Observational studyJournal of vascular surgery2016
The effect of social integration on outcomes after major lower extremity amputation.
Observational study in Journal of vascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Technology for monitoring everyday prosthesis use: a systematic review.Journal of neuroengineering and rehabilitation · 2020Pooled it
- Mixed methods analysis of an interdisciplinary intervention to promote balance confidence in lower limb prosthesis users.Frontiers in rehabilitation sciences · 2025Article
- Social support may not impact physical function outcomes following a tango or walking intervention in people with Parkinson's disease: an exploratory analysis of a randomized controlled trial.Frontiers in psychology · 2025Article
- The Moment Criterion of Anthropomorphicity of Prosthetic Feet as a Potential Predictor of Their Functionality for Transtibial Amputees.Biomimetics (Basel, Switzerland) · 2023Article
- Assessing and managing frailty in emergency laparotomy: a WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery.Clinics in colon and rectal surgery · 2023Review
- Article
- Article
- Acute influence of an adaptive sporting event on quality of life in veterans with disabilities.PloS one · 2022Article
- Optimizing Peripandemic Care for Veteran Major Non-Traumatic Lower Extremity Amputees: A Proposal Informed by a National Retrospective Descriptive Analysis of COVID-19 Risk Factor Prevalence.Military medicine · 2020Article
- Social Safety Theory: A Biologically Based Evolutionary Perspective on Life Stress, Health, and Behavior.Annual review of clinical psychology · 2020Review
- Article
- The development and validation of the AMPREDICT model for predicting mobility outcome after dysvascular lower extremity amputation.Journal of vascular surgery · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveMajor lower extremity (MLE) amputation is a common procedure that results in a profound change in a patient's life. We sought to determine the association between social support and outcomes after amputation. We hypothesized that patients with greater social support will have better post amputation outcomes.
methodsFrom November 2011 to May 2013, we conducted a cross-sectional, observational, multicenter study. Social integration was measured by the social integration subset of the Short Form Craig Handicap Assessment and Reporting Technique. Systemic social support was assessed by comparing a United States and Tanzanian population. Walking function was measured using the 6-minute walk test and quality of life (QoL) was measured using the EuroQol-5D.
resultsWe recruited 102 MLE amputees. Sixty-three patients were enrolled in the United States with a mean age of 58.0. Forty-two (67%) were male. Patients with low social integration were more likely to be unable to ambulate (no walk 39% vs slow walk 23% vs fast walk 10%; P = .01) and those with high social integration were more likely to be fast walkers (no walk 10% vs slow walk 59% vs fast walk 74%; P = .01). This relationship persisted in a multivariable analysis. Increasing social integration scores were also positively associated with increasing QoL scores in a multivariable analysis (β, .002; standard error, 0.0008; P = .02). In comparing the United States population with the Tanzanian cohort (39 subjects), there were no differences between functional or QoL outcomes in the systemic social support analysis.
conclusionsIn the United States population, increased social integration is associated with both improved function and QoL outcomes among MLE amputees. Systemic social support, as measured by comparing the United States population with a Tanzanian population, was not associated with improved function or QoL outcomes. In the United States, steps should be taken to identify and aid amputees with poor social integration.
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