biostudies-literatureUnknown99(11)Miller TA<h4>Objective</h4>The objective was to assess the impact of a prosthesis and the timing of prosthesis receipt on total direct healthcare costs in the 12-mo postamputation period.<h4>Design</h4>Data on patients with lower limb amputation (n = 510) were obtained from a commercial claims database for retrospective cohort analysis. Generalized linear multivariate modeling was used to determine differences in cost between groups according to timing of prosthesis receipt compared with a control group with no prosthesis.<h4>Results</h4>Receipt of a prosthesis between 0 and 3 mos post lower limb amputation yielded a reduced total cost by approximately 0.23 in log scale within 12 mos after amputation when compared with the no-prosthesis group. Despite the included costs of a prosthesis, individuals who received a prosthesis either at 4-6 mos postamputation or 7-9 mos postamputation incurred costs similar to the no-prosthesis group.<h4>Conclusion</h4>Earlier receipt of a prosthesis is associated with reduced spending in the 12 mos postamputation of approximately $25,000 compared with not receiving a prosthesis. The results of this study suggest that not providing or delaying the provision of a prosthesis increases costs by about 25%.American journal of physical medicine & rehabilitation1026-1031https://www.ebi.ac.uk/biostudies/studies/S-EPMC7547875biostudies-literatureImpact of Time to Receipt of Prosthesis on Total Healthcare Costs 12 Months Postamputation.PMC7547875Miller TAPaul RWurdeman SRForthofer MfalseImpact of Time to Receipt of Prosthesis on Total Healthcare Costs 12 Months Postamputation.<h4>Objective</h4>The objective was to assess the impact of a prosthesis and the timing of prosthesis receipt on total direct healthcare costs in the 12-mo postamputation period.<h4>Design</h4>Data on patients with lower limb amputation (n = 510) were obtained from a commercial claims database for retrospective cohort analysis. Generalized linear multivariate modeling was used to determine differences in cost between groups according to timing of prosthesis receipt compared with a control group with no prosthesis.<h4>Results</h4>Receipt of a prosthesis between 0 and 3 mos post lower limb amputation yielded a reduced total cost by approximately 0.23 in log scale within 12 mos after amputation when compared with the no-prosthesis group. Despite the included costs of a prosthesis, individuals who received a prosthesis either at 4-6 mos postamputation or 7-9 mos postamputation incurred costs similar to the no-prosthesis group.<h4>Conclusion</h4>Earlier receipt of a prosthesis is associated with reduced spending in the 12 mos postamputation of approximately $25,000 compared with not receiving a prosthesis. The results of this study suggest that not providing or delaying the provision of a prosthesis increases costs by about 25%.2020-01-01T00:00:00Z2020 Nov2024-02-15T03:42:11.043Z2020-11-01T08:22:05ZS-EPMC75478753306037110.1097/PHM.0000000000001473