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Quality of Life Experienced by Major Lower Extremity Amputees

Lower extremity amputations and diabetic foot-related complications in the Caribbean population have been previously reported. However, there is a lack of evidence that assess the quality of life experienced in such amputees. This study aimed to determine the health-related quality of life (HRQoL) i...

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Autores principales: Pran, Lemuel, Baijoo, Shanta, Harnanan, Dave, Slim, Hani, Maharaj, Ravi, Naraynsingh, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462540/
https://www.ncbi.nlm.nih.gov/pubmed/34589346
http://dx.doi.org/10.7759/cureus.17440
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author Pran, Lemuel
Baijoo, Shanta
Harnanan, Dave
Slim, Hani
Maharaj, Ravi
Naraynsingh, Vijay
author_facet Pran, Lemuel
Baijoo, Shanta
Harnanan, Dave
Slim, Hani
Maharaj, Ravi
Naraynsingh, Vijay
author_sort Pran, Lemuel
collection PubMed
description Lower extremity amputations and diabetic foot-related complications in the Caribbean population have been previously reported. However, there is a lack of evidence that assess the quality of life experienced in such amputees. This study aimed to determine the health-related quality of life (HRQoL) in patients after a major lower limb amputation. Data collection was performed for all major lower limb amputations undertaken at a tertiary care institution in Trinidad and Tobago, between January 2012 to December 2016. The quality of life for patients who were accessible, alive, and willing to participate was assessed using the EuroQol 5D-5L tool. Statistical analysis was performed using the Mann-Whitney U and Kruskal-Wallis tests comparing medians across various subgroups. A total of 134 individuals were still alive and willing to participate in the study. The average EQ-5D-5L index value for the cohort was (0.598), which was significantly lower compared to EQ-5D-5L population norms for Trinidad and Tobago p < 0.05. Statistically significant differences were also seen in median EQ-5D-5L index value for patients who ambulated with a prosthesis (0.787) compared to those who used another device for mobilization (0.656), p < 0.05, and to those patients who did not ambulate (0.195), p < 0.05. A comparable Quality of life was seen between the level of amputation (transtibial versus transfemoral) and gender (males versus females), p-values were 0.21 and 1.0, respectively. Overall quality of life after major amputation, as well as independent mobilization with a prosthesis, continues to be problematic in the Caribbean population. Factors adversely related to the quality of life post major amputation include increasing age, problems related to mobility, and non-ambulatory patients.
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spelling pubmed-84625402021-09-28 Quality of Life Experienced by Major Lower Extremity Amputees Pran, Lemuel Baijoo, Shanta Harnanan, Dave Slim, Hani Maharaj, Ravi Naraynsingh, Vijay Cureus General Surgery Lower extremity amputations and diabetic foot-related complications in the Caribbean population have been previously reported. However, there is a lack of evidence that assess the quality of life experienced in such amputees. This study aimed to determine the health-related quality of life (HRQoL) in patients after a major lower limb amputation. Data collection was performed for all major lower limb amputations undertaken at a tertiary care institution in Trinidad and Tobago, between January 2012 to December 2016. The quality of life for patients who were accessible, alive, and willing to participate was assessed using the EuroQol 5D-5L tool. Statistical analysis was performed using the Mann-Whitney U and Kruskal-Wallis tests comparing medians across various subgroups. A total of 134 individuals were still alive and willing to participate in the study. The average EQ-5D-5L index value for the cohort was (0.598), which was significantly lower compared to EQ-5D-5L population norms for Trinidad and Tobago p < 0.05. Statistically significant differences were also seen in median EQ-5D-5L index value for patients who ambulated with a prosthesis (0.787) compared to those who used another device for mobilization (0.656), p < 0.05, and to those patients who did not ambulate (0.195), p < 0.05. A comparable Quality of life was seen between the level of amputation (transtibial versus transfemoral) and gender (males versus females), p-values were 0.21 and 1.0, respectively. Overall quality of life after major amputation, as well as independent mobilization with a prosthesis, continues to be problematic in the Caribbean population. Factors adversely related to the quality of life post major amputation include increasing age, problems related to mobility, and non-ambulatory patients. Cureus 2021-08-25 /pmc/articles/PMC8462540/ /pubmed/34589346 http://dx.doi.org/10.7759/cureus.17440 Text en Copyright © 2021, Pran et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Pran, Lemuel
Baijoo, Shanta
Harnanan, Dave
Slim, Hani
Maharaj, Ravi
Naraynsingh, Vijay
Quality of Life Experienced by Major Lower Extremity Amputees
title Quality of Life Experienced by Major Lower Extremity Amputees
title_full Quality of Life Experienced by Major Lower Extremity Amputees
title_fullStr Quality of Life Experienced by Major Lower Extremity Amputees
title_full_unstemmed Quality of Life Experienced by Major Lower Extremity Amputees
title_short Quality of Life Experienced by Major Lower Extremity Amputees
title_sort quality of life experienced by major lower extremity amputees
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462540/
https://www.ncbi.nlm.nih.gov/pubmed/34589346
http://dx.doi.org/10.7759/cureus.17440
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