Journal of Rehabilitation Research & Development (JRRD)

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Lower-limb amputation and effect of posttraumatic stress disorder on Department of Veterans Affairs outpatient cost trends

Vibha Bhatnagar, MD, MPH, et al.

Department of Veterans Affairs data resources from the years 2003 to 2012 were used to analyze outpatient costs for a cohort of combat Veterans, including Veterans with serious lower-limb injury without amputation (n = 170) and those with unilateral (n = 460) and bilateral (n = 153) lowerlimb amputation(s). Those with limb injuries had diminishing costs over the follow-up period; outpatient cost among those with amputation(s) was more than 2 times higher and sustained, presumably from prosthetics and other specialized types of care. Posttraumatic stress disorder (PTSD) was also a strong predictor of increased cost across several types of outpatient care, highlighting the effect of PTSD across multiple domains of health and the importance of adequate treatment and support.
http://dx.doi.org/10.1682/JRRD.2014.11.0288

Volume 52 Number 6, 2015
   Pages 827 — 838


View HTML ¦ View PDF ¦ Contents Vol. 52, No.7

This article and any supplementary material should be cited as follows:
Bhatnagar V, Richard E, Melcer T, Walker J, Galarneau M. Lower-limb amputation and effect of posttraumatic stress disorder on Department of Veterans Affairs outpatient cost trends. J Rehabil Res Dev. 2015;52(7):827–38.
http://dx.doi.org/10.1682/JRRD.2014.11.0288
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