Evidence map›Paper›PMID 18929014›Full record

ArticleArchives of physical medicine and rehabilitation2008

The effectiveness of inpatient rehabilitation in the acute postoperative phase of care after transtibial or transfemoral amputation: study of an integrated health care delivery system.

Margaret G Stineman, Pui L Kwong, Jibby E Kurichi, Janet A Prvu-Bettger, W Bruce Vogel, Greg Maislin, Barbara E Bates, Dean M Reker

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
  5. Lower extremity amputation protocol: a pilot enhanced recovery pathway for vascular amputees.Journal of vascular surgery cases and innovative techniques · 2022
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  20. Determinants of postacute care discharge destination after dysvascular lower limb amputation.PM & R : the journal of injury, function, and rehabilitation · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Margaret G StinemanDepartment of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA, USA. mstinema@mail.med.upenn.edu
Pui L Kwong
Jibby E Kurichi
Janet A Prvu-Bettger
W Bruce Vogel
Greg Maislin
Barbara E Bates
Dean M Reker
University of Pennsylvania · USAlbany Medical Center Hospital · USKansas City VA Medical Center · USVeterans Health Administration · US

Funding

DO AMPUTEES BENEFIT FROM REHABILITATION SERVICES?R01HD042588 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KIMMEL, STEPHEN E. · 2003 to 2012
$2.8M
NICHD NIH HHS R01 HD042588NICHD NIH HHS R01-HD042588
6 · The paper itself

Abstract

objectiveTo compare outcomes between lower-extremity amputees who receive and do not receive acute postoperative inpatient rehabilitation within a large integrated health care delivery system.

designAn observational study using multivariable propensity score risk adjustment to reduce treatment selection bias.

settingData compiled from 9 administrative databases from Veterans Affairs Medical Centers.

participantsA national cohort of veterans (N=2673) who underwent transtibial or transfemoral amputation between October 1, 2002, and September 30, 2004.

interventionsNot applicable.

main outcome measuresOne-year cumulative survival, home discharge from the hospital, and prosthetic limb procurement within the first postoperative year.

resultsAfter reducing selection bias, patients who received acute postoperative inpatient rehabilitation compared to those with no evidence of inpatient rehabilitation had an increased likelihood of 1-year survival (odds ratio [OR]=1.51; 95% confidence interval [CI], 1.26-1.80) and home discharge (OR=2.58; 95% CI, 2.17-3.06). Prosthetic limb procurement did not differ significantly between groups.

conclusionsThe receipt of rehabilitation in the acute postoperative inpatient period was associated with a greater likelihood of 1-year survival and home discharge from the hospital. Results support early postoperative inpatient rehabilitation following amputation.

Indexed as

AdultAgedAged, 80 and overAmputation, SurgicalAmputeesDelivery of Health Care, IntegratedFemaleFemurHumansInpatientsLegMaleMiddle AgedPostoperative CareTibiaTreatment Outcome

Identifiers

PMID18929014
PMCPMC2880880
OpenAlexW1979093848

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.