Evidence map›Paper›PMID 31333938›Full record

ArticlePlastic and reconstructive surgery. Global open2019

Cross-sectional International Multicenter Study on Quality of Life and Reasons for Abandonment of Upper Limb Prostheses.

Michiro Yamamoto, Kevin C Chung, Jennifer Sterbenz, Melissa J Shauver, Hirotaka Tanaka, Takashi Nakamura, Jumpei Oba, Takaaki Chin, Hitoshi Hirata

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 68 citations in OpenAlex.

  1. Measuring satisfaction with orthotic and prosthetic devices.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  8. Regenerative Peripheral Nerve Interfaces (RPNIs) Improve Functional Outcomes and Intuitive Control of a Prosthetic Wrist and Multi-Grip Hand.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
    Article
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  15. Upper limb prostheses: bridging the sensory gap.The Journal of hand surgery, European volume · 2023
    Review
  16. Factors influencing perceived function in the upper limb prosthesis user population.PM & R : the journal of injury, function, and rehabilitation · 2023
    Article
  17. Article
  18. 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

9 authors at 5 institutions in 1 country.

Michiro YamamotoDepartment of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kevin C ChungSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich.
Jennifer SterbenzSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich.
Melissa J ShauverSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich.
Hirotaka TanakaDepartment of Rehabilitation, Chubu Rosai Hospital, Nagoya, Japan.
Takashi NakamuraNational Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan.
Jumpei ObaDepartment of Occupational Therapy, Faculty of General Rehabilitation, Kobe Gakuin University, Kobe, Japan.
Takaaki ChinHyogo Institute of Assistive Technology, Hyogo, Japan.
Hitoshi HirataDepartment of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya University · JPChubu Rosai Hospital · JPHyogo Prefectural Institute of Technology · JPKobe Gakuin University · JPNational Rehabilitation Center for Persons with Disabilities · JP

Funding

Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS K24 AR053120
6 · The paper itself

Abstract

backgroundThis multicenter study aimed to examine the reasons for prosthesis rejection and assess the quality of life (QOL) among patients with upper limb deficiency.

methodsThree rehabilitation centers in Japan and 1 academic medical center in the United States participated. Patients between the age of 12 and 75 years with unilateral or bilateral upper limb absence from the level of wrist to shoulder disarticulation were included. Two questionnaires were used, an original questionnaire on prosthesis use and the EQ-5D, which were completed by both the participant and a live-in proxy.

resultsOf the 367 patients with upper limb loss invited, 174 patients participated in this study. Eighty percent of the study population were male patients. The most common amputation level was transradial. Trauma was the most common cause of limb loss. The prosthesis rejection rate was 9% (n = 16). The most common reason for abandonment was a lack of prosthesis functionality. Ten of 16 prosthesis nonusers (63%) and 59 prosthesis users (38%) were unemployed or students. The mean EQ-5D utility score was significantly higher in prosthesis users than in nonusers (0.762 versus 0.628,

conclusionsThe current prosthesis rejection rate is low. QOL was significantly higher in prosthesis users than in nonusers. More prosthesis users were employed compared with nonusers. Care should be taken not to overestimate the QOL of male patients with upper limb loss as their proxies often did.

Identifiers

PMID31333938
PMCPMC6571339
OpenAlexW2946845248

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.