Inflammatory myopathies

Utilization of Rehabilitation Services After Idiopathic Inflammatory Myopathy Diagnosis: A Retrospective Cohort Assessment in the United States

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Rehabilitation utilization was infrequent overall, occurring nearly 2 years after the initial IIM ICD code.

Study context

Population
US patients with idiopathic inflammatory myopathies (IIM) in the TriNetX dataset (≥2 IIM ICD-9/10 codes 1–12 months apart, ≥1 year of preceding data)29.4% male
Participants
22,434 patients
Outcome
Utilization and timing of rehabilitation services (CPT code for PT, OT and SLP) after first IIM ICD code
Methodological detailsrecurrent event modeling, adjusted for potential confounders
  • Recurrent event modeling
  • Adjusted for potential confounders

Main finding

As reported in the abstract

≥1 rehabilitation evaluation after first IIM ICD code · average of 10 years' follow-up

Physical therapy (PT) evaluation

20.1%

Occupational therapy (OT) evaluation

5.3%

Speech language pathology (SLP) evaluation

3.7%

Mean time to rehabilitation services use after first IIM code

just under 2 years

Observational data: associations, not effects.

Further findings

Factors associated with rehabilitation service use

Older age and prior use of the respective rehabilitation service associated with higher use across all categories
DM ICD group had significantly lower PT and OT use vs PM ICD group

Original publication

Utilization of Rehabilitation Services After Idiopathic Inflammatory Myopathy Diagnosis: A Retrospective Cohort Assessment in the United States. J Rheumatol. Published 15 August 2025. doi:10.3899/jrheum.2025-0097

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