ATI Evidence-based Guide Investigating Medical and Preventative Services

Inclusion Criteria: Care setting and timeframe: Received sports medicine services at ATI Physical Therapy, with documentation available in the ATI Sports Medicine EMR, on or after January 1, 2018, through the date of data extraction. Age range: Sports participants including middle school, high school and collegiate aged including adolescents through young adults that have been documented in the EMR. Record availability: Have an EMR record that includes the minimum data elements necessary to address the study objectives (e.g., episode identifiers/dates sufficient to define an episode of care, diagnosis/body region, utilization variables, and at least one routinely collected outcome measure when applicable to the specific analysis). Standard-of-care data: Data were collected as part of routine clinical care/documentation prior to and independent of this research study. Exclusion Criteria: The record is outside the eligible timeframe or does not reflect sports medicine care at ATI. The record is a duplicate or cannot be reliably linked within the data source to a single episode/patient for analysis. The record lacks the minimum necessary variables required for the specific analysis (e.g., missing episode dates needed to define utilization metrics; missing baseline/discharge outcome for analyses requiring change scores). The data are corrupted, internally inconsistent (e.g., impossible dates), or otherwise unsuitable for analysis after standard data cleaning. The record cannot be adequately coded/de-identified for analysis and reporting under the study's privacy/confidentiality procedures.