Research Article: PDF OnlyImpact of Time to Receipt of Prosthesis on Total Healthcare Costs 12 Months Post-amputationMiller, Taavy MSPO1,2; Paul, Rajib PhD1; Forthofer, Melinda PhD1; Wurdeman, Shane R. PhD2,3Author Information 1Department of Public Health, University of North Carolina at Charlotte, Charlotte, NC, USA 2Department of Clinical and Scientific Affairs, Hanger Clinic, Austin, TX, USA 3Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE, USA Conflict of Interest: The authors declare no conflict of interest with this work. Funding: No funding was received for this study. Disclosure: Data used in this study are property of International Business Machines Corporation. Any analysis, interpretation, or conclusion based on these data is solely that of the authors and not International Business Machines Corporation. Corresponding Author: Taavy Miller, MSPO, CPO, School of Public Health, University of North Carolina at Charlotte, Charlotte, NC, USA Email: email@example.com This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. American Journal of Physical Medicine & Rehabilitation: May 26, 2020 - Volume Publish Ahead of Print - Issue - doi: 10.1097/PHM.0000000000001473 Open PAP Metrics Abstract Objective The objective was to assess the impact of a prosthesis and the timing of prosthesis receipt on total direct health care costs in the 12 months post-amputation period. Design Data on patients with LLA (n=510) were obtained from a commercial claims database for retrospective cohort analysis. Generalized linear multivariate modeling was used to determine differences in cost between groups according to timing of prosthesis receipt compared to a control group with no prosthesis. Results Receipt of a prosthesis between 0 and 3 months post-LLA yielded a reduced total cost by approximately 0.23 in log scale within 12 months following amputation when compared to the no-prosthesis group. Despite the included costs of a prosthesis, individuals that received a prosthesis either at 4-6 months post-amputation or 7-9 months post-amputation incurred costs similar to the no-prosthesis group. Conclusion Earlier receipt of a prosthesis is associated with reduced spending in the 12 months post-amputation of approximately $25,000 compared to not receiving a prosthesis. Our results suggest that not providing or delaying the provision of a prosthesis increases costs by about 25%. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.