Patient Reported Outcome Measures for Major Lower Limb Amputation Caused by Peripheral Artery Disease or Diabetes: A Systematic Review

ObjectiveMost major lower limb amputations are related to peripheral artery disease (PAD) or diabetes. Just 40% of patients who undergo amputation will use a prosthesis yet measures surgical success commonly focus on use. Patient reported outcome (PROMs) valuable comprehensively evaluate health quality life (HRQL) after surgery. This systematic review aimed identify and describe PROMs available assess HRQL in for PAD diabetes.MethodsA search was conducted based the COnsensus-based Standards selection Measurement INstruments (COSMIN) reviews PROMs. Ovid MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane CENTRAL were also searched from inception until August 2019. Included articles describing development, measurement properties, evaluation via PROM adult Studies exclusively trauma malignancy excluded. Data collected study characteristics, characteristics (generic/disease specific), properties specific PROMs.ResultsOf 3 317 abstracts screened, 111 full text assessed eligibility 64 included. Fifty-six studies evaluated HRQL, with 23 (46%) these using an do so. Eleven different identified, 10 (91%) which developed only users. One measure suitable all amputation. “Amputee single item mobility measure” includes evaluating mobility. Nine some psychometric testing PROM.ConclusionA well tested, multidimensional applicable wheelchair prosthetic users is lacking urgently needed this field. Future work develop appropriate required. Most A Of PROM.