In a study published in November 16, 2011, issue of The Journal of Bone & Joint Surgery, researchers found that the severity of pain and the desire for improved function are strong drivers for patients deciding to undergo elective amputation of a functionally impaired lower limb.
In the study, conducted by a team led by Deanna L. Quon, MD, Ottawa Hospital Rehabilitation Centre, Ontario, Canada, patients from a tertiary care amputee clinic who had chosen to undergo elective amputation of a functionally impaired lower limb were interviewed. The interviews revealed that pain, function, and participation had the largest impact on the patients’ decision-making process. Body image, self-identity, and the opinions of others had little influence. Satisfaction with the surgical outcome was related to how closely the result matched the patient’s expectations. Patients who were better informed prior to surgery had more realistic expectations about living with an amputation.
Researchers concluded that improved outcomes could be achieved if healthcare professionals provide patients who are facing this decision with realistic information regarding life with an amputation. Connecting these patients to peers with amputations can supplement information provided by professionals.
