Table 2. The summary of the risk factors for PLP and their measures of association with PLP.
Author | Population | Outcome | Risk factor(s) | Measures of association | Strength of association |
---|---|---|---|---|---|
Ahmed et al., 2017 | Cancer patients who had undergone limb amputations | PLP | Post-amputation depression | 3.86 (1.75–8.53)‡ | Strong |
Pre-amputation pain | 2.83 (1.38–5.76)‡ | Moderate | |||
Stump pain | 31.2 (8.97–108.50)‡ | Very strong | |||
Use of prosthesis | 2.83 (1.19–4.76)‡ | Moderate | |||
Sleep disturbance | 21.43 (8.28–55.43)‡ | Very strong | |||
Buchanan et al., 1986 | Amputees who were receiving routine prosthetic services | PLP | Age | 0.12 (p<0.01)¥ | Weak |
Desmond et al., 2010 | Members of the British Limbless Ex-Service Men’s Association | PLP | Stump pain | 11.17 (p<0.01)‡ | Very strong |
Dijkstra et al., 2002 | Amputees who were receiving routine prosthetic services | PLP | Diabetic cause of amputation | 4 (p<0.001)‡ | Strong |
Proximal site of amputation | 1.60 (0.038)‡ | Moderate | |||
Lower limb amputation | 5.60 (p<0.001)‡ | Strong | |||
Bilateral amputations | 8.20 (p = 0.01)‡ | Strong | |||
Stump pain | 3.90 (p<0.001)‡ | Strong | |||
Phantom sensations | 19.50 (p<0.001)‡ | Very strong | |||
Ephraim et al., 2005 | Amputees who had contacted the Amputee Coalition of America (ACA) between 1998 and 2000 | PLP | Post-amputation depression | 2 (1.3–3.1)‡ | Moderate |
Lower limb amputation | 2.50 (1.3–4.7)‡ | Moderate | |||
2 or more comorbidities | 2.70 (1.3–5.8)‡ | Moderate | |||
Widow | 2.70 (1.1–6.5)‡ | Moderate | |||
Gallagher et al., 2001 | Amputees who were attending the Limb Fitting Clinic. | PLP | Proximal site of amputation | 15.65 (p<0.001)‡ | Very strong |
Traumatic cause of amputation | 14.60 (p<0.002)‡ | Very strong | |||
Sex (male) | 3.76 (p<0.05)‡ | Strong | |||
Other medical problems | 5.93 (p<0.02)‡ | Strong | |||
Lack of pre-amputation counselling | 4.74 (p<0.03)‡ | Strong | |||
Hanley et al., 2009 | Patients who had undergone upper-limb amputation 6 months or more before recruitment | PLP | Use of prosthesis | 4.23 (p<0.05)¶ | Moderate |
Hanley et al., 2006 | Patients who had undergone lower limb amputation | PLP | Pre-amputation pain | 0.48 (p<0.01)§ | Weak |
Stump pain | 0.53 (p<0.0001)§ | Weak | |||
Kooijman et al., 2000 | Amputees using upper limb prosthesis | PLP | Phantom sensations | 11.30 (p = 0.001)† | Very strong |
Stump pain | 1.90 (p = 0.015)† | Weak | |||
Larbig et al., 2019 | Patients who had undergone upper or lower limb amputations | PLP | Pre-amputation depression | 2.05 (p<0.05)§ | Moderate |
Pre-amputation pain | 4.22 (p<0.01)§ | Moderate | |||
Stump pain | 3.90 (p<0.01)§ | Moderate | |||
Noguchi et al., 2019 | Patients who had undergone upper or lower limb amputations | PLP | Diabetic cause of amputation | 2.24 (p = 0.032)‡ | Moderate |
Pre-amputation pain | 6.36 (p = 0.024)‡ | Strong | |||
Razmus et al., 2017 | Occupants of the nursing home, and clients of the Public Institute of Orthopaedic Equipment | PLP | Phantom sensations | 4.94 (P<0.05)§ | Strong |
Richardson et al., 2007 | Patients who had undergone amputation of the lower limb due to peripheral vascular disease. | PLP | Stump pain | 7.03 (1.34–36.82)‡ | Strong |
Increased ability to move the phantom limb. | 8.31 (1.54–44.79)‡ | Strong | |||
Praying/hoping | 2.86 (1.68–13.18)‡ | Moderate | |||
Catastrophizing | 3.28 (1.71–14.91)‡ | Strong | |||
Passive coping | 4.60 (6.50–25.00)‡ | Strong | |||
Wartan et al., 1997 | Traumatic amputees | PLP | Phantom sensations | 107.30 (p<0.0001)§ | Strong |
Yin et al., 2017 | Amputees who underwent limb amputations at a tertiary hospital | PLP | Pre-amputation pain | 10.40 (p = 0.002)‡ | Very strong |
Post-amputation epidural analgesia | 4.90 (p = 0.008)‡ | Strong |
¥ Point-biserial correlation analysis;
¶ Pearson’s univariate correlation test;
§ Chi-squared;
† Relative risk;
‡ Odds ratio.