The report is available in English with a French summary - KCE

KCE reports 57 Musculoskeletal & Neurological Rehabilitation 23
specified for 4.1%; SCI for 5.2%; Joint replacement (knee and hip) for 14.8% and LEA for
3.8%.
Figure 2.3: Pathos-Aggir-Socios: Diagnoses which underlie rehabilitation needs
(Inpatient)
Stroke
Of all patients with musculoskeletal and/or
neurological lesions, admitted on a Sp
service
28%
MS 10%
SCI 8%
THR 26%
LEA 3%
Selected diagnoses 75%
Musculoskeletal and
neurological lesions
2.2 EPIDEMIOLOGY
2.2.1 Methodology
2.2.2 Results
100%
In the literature search for epidemiologic data, the focus was on incidence, prevalence and
mortality. If available, data on the degree of dependence were collected but because of
unclear use of validated scales, these data were only mentioned in the attachments. See
also the attachments to consult more details.
Initially, the researchers searched the Pubmed database for studies published after January
1, 2000 that might contribute to an up-to-date view on incidence and prevalence data of
the selected diagnoses in Belgium, The Netherlands, Germany, France and Great Britain.
Pubmed was searched using the MeSH terms “Epidemiology”, “Incidence”, “Prevalence”,
“Statistics and numerical data” and “Trends”, combined with the diagnoses and the
mentioned country names or the MeSH term “Rehabilitation”. Reference lists of incidence
or prevalence studies were also examined. If for certain diagnoses only few articles were
published after January 1, 2000 the search was extended to the period before January 1,
2000 without mentioning country names.
Earlier research for incidence and prevalence data for amputations and spinal cord injuries
was done by a team of the Federal Centre of Expertise for the Health Care Sector 25 . The
studies selected by this team were included additionally.
Finally, the researchers asked Belgian experts whether they were aware of any relevant
papers.
Only papers reporting incidence or prevalence data of the total population of a region
were scanned. In other words, papers that only consider individuals presenting a certain
pathology or treated with a specific therapy were excluded. However, there is a difference
in population selection between the papers. Some papers contain data collected at the
level of a facility, other papers contain data collected at the level of a community. The first
type of data selection might be less complete because not all individuals reach a facility
after for example a traffic accident or a stroke.
The search algorithms and results can be found in the attachments.
28 relevant publications were found for ‘Stroke’, 11 for ‘Total Hip Replacement’, 10 for
‘Multiple Sclerosis’, 10 for ‘Lower Extremity Amputation’ and 18 for ‘Spinal Cord Injuries’.