Patient Experience of Recovery After Major Leg Amputation for Arterial Disease

Vascular and Endovascular Surgery
Jesse A ColumboDavid H Stone

Abstract

To date, studies of vascular amputees primarily examine quantitative outcomes following limb loss. Less is known about the patient's perspective after major lower limb amputation. Here, we define and describe the postamputation recovery period. Qualitative study using purposive, maximum variation sampling on the variables of amputation level and times since surgery. We first conducted structured interviews with 20 participants (median age: 65 years, range: 45-88 years; 85% male; below knee amputation n = 14; above knee amputation n = 6; median time from amputation to interview = 16 months, range: 4-51 months). Findings were validated via a focus group with 5 amputees. Data were coded, analyzed, and interpreted by 2 reviewers. All participants expressed the desire to have an active role in the decision to undergo amputation, even while acknowledging that limb salvage options were exhausted. Following amputation, participants described a 6-month recovery period when they learned to modify daily activities to accommodate their new functional and psychological needs. Participants defined recovery as when they had regained functional independence, which was described as a level of mobility that allowed them to perform daily activiti...Continue Reading

References

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Citations

Mar 14, 2019·The British Journal of Surgery·D C NorvellJ M Czerniecki
Aug 17, 2020·Disability and Rehabilitation·Crystal MacKaySander L Hitzig
Sep 10, 2020·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Tanner I KimBauer E Sumpio
Jul 12, 2018·Current Cardiology Reports·Eric W RudofkerEhrin J Armstrong
Aug 10, 2020·Annals of Vascular Surgery·Katherine P MacCallumKaran Garg
Apr 28, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Ryan A PreeceDavid C Bosanquet
Oct 7, 2021·Clinical Nursing Research·Cigdem Canbolat Seyman, Yeter Sinem Uzar Ozcetin

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Methods Mentioned

BETA
amputation

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