Five-Year Mortality for Patients With End-Stage Renal Disease Who Undergo Upper Extremity Amputation

Stone, Austin V.; Xu, Nengxiong; Patterson, Ryan W.; Koman, L. Andrew; Smith, Beth P.; Li, Zhongyu

doi:10.1016/j.jhsa.2014.12.036

Cited by 5 publications

(14 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the multifactorial process underlying non-traumatic amputations, these amputations carry a dismal prognosis. Stone et al. (2015) found that upper extremity amputations and the presence of diabetes mellitus were predictors for mortality in patients with end stage renal failure.…”

Section: Discussionmentioning

confidence: 99%

“…Given the multifactorial process underlying nontraumatic amputations, these amputations carry a dismal prognosis. Stone et al (2015) found that upper extremity amputations and the presence of diabetes mellitus were predictors for mortality in patients with end stage renal failure. Similarly, a study of 470 patients who underwent lower extremity amputation for untreatable foot problems showed dismal life expectancy ( < 3 years), with post-surgery survival rates being 90% in the first 7 days, 84% in the first 30 days, and 64% after 1 year (Beyaz et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Stone et al. (2015) reported that the 5-year survival rates following an upper extremity amputation decreased from 70% for patients with diabetes mellitus not on dialysis, to 35% for those on dialysis.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetic foot ulcers often remain unnoticed due to neuropathic sensory loss (Frykberg and Banks, 2016), whereas ulcers on the hand are more likely to be noticed given its importance to both basic activities as well as activities related to occupation and leisure, thus possibly receiving earlier intervention and reducing the need for amputation. Stone et al (2015) reported that the 5-year survival rates following an upper extremity amputation decreased from 70% for patients with diabetes mellitus not on dialysis, to 35% for those on dialysis. Similarly, patients with diabetes mellitus who received renal transplants had hand infections resulting in a 100% amputation rate (Francel et al, 1990).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical factors and mortality rates for non-traumatic upper extremity amputations

Ting

Tan

Lai

et al. 2021

J Hand Surg Eur Vol

View full text Add to dashboard Cite

Non-traumatic upper extremity amputations are an increasing concern with the rising prevalence of diabetes mellitus. To ascertain the risk factors and mortality rates for these amputations, the demographic information, amputation history, comorbidities and clinical outcomes of 140 patients who underwent non-traumatic upper extremity amputations between 1 January 2004 and 31 October 2017 were studied. Correlations were assessed using Cochran-Armitage chi-squared tests, odds ratios and multivariate binomial logistic regression as appropriate. Diabetes mellitus, coronary artery disease, end-stage renal failure, peripheral arterial disease and prior lower extremity amputation were significant risk factors for multiple upper extremity amputations. One-year, 2-year and 5-year mortality rates were 12%, 15% and 38%, respectively, following first upper extremity amputation. The risk factors for upper extremity amputations correspond with those for lower extremity amputations, comprising mainly diabetes mellitus and its related comorbidities. The mortality rates for non-traumatic upper extremity amputations highlight their significant burden on patients. Level of evidence: III

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical factors and mortality rates for non-traumatic upper extremity amputations

Ting

Tan

Lai

et al. 2021

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…2 Owing to the high mortality rates of dialysis patients who require upper extremity amputations, early revascularization efforts are key. 3 (doi:10.7556/jaoa.2018.166)…”

mentioning

confidence: 99%

Dry Digital Gangrene

Shah¹,

Shubrook²

2018

Journal of Osteopathic Medicine

View full text Add to dashboard Cite

A 61-year-old man presented to a clinic with the complaint of 6 weeks of right middle finger pain and swelling. His medical history included type 2 diabetes mellitus, hypertension, peripheral arterial occlusive disease, and chronic kidney disease. The patient received dialysis through an arteriovenous fistula in his right arm. The right middle finger became gangrenous after 8 weeks (image A). Postpresentation arteriogram records indicated steal syndrome causing vascular insufficiency in all right hand digits (image B). The right middle finger autoamputated a few weeks later. Hemodialysis is a common risk factor for ischemia of the upper extremity, and amputation is a common sequelae. 1 Studies have shown that currently the best management of dialysis-associated steal syndrome is distal revascularization with interval ligation, which involves ligating an artery distal to the fistula and subsequently forming a bypass. 2 Owing to the high mortality rates of dialysis patients who require upper extremity amputations, early revascularization efforts are key. 3 (doi:10.7556/jaoa.2018.166) References 1. Ferraresi R, Acuña-Valerio J, Ferraris M, et al. Angiographic study of upper limb vascularization in a large cohort of hemodialysis patients with critical hand ischemia. Minerva Cardioangiol. 2016;64(6):642-647. 2. Regalado S, Navuluri R, Vikingstad E. Distal revascularization and interval ligation: a primer for the vascular and interventional radiologist. Five-year mortality for patients with end-stage renal disease who undergo upper extremity amputation. J Hand Surg Am. 2015;40 (4):666-672.

show abstract

Predictors of Mortality and Revision Following Digital Amputation for Infection and Necrosis

Apel¹,

Cripe²,

Schmitt³

et al. 2023

The Journal of Hand Surgery

View full text Add to dashboard Cite

Five-Year Mortality for Patients With End-Stage Renal Disease Who Undergo Upper Extremity Amputation

Cited by 5 publications

References 11 publications

Clinical factors and mortality rates for non-traumatic upper extremity amputations

Clinical factors and mortality rates for non-traumatic upper extremity amputations

Dry Digital Gangrene

Predictors of Mortality and Revision Following Digital Amputation for Infection and Necrosis

Contact Info

Product

Resources

About