Quality of medical care provided to service members with combat-related limb amputations: Report of patient satisfaction

Pasquina, Paul F.; Tsao, Jack W.; Collins, Diane; Chan, Brenda L.; Charrow, Alexandra; Karmarkar, Amol; Cooper, Rory A.

doi:10.1682/jrrd.2007.10.0163

Cited by 27 publications

(18 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of this study also support the social benefits and sense of camaraderie associated with participation in adapted sports and recreation among injured servicemembers [15][16]. In agreement with previous literature, this study provides merit to the use of therapeutic modalities that employ a holistic focus to assist injured servicemembers with CR as well as other outcomes associated with rehabilitation and recovery [31][32].…”

Section: Discussionsupporting

confidence: 88%

Understanding contextual influences of community reintegration among injured servicemembers

Hawkins¹,

McGuire²,

Linder³

et al. 2015

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-As part of a larger mixed-methods research project investigating the influence of contextual factors on community reintegration (CR), this qualitative study sought to understand the subjective experiences of injured servicemembers and their perception of how contextual factors influenced their CR. More specifically, this article addresses how the influences of contextual factors differ between injured servicemembers with different levels of CR. Using a phenomenological framework, semistructured interviews were conducted with nine injured, community-dwelling servicemembers with low, moderate, and high levels of CR (three per category). Participants provided in-depth descriptions of the contextual barriers and facilitators of CR. Thematic analysis indicated the importance of social support and personal factors (e.g., self-efficacy, personal motivation) as the primary means for being reintegrated into their homes and communities. Other themes indicated factors that had an indirect but important influence on CR, including adapted sports, recreation, and other social programs; rehabilitation programs and therapists; school, work, and volunteering; and organizations and policies in developing social supports and personal factors. Comparisons between servicemembers indicated that participants with low CR described many more contextual barriers and far fewer contextual facilitators to reintegration than those with high CR. Those with moderate CR were unique in that they described many facilitators and barriers to reintegration.

show abstract

Section: Discussionsupporting

confidence: 88%

Understanding contextual influences of community reintegration among injured servicemembers

Hawkins¹,

McGuire²,

Linder³

et al. 2015

J Rehabil Res Dev

View full text Add to dashboard Cite

show abstract

“…Not only did OIF/OEF participants with unilateral lowerlimb loss receive more devices, but the technology was more diverse (including microprocessors, vacuumassisted sockets with feet, specialty devices). The observed diversity of prosthetic devices in the OIF/OEF group may have resulted directly from technological advances in prostheses made since the Vietnam war, the effect of the DOD rehabilitation paradigm shift, and the general health and activity level of the injured servicemember or veteran [18][19]. As shown by the annual rate of prosthetic devices received in the first year, the OIF/ OEF group received 40 times the number of advanced technology devices and 1.4 times the number of mechanical devices as the Vietnam group received in their first year.…”

Section: Discussionmentioning

confidence: 99%

Unilateral lower-limb loss: Prosthetic device use and functional outcomes in servicemembers from Vietnam war and OIF/OEF conflicts

Gailey

McFarland

Cooper

et al. 2010

JRRD

View full text Add to dashboard Cite

Abstract-Rehabilitation goals following major combatassociated limb loss in World War II and the Vietnam war focused on treatment of the injury and a return to civilian life. The goal for Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) servicemembers is to restore function to the greatest possible degree and, if they desire, return them to Active Duty, by providing them with extensive rehabilitation services and a variety of prosthetic devices. Our study determines the usefulness of these diverse types of prosthetic devices for restoring functional capability and documents prosthesis use and satisfaction. We compare servicemembers and veterans with major combat-associated unilateral lower-limb loss: 178 from the Vietnam war and 172 from OIF/OEF conflicts. Of survey participants with unilateral lower-limb loss, 84% of the Vietnam group and 94% of the OIF/OEF group currently use at least one prosthetic device. Reasons for rejection varied by type of device, but common reasons were pain, prosthesis too heavy, and poor fit. Abandonment is infrequent (11% Vietnam group, 4% OIF/OEF group). Future efforts should aim to improve prosthetic-device design, decrease pain, and improve quality of life for these veterans and servicemembers.

show abstract

“…As of June 2008, the DOD Amputee Patient Care Programs at Walter Reed Army Medical Center (Washington, DC), Brooke Army Medical Center (San Antonio, Texas), and Naval Medical Center (San Diego, California) have provided nearly 1,000 servicemembers with state-ofthe-art comprehensive rehabilitation care, including the provision of advanced technology, prosthetic and assistive devices, and training to restore function to the extent possible [1].…”

Section: Introductionmentioning

confidence: 99%

“…This study on cost is part of a larger research project to provide VA clinicians and policy makers with information on recent changes in prosthetic-device utilization patterns, cost comparisons, and expert recommendations [2]. The purposes of this study are (1) to estimate costs of different types of prosthetic devices based on Medicare costs and (2) to then project future prostheticdevice costs based on reported prostheses use in two conflict-era cohorts (Vietnam and OIF/OEF).…”

Section: Introductionmentioning

confidence: 99%

Prosthetic cost projections for servicemembers with major limb loss from Vietnam and OIF/OEF

Blough

Hubbard

McFarland

et al. 2010

JRRD

View full text Add to dashboard Cite

Abstract-This study projects prosthetic-and assistive-device costs for veterans with limb loss from Vietnam and injured servicemembers returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) to inform the Department of Veterans Affairs (VA) for these veterans' future care. The 2005 Medicare prosthetic device component prices were applied to current prosthetic and assistive-device use obtained from a national survey of 581 veterans and servicemembers with major traumatic amputations. Projections were made for 5-year, 10-year, 20-year, and lifetime costs based on eight Markov models. Average 5-year projected costs for prosthetic and assistivedevice replacement for the Vietnam group are lower than for the OIF/OEF cohort due in part to use of fewer and less technologically advanced prosthetic devices and higher frequency of prosthetic abandonment. By limb-loss level, for the Vietnam group and OIF/OEF cohort, 5-year projected unilateral upper limb average costs are $31,129 and $117,440, unilateral lower limb costs are $82,251 and $228,665, and multiple limb costs are $130,890 and $453,696, respectively. These figures provide the VA with a funding estimate for technologically advanced prosthetic and assistive devices within the framework of ongoing rehabilitation for veterans with traumatic limb loss from the Vietnam and OIF/OEF conflicts.

show abstract

Quality of medical care provided to service members with combat-related limb amputations: Report of patient satisfaction

Cited by 27 publications

References 12 publications

Understanding contextual influences of community reintegration among injured servicemembers

Understanding contextual influences of community reintegration among injured servicemembers

Unilateral lower-limb loss: Prosthetic device use and functional outcomes in servicemembers from Vietnam war and OIF/OEF conflicts

Prosthetic cost projections for servicemembers with major limb loss from Vietnam and OIF/OEF

Contact Info

Product

Resources

About