Highsmith M Jason, Kahle Jason T, Knight Molly, Olk-Szost Ayla, Boyd Melinda, Miro Rebecca M
University of South Florida, Tampa, FL, USA
University of South Florida, Tampa, FL, USA.
Prosthet Orthot Int. 2016 Jun;40(3):343-9. doi: 10.1177/0309364614564024. Epub 2015 Jan 9.
Limb loss negatively impacts body image to the extent that functional activity and societal participation are affected. Scientific literature is lacking on the subject of cosmetic covering for prostheses and the rate of cosmetic cover utilization by cover type, gender, amputation level, and type of healthcare reimbursement.
To describe the delivery of cosmetic covers in lower limb prostheses in a sample of people with lower extremity amputation.
Cross-sectional design
Patient records from an outpatient practice were reviewed for people who received a transtibial or transfemoral prosthesis within a selected 2-year period.
A total of 294 records were reviewed. Regardless of the amputation level, females were significantly (p ≤ 0.05) more likely to receive a cover. Type of insurance did not affect whether or not a cover was used, but Medicare reimbursed more pull-up skin covers.
There were differences regarding cosmetic cover delivery based on gender, and Medicare reimbursed for more pull-up skin covers at the transtibial level than other reimbursors did. This analysis was conducted in a warm, tropical geographic region of the United States. Results may differ in other parts of the world based on many factors including climate and local views of body image and disability.
Cosmetic covering rates are clinically relevant because they provide insight into which gender is utilizing more cosmetic covers. Furthermore, it can be determined which type of covers are being utilized with greater frequency and which insurance type is providing more coverage for them.
肢体缺失对身体形象产生负面影响，进而影响功能活动和社会参与。关于假肢美容覆盖物以及按覆盖物类型、性别、截肢水平和医疗报销类型划分的美容覆盖物使用率，科学文献中缺乏相关内容。
描述下肢截肢患者样本中下肢假肢美容覆盖物的提供情况。
横断面设计
回顾了在选定的2年期间接受经胫骨或经股骨假肢的门诊患者记录。
共审查了294份记录。无论截肢水平如何，女性接受覆盖物的可能性显著更高（p≤0.05）。保险类型不影响是否使用覆盖物，但医疗保险报销的拉式皮肤覆盖物更多。
在美容覆盖物的提供方面存在基于性别的差异，并且在经胫骨水平，医疗保险报销的拉式皮肤覆盖物比其他报销机构更多。该分析是在美国一个温暖的热带地理区域进行的。基于包括气候以及对身体形象和残疾的当地看法等许多因素，世界其他地区的结果可能有所不同。
美容覆盖率具有临床相关性，因为它们能深入了解哪种性别使用更多的美容覆盖物。此外，可以确定哪种类型的覆盖物使用频率更高，以及哪种保险类型为其提供更多覆盖。
