Evidence map›Paper›PMID 37616476›Full record

SynthesisVascular and endovascular surgery2024

Phantom Limb Pain and Painful Neuroma After Dysvascular Lower-Extremity Amputation: A Systematic Review and Meta-Analysis.

Mirte Langeveld, Romy Bosman, Caroline A Hundepool, Liron S Duraku, Christopher McGhee, J Michiel Zuidam, Tom Barker, Maciej Juszczak, Dominic M Power

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Vascular and endovascular surgery, 2024. 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Active Nerve Management for Below-knee Amputation: A Comparison of Approaches.Plastic and reconstructive surgery. Global open · 2025
    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

9 authors.

Mirte LangeveldDepartment of Plastic, Reconstructive Surgery and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6849-5036
Romy BosmanDepartment of Plastic, Reconstructive Surgery and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Caroline A HundepoolDepartment of Plastic, Reconstructive Surgery and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Liron S DurakuDepartment of Plastic, Reconstructive Surgery and Hand Surgery, Amsterdam UMC, Amsterdam, the Netherlands.
Christopher McGheeHand and Peripheral Nerve Injury Service, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
J Michiel ZuidamDepartment of Plastic, Reconstructive Surgery and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Tom BarkerDepartment of Vascular Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Maciej JuszczakDepartment of Vascular Surgery, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Dominic M PowerHand and Peripheral Nerve Injury Service, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhantom limb pain (PLP) and symptomatic neuroma can be debilitating and significantly impact the quality of life of amputees. However, the prevalence of PLP and symptomatic neuromas in patients following dysvascular lower limb amputation (LLA) has not been reliably established. This systematic review and meta-analysis evaluates the prevalence and incidence of phantom limb pain and symptomatic neuroma after dysvascular LLA.

methodsFour databases (Embase, MEDLINE, Cochrane Central, and Web of Science) were searched on October 5

resultsTwelve articles were included in the quantitative analysis, including 1924 amputees. A meta-analysis demonstrated that 69% of patients after dysvascular LLA experience phantom limb pain (95% CI 53-86%). The reported pain intensity on a scale from 0-10 in LLA patients ranged between 2.3 ± 1.4 and 5.5 ± .7. A single study reported an incidence of symptomatic neuroma following dysvascular LLA of 5%.

conclusionsThis meta-analysis demonstrates the high prevalence of phantom limb pain after dysvascular LLA. Given the often prolonged and disabling nature of neuropathic pain and the difficulties managing it, more consideration needs to be given to strategies to prevent it at the time of amputation.

Indexed as

NeuromaPhantom LimbAmputation, SurgicalCross-Sectional StudiesExtremitiesHumansLower ExtremityProspective StudiesQuality of LifeRetrospective StudiesTreatment Outcomedysvascular amputationlower limb amputationneuromaneuropathic painphantom limb pain

Identifiers

PMID37616476
PMCPMC10756018

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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.