{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:50:49Z","timestamp":1780379449702,"version":"3.54.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Little is known about the patterns of prosthesis use and satisfaction of those who cease use or begin to use upper limb prostheses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>Among a longitudinal sample of Veterans with upper limb amputation, (1) describe changes in prosthesis use over 1 year, (2) examine rates of receipt of new prostheses, and (3) compare prosthesis satisfaction in respondents who received a new prosthesis to those who did not.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study Design:<\/jats:title>\n            <jats:p>Longitudinal survey.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>808 Veterans who had participated in a baseline interview 1 year earlier were invited to participate in structured telephone interviews.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>A total of 562 persons with unilateral and 23 with bilateral amputation participated in the interviews (Response rate\u2009=\u200972.4% and 85.2%, respectively). Prosthesis use, frequency and intensity of use, and types of prostheses used were stable over 1 year. About 24% reported using a different primary terminal device type at follow-up than baseline. Prosthesis use was less frequent\/intense at baseline among those who discontinued use compared with those who did not (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009&lt;\u20090.05), and less frequent\/intense for those who started compared with those who continued using a prosthesis (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009&lt;\u20090.0001). Rates of prosthetic training were higher among those who received a different prosthesis type compared with those using the same type (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.06). Satisfaction scores were higher (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009&lt;\u20090.01) for new prosthesis recipients, and lower at baseline for prosthesis abandoners compared with continued users (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.03).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Prosthesis abandonment appears to be predicated on dissatisfaction with the device, as well as less frequent\/intense prosthesis use. These findings can be used to identify those at risk for prosthesis abandonment and improve their prosthesis experience.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/0309364620957920","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T02:54:51Z","timestamp":1602039291000},"page":"26-35","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":21,"title":["Longitudinal study of prosthesis use in veterans with upper limb amputation"],"prefix":"10.1097","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0168-6759","authenticated-orcid":false,"given":"Linda","family":"Resnik","sequence":"first","affiliation":[{"name":"Research Department, Providence VA Medical Center, Providence, RI, USA"},{"name":"Health Services, Policy and Practice, Brown University, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Borgia","sequence":"additional","affiliation":[{"name":"Research Department, Providence VA Medical Center, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Biester","sequence":"additional","affiliation":[{"name":"Research Department, Providence VA Medical Center, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A","family":"Clark","sequence":"additional","affiliation":[{"name":"Health Services, Policy and Practice, Brown University, Providence, RI, USA"},{"name":"University of Massachusetts Medical School, Worcester, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,10,6]]},"reference":[{"key":"bibr1-20250818","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1682\/JRRD.2009.03.0027","article-title":"Unilateral upper-limb loss: 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