{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:51:21Z","timestamp":1771051881571,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["I01RX002797"],"award-info":[{"award-number":["I01RX002797"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Women with lower extremity amputations (LEAs) tend to have poorer prosthesis\u2010related outcomes than men, although the literature is sparse. To our knowledge, there are no prior studies examining prosthesis\u2010related outcomes of women veterans with LEAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine gender differences (overall and by type of amputation) among veterans who underwent LEAs between 2005 and 2018, received care at the Veterans Health Administration (VHA) prior to undergoing amputation, and were prescribed a prosthesis. It was 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\u2010reported mobility. Furthermore, it was hypothesized that gender differences in outcomes would be more pronounced among individuals with transfemoral than among those with transtibial amputations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional survey. Linear regressions were used to assess overall gender differences in outcomes and gender differences based on type of amputation in a national sample of veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>VHA medical centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>The sample consisted of 449 veterans who self\u2010identified their gender (women\u2009=\u2009165, men\u2009=\u2009284) with transtibial (<jats:italic>n<\/jats:italic>\u2009=\u2009236), transfemoral (<jats:italic>n<\/jats:italic>\u2009=\u2009135), and bilateral LEAs (<jats:italic>n<\/jats:italic>\u2009=\u200968) including all amputation etiologies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The Orthotics and Prosthetics User's Survey, Trinity Amputation and Prosthesis Experiences Scale, and Prosthetic Limb Users Survey of Mobility\u2010Short Form were used to assess satisfaction with prosthetic services, prosthesis fit, prosthesis satisfaction, prosthesis use, and self\u2010reported mobility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women had poorer self\u2010reported mobility than men (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.26, 95% confidence interval \u22120.49 to \u22120.02, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05); this difference was small. There were no statistically significant gender differences in satisfaction with prosthetic services, prosthesis fit, prosthesis satisfaction, daily hours of prosthesis use, or by amputation type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contrary to the hypothesis, prosthesis\u2010related outcomes were similar between men and women with LEAs. Minimal differences may in part be due to receiving care from the VHA's integrated Amputation System of Care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13028","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T18:13:16Z","timestamp":1687803196000},"page":"239-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Gender differences in prosthesis\u2010related outcomes among veterans: Results of a national survey of U.S. veterans"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7721-1672","authenticated-orcid":false,"given":"Patty B.","family":"Kuo","sequence":"first","affiliation":[{"name":"VA Puget Sound Health Care System  Seattle Washington USA"},{"name":"University of Pennsylvania  Philadelphia Pennsylvania 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7788-6688","authenticated-orcid":false,"given":"Krista","family":"Dashtestani","sequence":"additional","affiliation":[{"name":"Center of Innovation for Veteran\u2010Centered and Value\u2010Driven Care, VA Puget Sound Health Care System US Department of Veterans Affairs  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander C.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center VA Puget Sound Health Care System  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M.","family":"Korpak","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center VA Puget Sound Health Care System  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron P.","family":"Turner","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System  Seattle Washington USA"},{"name":"Department of Rehabilitation Medicine University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda M.","family":"Williams","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System  Seattle Washington USA"},{"name":"Department of Rehabilitation Medicine University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph M.","family":"Czerniecki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington School of Medicine  Seattle Washington USA"},{"name":"Center for Limb Loss and MoBility (CLiMB) VA Puget Sound Health Care System  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel 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