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Association between rainfall and diagnoses of joint or back pain: retrospective claims analysis

Objective To study the relation between rainfall and outpatient visits for joint or back pain in a large patient population.

Design Observational study.

Setting US Medicare insurance claims data linked to rainfall data from US weather stations.

Participants 1 552 842 adults aged ≥65 years attending a total of 11 673 392 outpatient visits with a general internist during 2008-12.

Main outcome measures The proportion of outpatient visits for joint or back pain related conditions (rheumatoid arthritis, osteoarthritis, spondylosis, intervertebral disc disorders, and other non-traumatic joint disorders) was compared between rainy days and non-rainy days, adjusting for patient characteristics, chronic conditions, and geographic fixed effects (thereby comparing rates of joint or back pain related outpatient visits on rainy days versus non-rainy days within the same area).

Results Of the 11 673 392 outpatient visits by Medicare beneficiaries, 2� ....

United States , Julian Simon , Nolan Miller , Ruthl Newhouse , Anupamb Jena , David Molitor , Andrewr Olenski , Global Historical Climatology Network Daily , Atmospheric Administration , National Institutes Of Health , National Institute On Aging , National Oceanic , Carrier Files , Healthcare Common Procedure Coding System , National Institutes , National Institute , Open Access , Creative Commons Attribution Non Commercial ,