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  Vol. 144 No. 6, June 2009 TABLE OF CONTENTS
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Survival Analysis in Amputees Based on Physical Independence Grade Achievement—Invited Critique

Michael T. Watkins, MD

Arch Surg. 2009;144(6):552.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Stineman and colleagues studied the effect of functional recovery on survival after lower extremity amputation in a population of military veterans. This retrospective study used a published validated Physical Independence Grading System to express meaningful physical function profiles of progressive independence over time. They hypothesized that functional grades achieved by amputees would serve as predictors of mortality risk even after accounting for other risk factors. A large number of patients did not recover past the first grade of physical independence, indicating severe physical dysfunction in this cohort. Primarily, younger unmarried patients with fewer interventions achieved higher functional grades of physical activity, an intuitively reasonable conclusion. Concomitant with this observation was the finding that amputation level was not associated with mortality after adjusting for demographic data and other clinical characteristics; however, the overall age was still related to 6-month mortality. The finding that amputation level did not . . . [Full Text of this Article]


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RELATED ARTICLE

Survival Analysis in Amputees Based on Physical Independence Grade Achievement
Margaret G. Stineman, Jibby E. Kurichi, Pui L. Kwong, Greg Maislin, Dean M. Reker, W. Bruce Vogel, Janet A. Prvu-Bettger, Douglas E. Bidelspach, and Barbara E. Bates
Arch Surg. 2009;144(6):543-551.
ABSTRACT | FULL TEXT  






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