Use and satisfaction with prosthetic limb devices and related services

Liliana E. Pezzin, Timothy R. Dillingham, Ellen J Mackenzie, Patti L Ephraim, Paddy Rossbach

Research output: Contribution to journalArticle

Abstract

Pezzin LE, Dillingham TR, MacKenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil 2004;85:723-9. Objectives To examine the use and satisfaction with prosthetic limb devices and satisfaction with prosthetist services in a large and diverse sample of persons with limb loss. Design Retrospective cohort study. Setting General community. Participants Persons aged 18 to 84 years identified from the Amputee Coalition of America registry as having a major upper- or lower-limb loss due to vascular disease, trauma, or malignancy. Interventions Not applicable. Main Outcome Measures Use and satisfaction with prosthetic limb devices and satisfaction with prosthetists' services, assessed via structured telephone interviews. Results Most persons (94.5%) surveyed had a prosthesis and used it extensively (71h/wk). Most persons with amputations appeared to be satisfied with the overall performance of their prostheses (75.7%). Nearly one third of them, however, expressed dissatisfaction with their prostheses' comfort. Frequency of prosthesis use and satisfaction with the device were significantly higher among those with shorter timing to first prosthesis fitting, even after controlling for a wide array of respondents' sociodemographic and amputation characteristics. Overall, persons with amputations in our sample had positive assessments of their prosthetists' quality. Less favorable ratings concerned items related to the prosthetists' interpersonal skills. Multivariate analyses showed that men and black persons with amputations were less likely than their female or white counterparts to have favorable perceptions about their prosthetists across all dimensions of provider quality. Persons with fewer years of schooling were also less likely to be satisfied with their prosthetist's interpersonal manner. There were no significant differences in prosthesis use, satisfaction, or assessment of prosthetists' quality based on amputation etiology or amputation level. Conclusions Efforts should be directed at minimizing the interval from surgery to first prosthesis fitting and at improving communication between patients and prosthetists, to improve the quality of care provided to the growing numbers of persons with limb loss.

Original languageEnglish (US)
Pages (from-to)723-729
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume85
Issue number5
DOIs
StatePublished - May 2004

Fingerprint

Extremities
Amputation
Equipment and Supplies
Prostheses and Implants
Prosthesis Fitting
Amputees
Quality of Health Care
Vascular Diseases
Registries
Lower Extremity
Cohort Studies
Multivariate Analysis
Retrospective Studies
Communication
Outcome Assessment (Health Care)
Interviews
Wounds and Injuries
Neoplasms

Keywords

  • Amputation
  • Limbs
  • Patient satisfaction
  • Prostheses and implants
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Use and satisfaction with prosthetic limb devices and related services. / Pezzin, Liliana E.; Dillingham, Timothy R.; Mackenzie, Ellen J; Ephraim, Patti L; Rossbach, Paddy.

In: Archives of Physical Medicine and Rehabilitation, Vol. 85, No. 5, 05.2004, p. 723-729.

Research output: Contribution to journalArticle

Pezzin, Liliana E. ; Dillingham, Timothy R. ; Mackenzie, Ellen J ; Ephraim, Patti L ; Rossbach, Paddy. / Use and satisfaction with prosthetic limb devices and related services. In: Archives of Physical Medicine and Rehabilitation. 2004 ; Vol. 85, No. 5. pp. 723-729.
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abstract = "Pezzin LE, Dillingham TR, MacKenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil 2004;85:723-9. Objectives To examine the use and satisfaction with prosthetic limb devices and satisfaction with prosthetist services in a large and diverse sample of persons with limb loss. Design Retrospective cohort study. Setting General community. Participants Persons aged 18 to 84 years identified from the Amputee Coalition of America registry as having a major upper- or lower-limb loss due to vascular disease, trauma, or malignancy. Interventions Not applicable. Main Outcome Measures Use and satisfaction with prosthetic limb devices and satisfaction with prosthetists' services, assessed via structured telephone interviews. Results Most persons (94.5{\%}) surveyed had a prosthesis and used it extensively (71h/wk). Most persons with amputations appeared to be satisfied with the overall performance of their prostheses (75.7{\%}). Nearly one third of them, however, expressed dissatisfaction with their prostheses' comfort. Frequency of prosthesis use and satisfaction with the device were significantly higher among those with shorter timing to first prosthesis fitting, even after controlling for a wide array of respondents' sociodemographic and amputation characteristics. Overall, persons with amputations in our sample had positive assessments of their prosthetists' quality. Less favorable ratings concerned items related to the prosthetists' interpersonal skills. Multivariate analyses showed that men and black persons with amputations were less likely than their female or white counterparts to have favorable perceptions about their prosthetists across all dimensions of provider quality. Persons with fewer years of schooling were also less likely to be satisfied with their prosthetist's interpersonal manner. There were no significant differences in prosthesis use, satisfaction, or assessment of prosthetists' quality based on amputation etiology or amputation level. Conclusions Efforts should be directed at minimizing the interval from surgery to first prosthesis fitting and at improving communication between patients and prosthetists, to improve the quality of care provided to the growing numbers of persons with limb loss.",
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