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Quality of life implications as a consequence of surgery: limb salvage, primary and secondary amputation

Quality of life implications as a consequence of surgery: limb salvage, primary and secondary amputation
Quality of life implications as a consequence of surgery: limb salvage, primary and secondary amputation
Purpose. We investigated self-reported quality of life (QoL), body image and daily competence of patients as a consequence of limb salvage surgery (LSS), primary or secondary amputation, and the views of patients following secondary amputation.Patients. Patients (n=37) had all been treated for osteosarcoma or Ewing's sarcoma in the lower limb.Methods. QoL was measured by questionnaire. A separate interview to determine satisfaction with decision-making was conducted with those treated for secondary amputation.Results. For the total group, QoL was below that expected from population norms. There were no differences in QoL between those undergoing LSS surgery compared with amputation. However, LSS reported better daily competence and were less likely to use a walking aid. For the total group, body image and daily competence were associated with better QoL.Discussion. All these patients are at risk of compromised QoL following surgery. Our data are in line with previous work suggesting outcomes may be better for LSS compared with amputation. Following secondary amputation, most patients (80%) did not regret initial LSS treatment, but felt that the time gained allowed them to come to terms with subsequent surgery
1357-714X
189-95
Eiser, Christine
ee840c03-619d-4559-a971-e7a001fe360b
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Stride, Chris B.
7f1c91f9-effa-4734-aa89-532c3d975fac
Grimer, Robert
f1482390-a0c3-45e1-8f11-61e4e342981d
Eiser, Christine
ee840c03-619d-4559-a971-e7a001fe360b
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Stride, Chris B.
7f1c91f9-effa-4734-aa89-532c3d975fac
Grimer, Robert
f1482390-a0c3-45e1-8f11-61e4e342981d

Eiser, Christine, Darlington, Anne-Sophie E., Stride, Chris B. and Grimer, Robert (2001) Quality of life implications as a consequence of surgery: limb salvage, primary and secondary amputation. Sarcoma, 5 (4), 189-95. (doi:10.1080/13577140120099173). (PMID:18521313)

Record type: Article

Abstract

Purpose. We investigated self-reported quality of life (QoL), body image and daily competence of patients as a consequence of limb salvage surgery (LSS), primary or secondary amputation, and the views of patients following secondary amputation.Patients. Patients (n=37) had all been treated for osteosarcoma or Ewing's sarcoma in the lower limb.Methods. QoL was measured by questionnaire. A separate interview to determine satisfaction with decision-making was conducted with those treated for secondary amputation.Results. For the total group, QoL was below that expected from population norms. There were no differences in QoL between those undergoing LSS surgery compared with amputation. However, LSS reported better daily competence and were less likely to use a walking aid. For the total group, body image and daily competence were associated with better QoL.Discussion. All these patients are at risk of compromised QoL following surgery. Our data are in line with previous work suggesting outcomes may be better for LSS compared with amputation. Following secondary amputation, most patients (80%) did not regret initial LSS treatment, but felt that the time gained allowed them to come to terms with subsequent surgery

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Published date: December 2001
Organisations: Faculty of Medicine, Faculty of Health Sciences

Identifiers

Local EPrints ID: 198675
URI: https://eprints.soton.ac.uk/id/eprint/198675
ISSN: 1357-714X
PURE UUID: 55ff4cd5-a91b-4d84-a70a-d25c88cf6985

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Date deposited: 05 Oct 2011 14:46
Last modified: 16 Jul 2019 23:23

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Contributors

Author: Christine Eiser
Author: Chris B. Stride
Author: Robert Grimer

University divisions

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