Evidence map›Paper›PMID 25075192›Full record

ReviewVascular health and risk management2014

Lower extremity amputation in peripheral artery disease: improving patient outcomes.

Aparna Swaminathan, Sreekanth Vemulapalli, Manesh R Patel, W Schuyler Jones

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Vascular health and risk management, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03722797 (Metabolic Cost and Physical Activity in Sedentary Adults With a Unilateral Transtibial Amputation as Compared to Controls), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT03722797 terminatednot on this mapstarted 2017, after this paper: background citation

Metabolic Cost and Physical Activity in Sedentary Adults With a Unilateral Transtibial Amputation as Compared to Controls

TypeobservationalSponsorUniversity of DelawareRan2017 to 2022Enrolled3ConditionsAmputeesArmsMetabolic Cost Testing Procedures
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. AMPREDICT MoRe: Predicting Mortality and Re-amputation Risk after Dysvascular Amputation.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2025
    Article
  13. Article
  14. Article
  15. The misleading terminology of minor amputation of the lower limb.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  16. Article
  17. Observational
  18. Article
  19. Identification of CD141Stem cell research & therapy · 2024
    Article
  20. Investigating Unconscious Race Bias and Bias Awareness Among Vascular Surgeons.medRxiv : the preprint server for health sciences · 2024
    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

4 authors at 2 institutions in 1 country.

Aparna SwaminathanDepartment of Medicine, Duke University Medical Center, Durham, NC, USA.
Sreekanth VemulapalliDepartment of Medicine, Duke University Medical Center, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
Manesh R PatelDepartment of Medicine, Duke University Medical Center, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
W Schuyler JonesDepartment of Medicine, Duke University Medical Center, Durham, NC, USA ; Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USClinical Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral artery disease affects over eight million Americans and is associated with an increased risk of mortality, cardiovascular disease, functional limitation, and limb loss. In its most severe form, critical limb ischemia, patients are often treated with lower extremity (LE) amputation (LEA), although the overall incidence of LEA is declining. In the US, there is significant geographic variation in the performing of major LEA. The rate of death after major LEA in the US is approximately 48% at 1 year and 71% at 3 years. Despite this significant morbidity and mortality, the use of diagnostic testing (both noninvasive and invasive testing) in the year prior to LEA is low and varies based on patient, provider, and regional factors. In this review we discuss the significance of LEA and methods to reduce its occurrence. These methods include improved recognition of the risk factors for LEA by clinicians and patients, strong advocacy for noninvasive and/or invasive imaging prior to LEA, improved endovascular revascularization techniques, and novel therapies.

Indexed as

Amputation, SurgicalCardiovascular AgentsDiagnostic ImagingEarly DiagnosisEndovascular ProceduresHumansLimb SalvageLower ExtremityPeripheral Arterial DiseasePredictive Value of TestsRisk AssessmentRisk FactorsRisk Reduction BehaviorTreatment OutcomeCardiovascular Agentslower extremity amputationmortalityperipheral artery disease

Identifiers

PMID25075192
PMCPMC4107174
OpenAlexW2073232302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.