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Kuo PB, Lehavot K, Thomas RM, Dashtestani K, Peterson AC, Korpak AM, Turner AP, Williams RM, Czerniecki JM, Norvell DC, Littman AJ. Gender differences in prosthesis related outcomes among Veterans: Results of a national survey of U.S. Veterans. PM & R : the journal of injury, function, and rehabilitation. 2023 Jun 21.
BACKGROUND: Women with lower extremity amputations (LEAs) tend to have poorer prosthesis-related outcomes than men, though the literature is sparse. There are no prior studies examining prosthesis-related outcomes of women Veterans with LEAs. OBJECTIVE: We examined gender differences (overall and by type of amputation) among Veterans who underwent LEAs between 2005- 2018, received care at the Veteran Health Administration (VHA) prior to undergoing amputation, and were prescribed a prosthesis. We 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, we hypothesized that gender differences in outcomes would be more pronounced among individuals with transfemoral than among those with transtibial amputations. DESIGN: Cross-sectional survey. We used linear regressions to assess overall gender differences in outcomes, and gender differences based on type of amputation in a national sample of Veterans. SETTING: VHA medical centers This article is protected by copyright. All rights reserved.