Evidence map›Paper›PMID 37114981›Full record

ArticleHand (New York, N.Y.)2024

Hand and Wrist Amputation: A Demographic Analysis Using the National Inpatient Sample.

Stephen A Stearns, Allan A Weidman, Toni F Engmann, Lauren Valentine, Angelica Hernandez Alvarez, Jose Foppiani, Samuel J Lin, Sammy Dowlatshahi

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

Article in Hand (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Stephen A StearnsBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-0435-0580
Allan A WeidmanBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Toni F EngmannBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Lauren ValentineBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Angelica Hernandez AlvarezBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4758-6152
Jose FoppianiBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Samuel J LinBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Sammy DowlatshahiBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7297-4582
Beth Israel Deaconess Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic hand and wrist amputations are rare but debilitating injuries. Surgical replantation of the hand provides a unique alternative to revision surgery but requires appropriate access to necessary medical resources. This study aims to understand the national practice of replantation of traumatic hand amputation and to determine whether disparities exist in accessing surgical treatment.

methods

resultsSeventy-two patients were identified. The average patient was 35 years old with a strong male predominance (90%). The racial distribution of the cohort roughly mirrored the demographic proportions of race in the US population. Fifteen (21%) patients underwent replantation. This rate was similar between sexes, races, and income brackets. Hand replantation was primarily performed at large bed size (87%), private not-for-profit (73%), and urban teaching hospitals (94%). The most common insurance status for these patients was private, followed by Medicaid, Medicare, and self-pay. Forty-seven patients underwent revision amputation (65%) with no association between demographic characteristics. The patients remained hospitalized for significantly longer periods (

conclusionThis study describes the current state of hand amputation management and finds no evidence of sociodemographic factors influencing the surgical care provided.

Indexed as

Amputation, TraumaticHand InjuriesReplantationAdultFemaleHealthcare DisparitiesHumansLength of StayMaleMedicareMiddle AgedReoperationUnited StatesWrist InjuriesYoung Adultamputationhandwrist

Identifiers

PMID37114981
PMCPMC11481078
OpenAlexW4367319032

What OpenQuestion holds

Textmetadata
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.