Evidence map›Paper›PMID 21878217›Full record

ArticleArchives of physical medicine and rehabilitation2011

Factors influencing receipt of outpatient rehabilitation services among veterans following lower extremity amputation.

Jianxun Zhou, Barbara E Bates, Jibby E Kurichi, Pui L Kwong, Dawei Xie, Margaret G Stineman

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Promoting Limb Salvage through Multi-Disciplinary Care of the Diabetic Patient.Current treatment options in cardiovascular medicine · 2017
    Review
  3. Observational
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

6 authors at 2 institutions in 1 country.

Jianxun ZhouPhysical Medicine and Rehabilitation Service, the Samuel S. Stratton Veterans Affairs Medical Center Albany, Albany, NY, USA. zhouj@mail.amc.edu
Barbara E Bates
Jibby E Kurichi
Pui L Kwong
Dawei Xie
Margaret G Stineman
University of Pennsylvania · USAlbany Stratton VA Medical Center Albany · 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 HD042588
6 · The paper itself

Abstract

objectiveTo determine patient-, treatment-, and facility-level characteristics associated with receiving outpatient rehabilitation services after lower extremity amputation within the Veterans Affairs (VA) system.

designObservational study.

settingAll Veterans Affairs Medical Centers (VAMCs).

participantsVeterans (N=4165) with lower extremity amputation discharged from VAMCs between October 1, 2002, and September 20, 2004.

interventionsNot applicable.

main outcome measuresReceipt of outpatient rehabilitation services up to 1 year postdischarge. A Cox proportional hazards model was used to determine the adjusted hazard ratio and 95% confidence interval of veterans to receive outpatient services.

resultsSixty-five percent of veterans with lower extremity amputation received outpatient services. Older veterans, patients admitted for surgical amputation from extended care rather than transferred from another hospital, and those with transfemoral and/or bilateral rather than unilateral transtibial amputations were less likely to receive outpatient services. Those with serious comorbidities and those who had procedures for acute central nervous system disorders, active cardiac pathology, serious nutritional compromise, and severe renal disease during the surgical hospitalization less often initiated outpatient care. Patients who received inpatient consultative rehabilitation compared with inpatient specialized rehabilitation, and who were treated in the Northeast compared with the Southeast less often initiated outpatient care. Finally, those discharged to home or other locations rather than extended care had an initial increased likelihood of receiving outpatient service, but by 180 days postdischarge those discharged to extended care were more likely to initiate outpatient services.

conclusionsBoth clinical characteristics and types of rehabilitation services received appear to influence the receipt of outpatient rehabilitation services. Geographic location also affected the receipt of outpatient rehabilitation, suggesting that care patterns are not standardized across the nation.

Indexed as

Lower ExtremityAgedAged, 80 and overAge FactorsAmputation, SurgicalComorbidityHumansMiddle AgedOutpatientsResidence CharacteristicsSocioeconomic FactorsUnited StatesVeterans

Identifiers

PMID21878217
PMCPMC3188813
OpenAlexW1987484706

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.