Commonalities in rehabilitation data across diverse health conditions: a comparison of seven large European databases

Authors

  • Carlotte Kiekens IRCCS Galeazzi – Sant’Ambrogio Hospital, Milan, Italy
  • Helena Burger University Rehabilitation Institute Republic of Slovenia; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia
  • Paolo Capodaglio Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; IRCCS Istituto Auxologico Italiano, Milan, Italy
  • Maria G. Ceravolo Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy
  • Esther Janssen IQ health, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands; School of Allied Health, HAN University of Applied Sciences, Nijmegen, the Netherlands; Department of Orthopaedic Surgery, Viecuri Medisch Centrum, Venlo, the Netherlands
  • Greta Jurenaite ISICO (Italian Scientific Spine Institute), Milan, Italy
  • Calogero Malfitano Department of Biomedical Sciences for Health, University of Milan, Italy; Azienda di Servizi alla Persona Istituti Milanesi Martinitt e Stelline e Pio Albergo Trivulzio, Milan, Italy
  • Federico Pennestri IRCCS Galeazzi – Sant’Ambrogio Hospital, Milan, Italy
  • Ruud Selles Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands; Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Center Rotterdam, the Netherlands
  • Gianluca M. Tartaglia Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy; Policlinico Hospital, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
  • Stefano Negrini IRCCS Galeazzi – Sant’Ambrogio Hospital, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy

DOI:

https://doi.org/10.2340/jrm.v58.45495

Keywords:

decision support systems, clinical, precision medicine, predictive learning models, rehabilitation

Abstract

Objective: To investigate whether rehabilitation data share common characteristics across different health conditions and care settings within the EU Horizon PREPARE project.

Design: Qualitative content analysis, with a comparative study of existing clinical databases.

Subjects/Patients: Individuals with hand and wrist disorders, idiopathic scoliosis, intermittent claudication, lower limb amputation, Parkinson’s disease or Parkinsonism, hip or knee replacement, and temporomandibular disorders.

Methods: Seven rehabilitation-oriented clinical databases were analysed using the International Classification of Functioning, Disability and Health (ICF) framework. Variables were categorized as outcomes, modifiers, or baseline measurements. Commonalities and differences across data domains were identified through iterative consensus meetings among PREPARE partners.

Results: Substantial heterogeneity was observed in data type and depth. Pain and quality of life were the most commonly reported outcomes, whereas discharge status and participation-related measures were rarely reported. The most prevalent modifiers were pharmacological treatments, orthoses or prostheses, and exercise-based interventions. All databases reported baseline information on diagnosis, anthropometry, and demographics; however, assessments of gait autonomy and daily activities were inconsistently documented.

Conclusion: Despite some overlapping domains, rehabilitation data collection remains fragmented and predominantly focused on biomedical aspects. Greater standardization and systematic inclusion of psychosocial and contextual variables are needed for robust predictive modelling and personalized rehabilitation.

Downloads

Download data is not yet available.

References

Institute for Health Metrics and Evaluation. WHO Rehabilitation Need Estimator [Serial on the Internet]. 2024 [cited 2025 Aug 30]. Available from: vizhub.healthdata.org/rehabilitation

World Health Organization. Rehabilitation [Fact sheet] [Serial on the Internet]. 2024 [cited 2025 Aug 30]. Available from: www.who.int/news-room/fact-sheets/detail/rehabilitation

Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2021; 396: 2006–2017. DOI: https://doi.org/10.1016/S0140-6736(20)32340-0

World Health Organization. Strengthening rehabilitation in health systems [Serial on the Internet]. Geneva; 2023 [cited 2025 May 5]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA76/A76_R6-en.pdf

Negrini S, Selb M, Kiekens C, Todhunter-Brown A, Arienti C, Stucki G, et al. Rehabilitation definition for research purposes: a global stakeholders’ initiative by Cochrane Rehabilitation. Eur J Phys Rehabil Med 2022; 58: 333–341. DOI: https://doi.org/10.23736/S1973-9087.22.07509-8

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 8. The PRM specialty in the healthcare system and society. Eur J Phys Rehabil Med 2018; 54: 261–278. DOI: https://doi.org/10.23736/S1973-9087.18.05152-3

European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice. Eur J Phys Rehabil Med 2018; 54: 230–260. DOI: https://doi.org/10.23736/S1973-9087.18.05151-1

PREPARE Consortium. PREPARE – Personalised Rehabilitation via Novel AI Patient Stratification Strategies [Serial on the Internet]. 2025 [cited 2025 Aug 30]. Available from: https://prepare-rehab.eu/

Stucki G, Bickenbach J. Functioning: the third health indicator in the health system and the key indicator for rehabilitation. Eur J Phys Rehabil Med 2017; 53. DOI: https://doi.org/10.23736/S1973-9087.17.04565-8

Selles RW, Wouters RM, Poelstra R, van der Oest MJW, Porsius JT, Hovius SER, et al. Routine health outcome measurement: development, design, and implementation of the Hand and Wrist Cohort. Plast Reconstr Surg 2020; 146: 343–354. DOI: https://doi.org/10.1097/PRS.0000000000007008

Shoda Y, Mischel W, Wright JC. The role of situational demands and cognitive competencies in behavior organization and personality coherence. J Pers Soc Psychol 1993; 65: 1023–1035. DOI: https://doi.org/10.1037//0022-3514.65.5.1023

Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord 2018; 13: 3. DOI: https://doi.org/10.1186/s13013-017-0145-8

Negrini S, Hresko TM, O’Brien JP, Price N, SOSORT Boards, SRS Non-Operative Committee. Recommendations for research studies on treatment of idiopathic scoliosis: consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis 2015; 10: 8. DOI: https://doi.org/10.1186/s13013-014-0025-4

Fowkes FGR, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet 2013; 382: 1329–1340. DOI: https://doi.org/10.1016/S0140-6736(13)61249-0

Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, et al. 2016 AHA/ACC Guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2017; 69: 1465–1508. DOI: https://doi.org/10.1016/j.jacc.2016.11.008

Aboyans V, Ricco J-B, Bartelink M-LEL, Björck M, Brodmann M, Cohnert T, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J 2018; 39: 763–816. DOI: https://doi.org/10.1016/j.rec.2017.12.014

Narres M, Kvitkina T, Claessen H, Droste S, Schuster B, Morbach S, et al. Incidence of lower extremity amputations in the diabetic compared with the non-diabetic population: a systematic review. PLoS One 2017; 12: e0182081. DOI: https://doi.org/10.1371/journal.pone.0182081

Hunter SW, Batchelor F, Hill KD, Hill A, Mackintosh S, Payne M. Risk factors for falls in people with a lower limb amputation: a systematic review. PM&R 2017; 9: 170. DOI: https://doi.org/10.1016/j.pmrj.2016.07.531

Capecci M, Baldini N, Campignoli F, Lombardo LP, Andrenelli E, Ceravolo MG. Clinical and functional evolution in subjects with Parkinson’s disease during SARS-CoV-2 pandemic. Appl Sc (Basel) 2023; 13. DOI: https://doi.org/10.3390/app13021126

Poewe W. Non–motor symptoms in Parkinson’s disease. Eur J Neurol 2008; 15: 14–20. DOI: https://doi.org/10.1111/j.1468-1331.2008.02056.x

Hurley M, Dickson K, Hallett R, Grant R, Hauari H, Walsh N, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Cochrane Database Syst Rev 2018; 4: CD010842. DOI: https://doi.org/10.1002/14651858.CD010842.pub2

Artz N, Elvers KT, Lowe CM, Sackley C, Jepson P, Beswick AD. Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis. BMC Musculoskelet Disord 2015; 16: 15. DOI: https://doi.org/10.1186/s12891-015-0469-6

Minns Lowe CJ, Davies L, Sackley CM, Barker KL. Effectiveness of land-based physiotherapy exercise following hospital discharge following hip arthroplasty for osteoarthritis: an updated systematic review. Physiotherapy 2015; 101: 252–265. DOI: https://doi.org/10.1016/j.physio.2014.12.003

Tartaglia GM, Lodetti G, Paiva G, De Felicio CM, Sforza C. Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain. J Electromyogr Kinesiol 2011; 21: 659–664. DOI: https://doi.org/10.1016/j.jelekin.2011.03.003

World Health Organization. International Classification of Functioning, Disability and Health (ICF) [Serial on the Internet]. Endorsed by the 54th World Health Assembly on 22 May 2001 (Resolution WHA 54.21). 2001 [cited 2025 Aug 30]. Available from: www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health

Janssen ERC, Punt IM, van Soest J, Heerkens YF, Stallinga HA, ten Napel H, et al. Operationalizing and digitizing person-centered daily functioning: a case for functionomics. BMC Med Inform Decis Mak 2024; 24: 184. DOI: https://doi.org/10.1186/s12911-024-02584-2

Observational Health Data Sciences and Informatics (OHDSI). OHDSI: Observational Health Data Sciences and Informatics [Serial on the Internet]. 2025 [cited 2025 Aug 30]. Available from: https://www.ohdsi.org/

Hripcsak G, Schuemie MJ, Madigan D, Ryan PB, Suchard MA. Drawing reproducible conclusions from observational clinical data with OHDSI. Yearb Med Inform 2021; 30: 283–289. DOI: https://doi.org/10.1055/s-0041-1726481

Reps JM, Schuemie MJ, Suchard MA, Ryan PB, Rijnbeek PR. Design and implementation of a standardized framework to generate and evaluate patient-level prediction models using observational healthcare data. J Am Med Inform Assoc 2018; 25: 969–975. DOI: https://doi.org/10.1093/jamia/ocy032

Esther Janssen, Ruud Selles. OHDSI Workgroup Objectives and Key Results (OKR) Rehabilitation Workgroup [Serial on the Internet]. 2024 [cited 2025 Aug 30]. Available from: www.ohdsi.org/wp-content/uploads/2024/04/Rehabilitation-24.pdf

World Health Organization. Routine Health Information Systems – Rehabilitation Toolkit [Serial on the Internet]. 2025 [cited 2025 Aug 30]. Available from: www.who.int/tools/routine-health-information-systems---rehabilitation-toolkit

Published

2026-03-23

How to Cite

Kiekens, C., Burger, H., Capodaglio, P., Ceravolo, M. G., Janssen, E., Jurenaite, G., … Negrini, S. (2026). Commonalities in rehabilitation data across diverse health conditions: a comparison of seven large European databases. Journal of Rehabilitation Medicine, 58, jrm45495. https://doi.org/10.2340/jrm.v58.45495

Issue

Section

Special Report

Categories