Evidence map›Paper›PMID 32021336›Full record

ArticleClinicoEconomics and outcomes research : CEOR2020

Analysis of the Peri-Operative Cost of Non-Traumatic Major Lower Extremity Amputation in Jordan.

Qusai Aljarrah, Sohail Bakkar, Abdelwahab Aleshawi, Omar Al-Gharaibeh, Mooath Al-Jarrah, Radi Ebwayne, Mohammed Allouh, Ahmad K Abou-Foul

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors at 4 institutions in 3 countries.

Qusai AljarrahDepartment of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.ORCID 0000-0003-0234-423X
Sohail BakkarDepartment of Surgery, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan.ORCID 0000-0001-8479-5901
Abdelwahab AleshawiSchool of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Omar Al-GharaibehSchool of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Mooath Al-JarrahSchool of Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Radi EbwayneDepartment of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Mohammed AllouhDepartment of Anatomy, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates.ORCID 0000-0003-0105-6260
Ahmad K Abou-FoulDepartment of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare NHS Trust, St Mary's Hospital, London W2 1NY, UK.ORCID 0000-0002-5321-5465
Jordan University of Science and Technology · JOHashemite University · JOImperial College Healthcare NHS Trust · GBUnited Arab Emirates University · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNon-traumatic major lower extremity amputation (NMLEA) is a commonly performed procedure that presents a substantial cost burden. Patients who undergo NMLEA are usually considered as a high-risk group with significant comorbidities, which translates into a protracted peri-operative course and increased health-care costs. The primary aim of this study was therefore to perform a contemporary peri-operative cost analysis of NMLEA performed in our center. We are a major tertiary referral hospital that provides vascular surgery services to the entire northern counties in Jordan. We also aimed to assess the various factors that influence the cost of NMLEA in less economically developed countries.

methodsRecords of all patients who underwent NMLEA at King Abdullah University Hospital between January 2012 and December 2017 were retrieved. Total inpatient cost was calculated and analyzed against different patients' variables.

resultsA total of 140 patients underwent NMLEA between 2012 and 2017 in our facility. Below-knee amputations accounted for 110 cases, while above-knee amputations included 30 patients. Approximately two-thirds of the cases (61.4%) were males, with average age of the patients being approximately 62.9 years. The commonest comorbidities were diabetes mellitus and hypertension, which were recorded in 89.3% and 80.3% of the patients, respectively. The average operative time was 133.0 ± 10.8 mins, and the average length of stay (LOS) was 6.7±0.4 days. The mean cost for amputations was 4904.7± 429.3 United States dollars. Multiple linear regression analysis demonstrated that LOS and admission-to-operation time were the independent predictors of cost.

conclusionDelayed amputations and prolonged LOS remain the most important determinants for the peri-operative cost of NMLEA. When amputation is deemed inevitable, an expedited multidisciplinary approach may possibly reduce undue delays and result in cost-effective delivery of this age-old remedy.

Indexed as

amputationdiabetic foot syndromehealth care costischemialength of stay

Identifiers

PMID32021336
PMCPMC6966148
OpenAlexW2999147121

What OpenQuestion holds

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LicenceCC BY-NC
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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.