ArticleCanadian journal of surgery. Journal canadien de chirurgie2016
A Canadian population-based description of the indications for lower-extremity amputations and outcomes.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 66 citations in OpenAlex.
- Primary vs delayed primary closure in patients undergoing lower limb amputation following trauma: A randomised control study.International wound journal · 2020Trial
- Validating a fear-of-falling-related activity avoidance scale in lower limb prosthesis users.PM & R : the journal of injury, function, and rehabilitation · 2024Article
- Article
- Comorbidity and risk factors of subsequent lower extremity amputation in patients diagnosed with diabetes in Saskatchewan, Canada.Chronic illness · 2023Article
- Community-engaged research in vascular surgery: An approach to decrease amputation disparities and effect population-level change.Seminars in vascular surgery · 2023Review
- Indications and complications of lower extremity amputations in two tertiary hospitals in the North West Region of Cameroon.The Pan African medical journal · 2023Article
- Epidemiology and Outcome of Nontraumatic Lower Limb Amputations.Medical journal of the Islamic Republic of Iran · 2023Article
- The cancer epidemic in the Caribbean region: Further opportunities to reverse the disease trend.Lancet regional health. Americas · 2022Review
- The influence of primary and subsequent limb amputation on the overall rate of limb amputation in Saskatchewan, Canada, 2006-2019: a population-based study.BMC surgery · 2021Article
- Factors associated with prolonged post-operative acute care length of stay in limb amputation patients in Saskatchewan, Canada.BMC health services research · 2021Article
- A Focus Group- and Patient-Driven Study to Understand Patients' and Health Care Providers' Perspectives on Services for People with Amputation.Physiotherapy Canada. Physiotherapie Canada · 2021Article
- Comorbidity and Non-prosthetic Inpatient Rehabilitation Outcomes After Dysvascular Lower Extremity Amputation.Canadian prosthetics & orthotics journal · 2020Article
- Hemodialysis is Not Associated With Pre-prosthetic Inpatient Rehabilitation Outcomes After Dysvascular Lower Extremity Amputation: A Retrospective Cohort Study.Canadian prosthetics & orthotics journal · 2020Article
- Multidisciplinary Management of Diabetic Foot Ulcers in Primary Cares in Quebec: Can We Do Better?Journal of multidisciplinary healthcare · 2020Article
- Clinician's Commentary on Imam et al.Physiotherapy Canada. Physiotherapie Canada · 2019Article
- A Depiction of Rehabilitation Patients 65 Years and Younger With Dysvascular Lower Extremity Amputation.Canadian prosthetics & orthotics journal · 2019Article
- Incidence of lower limb amputation in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2017Article
- Major lower-extremity amputations in diabetes: a response to "A Canadian population-based description of the indications for lower-extremity amputations and outcomes".Canadian journal of surgery. Journal canadien de chirurgie · 2017Article
- Predictors of in-hospital mortality following major lower extremity amputations in type 2 diabetic patients using artificial neural networks.BMC medical research methodology · 2016Observational
- Impact of rehabilitation programs on dependency and functional performance of patients with major lower limb amputations. A retrospective chart review in western Saudi Arabia.Saudi medical journal · 2016Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo our knowledge, there have been no previously published reports characterizing lower-extremity amputations in Canada. The objective of this study was to describe the indications and outcomes of lower-extremity amputations in the Canadian population.
methodsWe performed a retrospective cohort study of all adult patients who underwent lower-extremity amputation in Canada between 2006 and 2009. Patients were identified from the Canadian Institute for Health Information's Discharge Abstract Database, which includes all hospital admissions across Canada with the exception of the province of Quebec. Pediatric, trauma, and outpatients were excluded.
resultsDuring the study period, 5342 patients underwent lower-extremity amputations in 207 Canadian hospitals. The mean age was 67 ± 13 years, and 68% were men. Amputations were most frequently indicated after admission for diabetic complications (81%), cardiovascular disease (6%), or cancer (3%). In total, 65% of patients were discharged to another inpatient or long-term care facility, and 26% were discharged home with or without extra support. Most patients were diabetic (96%) and most (65%) required a below-knee amputation. Predictors of prolonged (> 7 d) hospital stay included amputation performed by a general surgeon; cardiovascular risk factors, such as diabetes, hypertension, ischemic heart disease, congestive heart failure, or hyperlipidemia; and undergoing the amputation in the provinces of Newfoundland and Labrador, New Brunswick, or British Columbia.
conclusionThere is variability in the delivery of lower-extremity amputations and postoperative hospital discharges among surgical specialists and regions across Canada. Future work is needed to investigate the reasons for this variability and to develop initiatives to shorten postoperative hospital stays.
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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.