Evidence map›Paper›PMID 35723056›Full record

ArticleDisability and rehabilitation2023

Disparities in functional recovery after dysvascular lower limb amputation are associated with employment status and self-efficacy.

Sheila M Clemens, Kiarri N Kershaw, Cody L McDonald, Benjamin J Darter, Zoran Bursac, Stephanie J Garcia, Mark D Rossi, Szu Ping Lee

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

Article in Disability and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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 5 institutions in 1 country.

Sheila M ClemensDepartment of Physical Therapy, Florida International University, Miami, FL, USA.ORCID 0000-0002-7959-2496
Kiarri N KershawDepartment of Preventive Medicine, Northwestern University, Chicago, IL, USA.
Cody L McDonaldDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0002-4722-703X
Benjamin J DarterDepartment of Physical Therapy, Virginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0003-3490-8562
Zoran BursacDepartment of Biostatistics, Florida International University, Miami, FL, USA.ORCID 0000-0001-9306-0907
Stephanie J GarciaDepartment of Biostatistics, Florida International University, Miami, FL, USA.ORCID 0000-0002-8020-5799
Mark D RossiDepartment of Physical Therapy, Florida International University, Miami, FL, USA.
Szu Ping LeeDepartment of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, NV, USA.ORCID 0000-0003-0398-8256
Florida International University · USNorthwestern University · USUniversity of Nevada, Las Vegas · USUniversity of Washington · USVirginia Commonwealth University · US

Funding

The FIU Research Center in a Minority Institution (FIU-RCMI)U54MD012393 · NIMHD · FLORIDA INTERNATIONAL UNIVERSITY · PI Shanna L Burke · 2017 to 2026
$32.1M
NIMHD NIH HHS U54 MD012393
6 · The paper itself

Abstract

purposeEmployment status is considered a determinant of health, yet returning to work is frequently a challenge after lower limb amputation. No studies have documented if working after lower limb amputation is associated with functional recovery. The study's purpose was to examine the influence of full-time employment on functioning after lower limb amputation.

methodsMultisite, cross-sectional study of 49 people with dysvascular lower limb amputation. Outcomes of interest included performance-based measures, the Component Timed-Up-and-Go test, the 2-min walk test, and self-reported measures of prosthetic mobility and activity participation.

resultsAverage participant age was 62.1 ± 9.7 years, 39% were female and 45% were persons of color. Results indicated that 80% of participants were not employed full-time. Accounting for age, people lacking full-time employment exhibited significantly poorer outcomes of mobility and activity participation. Per regression analyses, primary contributors to better prosthetic mobility were working full-time (

conclusionsThis study offers novel evidence of associations between employment and performance-based mobility outcomes after dysvascular lower limb amputation. Further research is required to determine cause-effect directionalities. These results provide the foundation for future patient-centered research into how work affects outcomes after lower limb amputation. IMPLICATIONS FOR REHABILITATIONLower limb amputation can pose barriers to employment and activity participation, potentially affecting the quality of life.This study found that the majority of people living with lower limb amputation due to dysvascular causes were not employed full-time and were exhibiting poorer prosthetic outcomes.Healthcare practitioners should consider the modifiable variable of employment when evaluating factors that may affect prosthetic mobility.The modifiable variable of self-efficacy should be assessed by healthcare professionals when evaluating factors that may affect prosthetic mobility.

Indexed as

AmputeesArtificial LimbsAgedAmputation, SurgicalCross-Sectional StudiesEmploymentFemaleHumansLower ExtremityMaleMiddle AgedPostural BalanceQuality of LifeSelf EfficacyTime and Motion StudiesAmputationdisparitiesemploymentlower extremitymobility

Identifiers

PMID35723056
PMCPMC12977360
OpenAlexW4283079652

What OpenQuestion holds

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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.