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Logo for the Journal of Rehab R&D
Volume 41 Number 2, March/April 2004
Page 243

Amputation and Prosthetics Outcomes Research

The Veterans Health Administration (VHA), Office of Research and Development (ORD), announces the opportunity for Department of Veterans Affairs (VA) investigators to submit proposals for research focusing on amputation and health outcomes.

Designated research funds are available to support rehabilitative health services research that will produce new knowledge for improving the effectiveness and cost-effectiveness of care delivery for patients with amputations and prosthetics by drawing on the perspectives and experiences of diverse disciplines and professions.

An important goal of the solicitation is to optimize amputee functioning, independence, and quality of life. Approaches are expected to incorporate outcome evaluations, including defining best practices involving traditional and nontraditional rehabilitation treatment for amputees, including use of prosthetics and documenting their impact toward improving patient- and system-level outcomes. Patient-level studies intended to explain the outcomes that most directly concern patients and their families, as well as system-level studies intended to explain and guide improvements in the design, administration, and/or management of prostheses services, are vital. Priority patient- and system-level rehabilitative amputee and prosthetic questions include, but are not limited to, validation studies of the National Prosthetic Patient Database (NPPD), analyses of the relationship between delivery of rehabilitation services and resulting outcomes, and examination of disorders and subsequent risk factors that commonly result in amputations.

Injuries inflicted on military personnel serving in Operation Enduring Freedom and Operation Iraqi Freedom underscore the need for research efforts to address the outcomes of rehabilitative services, specifically, prosthetic services for traumatic injury amputees. Also of great importance is the rapidly growing veteran amputee population related to noncombat conditions, i.e., direct complications of diabetes and peripheral atherosclerotic disease. Regardless of the cause for amputation, whether from combat, civilian accidents, or the result of progressive diseases, the ultimate goal for VHA clinicians and researchers is to provide veterans with maximum quality of life and functioning.

Proposals are due October 15, 2004, and will be reviewed June 15, 2004. The principal investigator and coprincipal investigators (Co-PIs) must have doctoral and/or medical doctoral degrees and at least a five-eighths VA appointment.

For more information, contact Denise Burton, PhD, at 202-254-0268 or, or Martha Bryan, EdD, HSR&D, at 202-254-0251 or Letter of intent (LOI) instructions, proposal development, and submission guidelines are available on-line at, "Guidelines for Researchers and Opportunities for Funding."

Denise Burton, PhD
Portfolio Manager, Chronic Medical Diseases
Rehabilitation Research and Development
Service 122P
Department of Veterans Affairs
810 Vermont Ave, Washington, DC 20420

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