapy Central Nervous System Stimulants Female business Cohort study |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 86:1376-1380 |
| ISSN: | 0003-9993 |
| Popis: | Hatzakis M Jr, Turner AP, Williams RM, Bowen JD, Rodriquez AA, Haselkorn JK. Predictors of prescriptions for management of fatigue among veterans with multiple sclerosis. Objective To determine predictors of fatigue-modifying medication use. Design Cross-sectional cohort. Setting Veterans Health Administration (VHA) facilities. Participants Veterans with multiple sclerosis (MS) in the VHA in the northwestern United States from 1995 to 2000. Interventions Not applicable. Main Outcome Measures A self-administered survey distributed by mail sought information from veterans with MS about demographics, symptoms, barriers to care, and disease characteristics. The variables were compared with prescriptions for fatigue-modifying medications during the study period. Results Of 1032 patients, 451 (44%) completed the survey, and 306 (68%) reported moderate or high fatigue levels. Only 40% of the 306 were prescribed fatigue-modifying medications. Those using specialized fatigue services or who received care at tertiary centers were more likely to receive fatigue treatments. Patient-perceived barriers to accessing care and other patient characteristics were not associated with prescription rates. Conclusions Fatigue is undertreated among veterans with MS. However, there is considerable variability in the provision of fatigue care. Interventions to improve the quality and uniformity of fatigue care are warranted. |
| Databáze: | OpenAIRE |
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