Evidence map›Paper›PMID 36121827›Full record

ArticlePloS one2022

Comparison of patient-reported outcomes at one year after injury between limb salvage and amputation: A prospective cohort study.

Taketo Kurozumi, Takahiro Inui, Yuhei Nakayama, Akifumi Honda, Kentaro Matsui, Keisuke Ishii, Takashi Suzuki, Yoshinobu Watanabe

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Mental health is strongly associated with capability after lower extremity injury treated with free flap limb salvage or amputation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  5. Article
  6. Review
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.

Taketo KurozumiTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.ORCID 0000-0003-0270-7993
Takahiro InuiTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Yuhei NakayamaTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Akifumi HondaTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Kentaro MatsuiTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Keisuke IshiiTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Takashi SuzukiTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.
Yoshinobu WatanabeTrauma and Reconstruction Center, Teikyo University Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis single-center, prospective cohort study aimed to compare the patient-reported outcomes one year after injury between limb salvage and amputation and to elucidate whether amputation contributes to early recovery of functionality and quality of life.

methodsWe included 47 limbs of 45 patients with severe open fractures of the lower limb and categorized them into limb salvage and amputation groups. Data on patient-reported outcomes one year after injury were obtained from the Database of Orthopaedic Trauma by the Japanese Society for Fracture Repair at our center. Patients' limbs were evaluated using the lower extremity functional scale and Short-Form 8. Early recovery was assessed using functionality and quality-of-life questionnaires.

resultsOf the 47 limbs, 34 limbs of 34 patients were salvaged, and 13 limbs of 11 patients were amputated. Significant differences were noted between the limb salvage and amputation groups in terms of the lower extremity functional scale scores (mean: 49.5 vs. 33.1, P = 0.025) and scores for the mental health component (mean: 48.7 vs. 38.7, P = 0.003), role-physical component (mean: 42.2 vs. 33.3, P = 0.026), and mental component summary (mean: 48.2 vs. 41.3, P = 0.042) of the Short-Form 8. The limb salvage group had better scores than the amputation group.

conclusionsAs reconstruction technology has advanced and limb salvaging has become possible, the focus of studies should now be based on the perspective of "how the patient feels;" hence, we believe that the results of this study, which is based on patient-reported outcomes, are meaningful.

Indexed as

Limb SalvageQuality of LifeAmputation, SurgicalHumansPatient Reported Outcome MeasuresProspective StudiesRetrospective Studies

Identifiers

PMID36121827
PMCPMC9484632

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Registered trials

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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.