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Predicting Functional Outcomes Following Dysvascular Lower Limb Amputation: An Evidence Review of Personalizing Patient Outcomes

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Date 2024 Oct 10
PMID 39389639
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Abstract

Most research on people undergoing lower limb amputations for dysvascular disease summarizes average patient outcome risks and average associations between patient factors and these outcomes. More recently, the importance of predicting patient-specific outcomes based on individual factors (ie, personalized rehabilitation) has become evident. This article reviews the evidence and discusses the importance of the following: (1) predicting outcomes to facilitate amputation-level and prosthesis prescription decisions and (2) how prediction models can be leveraged to develop decision support tools to facilitate provider/patient shared decision-making to ensure decisions considering each individual patient's priorities and preferences. Examples of these tools are discussed and referenced.

References
1.
Jannoo Z, Bee Wah Y, Lazim A, Hassali M . Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. J Clin Transl Endocrinol. 2017; 9:48-54. PMC: 5651286. DOI: 10.1016/j.jcte.2017.07.003. View

2.
Webster J, Crunkhorn A, Sall J, Highsmith M, Pruziner A, Randolph B . Clinical Practice Guidelines for the Rehabilitation of Lower Limb Amputation: An Update from the Department of Veterans Affairs and Department of Defense. Am J Phys Med Rehabil. 2019; 98(9):820-829. DOI: 10.1097/PHM.0000000000001213. View

3.
Cruz C, Eidt J, Capps C, Kirtley L, Moursi M . Major lower extremity amputations at a Veterans Affairs hospital. Am J Surg. 2003; 186(5):449-54. DOI: 10.1016/j.amjsurg.2003.07.027. View

4.
Feinglass J, Pearce W, Martin G, Gibbs J, Cowper D, Sorensen M . Postoperative and late survival outcomes after major amputation: findings from the Department of Veterans Affairs National Surgical Quality Improvement Program. Surgery. 2001; 130(1):21-9. DOI: 10.1067/msy.2001.115359. View

5.
Suckow B, Goodney P, Nolan B, Veeraswamy R, Gallagher P, Cronenwett J . Domains that Determine Quality of Life in Vascular Amputees. Ann Vasc Surg. 2015; 29(4):722-30. PMC: 5292265. DOI: 10.1016/j.avsg.2014.12.005. View