Evidence map›Paper›PMID 37343123›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2024

Gender differences in prosthesis-related outcomes among veterans: Results of a national survey of U.S. veterans.

Patty B Kuo, Keren Lehavot, Rachel M Thomas, Krista Dashtestani, Alexander C Peterson, Anna M Korpak, Aaron P Turner, Rhonda M Williams, Joseph M Czerniecki, Daniel C Norvell and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 39% 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

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

  1. Pooled it
  2. Article
  3. Satisfaction With Department of Veterans Affairs Prosthetics and Support Services as Reported by Women and Men Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    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

11 authors at 3 institutions in 1 country.

Patty B KuoVA Puget Sound Health Care System, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-7721-1672
Keren LehavotCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
Rachel M ThomasCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
Krista DashtestaniCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-7788-6688
Alexander C PetersonSeattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, Washington, USA.
Anna M KorpakSeattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, Washington, USA.
Aaron P TurnerVA Puget Sound Health Care System, Seattle, Washington, USA.
Rhonda M WilliamsVA Puget Sound Health Care System, Seattle, Washington, USA.
Joseph M CzernieckiDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Daniel C NorvellDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Alyson J LittmanCenter of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, Washington, USA.
United States Department of Veterans Affairs · USUniversity of Washington · USVA Puget Sound Health Care System · US

Funding

Understanding prosthetic needs and outcomes in women Veterans with amputationI01RX002797 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI LEHAVOT, KEREN, LITTMAN, ALYSON · 2019 to 2021
–
RRD VA I01 RX002797U.S. Department of Veterans Affairs I01RX002797
6 · The paper itself

Abstract

backgroundWomen with lower extremity amputations (LEAs) tend to have poorer prosthesis-related outcomes than men, although the literature is sparse. To our knowledge, there are no prior studies examining prosthesis-related outcomes of women veterans with LEAs.

objectiveTo examine gender differences (overall and by type of amputation) among veterans who underwent LEAs between 2005 and 2018, received care at the Veterans Health Administration (VHA) prior to undergoing amputation, and were prescribed a prosthesis. It was hypothesized that compared to men, women would report lower satisfaction with prosthetic services, poorer prosthesis fit, lower prosthesis satisfaction, less prosthesis use, and worse self-reported mobility. Furthermore, it was hypothesized that gender differences in outcomes would be more pronounced among individuals with transfemoral than among those with transtibial amputations.

designCross-sectional survey. Linear regressions were used to assess overall gender differences in outcomes and gender differences based on type of amputation in a national sample of veterans.

settingVHA medical centers.

participantsThe sample consisted of 449 veterans who self-identified their gender (women = 165, men = 284) with transtibial (n = 236), transfemoral (n = 135), and bilateral LEAs (n = 68) including all amputation etiologies.

interventionsNot applicable.

main outcome measuresThe Orthotics and Prosthetics User's Survey, Trinity Amputation and Prosthesis Experiences Scale, and Prosthetic Limb Users Survey of Mobility-Short Form were used to assess satisfaction with prosthetic services, prosthesis fit, prosthesis satisfaction, prosthesis use, and self-reported mobility.

resultsWomen had poorer self-reported mobility than men (d = -0.26, 95% confidence interval -0.49 to -0.02, p < .05); this difference was small. There were no statistically significant gender differences in satisfaction with prosthetic services, prosthesis fit, prosthesis satisfaction, daily hours of prosthesis use, or by amputation type.

conclusionsContrary to the hypothesis, prosthesis-related outcomes were similar between men and women with LEAs. Minimal differences may in part be due to receiving care from the VHA's integrated Amputation System of Care.

Indexed as

Artificial LimbsVeteransAmputation, SurgicalCross-Sectional StudiesFemaleHumansMaleSex Factors

Identifiers

PMID37343123
PMCPMC11849583
OpenAlexW4381598272

What OpenQuestion holds

Textmetadata
LicenceTDM
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.