{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T07:19:03Z","timestamp":1780816743961,"version":"3.54.1"},"reference-count":29,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Traumatic hand and wrist amputations are rare but debilitating injuries. Surgical replantation of the hand provides a unique alternative to revision surgery but requires appropriate access to necessary medical resources. This study aims to understand the national practice of replantation of traumatic hand amputation and to determine whether disparities exist in accessing surgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">International Classification of Diseases, 10th Revision<\/jats:italic>\n                      codes for replantation and revision amputation surgeries were used to gather data from the National Inpatient Sample from 2016 to 2019. Summary statistics were calculated on demographic, hospital, and outcome variables, with subanalysis performed for effect on replantation and revision rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy-two patients were identified. The average patient was 35 years old with a strong male predominance (90%). The racial distribution of the cohort roughly mirrored the demographic proportions of race in the US population. Fifteen (21%) patients underwent replantation. This rate was similar between sexes, races, and income brackets. Hand replantation was primarily performed at large bed size (87%), private not-for-profit (73%), and urban teaching hospitals (94%). The most common insurance status for these patients was private, followed by Medicaid, Medicare, and self-pay. Forty-seven patients underwent revision amputation (65%) with no association between demographic characteristics. The patients remained hospitalized for significantly longer periods (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .0188) and paid significantly more (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .0014) if replanted. The patients were most frequently discharged home (65%), followed by skilled nursing facilities (18%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study describes the current state of hand amputation management and finds no evidence of sociodemographic factors influencing the surgical care provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231167583","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T09:22:41Z","timestamp":1682673761000},"page":"1166-1170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Hand and Wrist Amputation: A Demographic Analysis Using the National Inpatient Sample"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0435-0580","authenticated-orcid":false,"given":"Stephen A.","family":"Stearns","sequence":"first","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan A.","family":"Weidman","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni F.","family":"Engmann","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Valentine","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4758-6152","authenticated-orcid":false,"given":"Angelica","family":"Hernandez Alvarez","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Foppiani","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel J.","family":"Lin","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7297-4582","authenticated-orcid":false,"given":"Sammy","family":"Dowlatshahi","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197209000-00009."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197502000-00008."},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Urbaniak JR Roth JH Nunley JA et al. The results of replantation after amputation of a single finger. J Bone Joint Surg Am. 1985;67(4):611-619. https:\/\/oce-ovid-com.ezp-prod1.hul.harvard.edu\/article\/00004623-198567040-00017\/HTML. 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Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov\/nisoverview.jsp.2012."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-200208000-00018."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.132.6.959."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.INJURY.2012.10.008."},{"key":"e_1_3_3_16_2","unstructured":"Thomas J Kavanagh J Tucker H et al. Accidental injury risk-taking behaviour and the social circumstances in which young people (aged 12-24) live: a systematic review. Child Accident Prevention Trust. https:\/\/discovery.ucl.ac.uk\/id\/eprint\/10005259\/1\/Thomas2007AccidentalInjury.pdf. Published online 2007. Accessed September 13 2022."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001487."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.12968\/JOWC.2015.24.10.452."},{"key":"e_1_3_3_19_2","unstructured":"Bureau UC. 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