Evidence map›Paper›PMID 37465724›Full record

ArticleSAGE open medicine2023

Patient definitions of transplant success in upper extremity vascularized composite allotransplantation: A mixed-methods study.

Max C Downey, Jessica Gacki-Smith, Brianna Kuramitsu, Karen B Vanterpool, Michelle Nordstrom, Michelle Luken, Whitney Langlee, Tiffany Riggleman, Shannon Fichter, Withney Altema and 7 more

Open access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2023. 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
0.8field-weighted citation impact, top 31% 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, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

17 authors at 8 institutions in 1 country.

Max C DowneyDepartment of Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Jessica Gacki-SmithCenter for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Brianna KuramitsuCenter for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Karen B VanterpoolDepartment of Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Michelle NordstromWalter Reed National Military Medical Center, Bethesda, MD, USA.
Michelle LukenWalter Reed National Military Medical Center, Bethesda, MD, USA.
Whitney LangleeDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Tiffany RigglemanWalter Reed National Military Medical Center, Bethesda, MD, USA.
Shannon FichterWalter Reed National Military Medical Center, Bethesda, MD, USA.
Withney AltemaWalter Reed National Military Medical Center, Bethesda, MD, USA.
Sally E JensenNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Gregory A DumanianNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Carisa M CooneyDepartment of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Macey L LevanDepartment of Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Scott TintleWalter Reed National Military Medical Center, Bethesda, MD, USA.
Gerald BrandacherDepartment of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elisa J GordonDepartment of Surgery, Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, TN, USA.
Northwestern University · USJackson Foundation · USNew York University · USJohns Hopkins University · USWalter Reed National Military Medical Center · USHenry M. Jackson Foundation · USJohns Hopkins Medicine · USVanderbilt University Medical Center · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

Objective: Upper extremity vascularized composite allotransplantation is an innovative treatment option for people with upper extremity amputations. Limited patient-relevant long-term outcomes data about transplant success may impede patients' informed treatment decision-making. We assessed perceptions of what constitutes upper extremity vascularized composite allotransplantation success among individuals with upper extremity amputations. Methods: This multisite study entailed interviews and focus groups with individuals with upper extremity amputations and upper extremity vascularized composite allotransplantation candidates, participants, and recipients. We examined perceptions of transplant success and preferences for five upper extremity vascularized composite allotransplantation outcomes. Qualitative data were analyzed using thematic analysis; and quantitative data were analyzed using descriptive statistics. Results: In all, 50 individuals participated in interviews (61.7% participation rate), and 37 participated in nine focus groups (75.5% participation rate). Most were White (72%, 73%), had a mean age of 45 and 48 years, and had a unilateral amputation (84%, 59%), respectively. Participants conceptualized upper extremity vascularized composite allotransplantation success as transplant outcomes: (1) restoring function and sensation to enable new activities; (2) accepting the transplanted limb into one's identity and appearance; (3) not having transplant rejection; (4) attaining greater quality of life compared to prosthetics; and (5) ensuring benefits outweigh risks. Participants rated their most important upper extremity vascularized composite allotransplantation outcomes as follows: not having transplant rejection, not developing health complications, grasping objects, feeling touch and temperature, and accepting the upper extremity vascularized composite allotransplantation into your identity. Conclusion: Individuals with upper extremity amputations maintain several conceptions of vascularized composite allotransplantation success, spanning functional, psychosocial, clinical, and quality of life outcomes. Providers should address patients' conceptions of success to improve informed consent discussions and outcomes reporting for upper extremity vascularized composite allotransplantation.

Indexed as

expectationsoutcomesperspectivesupper limbVCA

Identifiers

PMID37465724
PMCPMC10350745
OpenAlexW4384346290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.