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

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.

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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.

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