Patient-reported Outcome Measures following Traumatic Lower Extremity Amputation: A Systematic Review and...

Area of Science:

• Trauma Surgery
• Rehabilitation Medicine
• Health Outcomes Research

Background:

• Focus on surgical complications in traumatic major lower extremity amputation (MLEA) overlooks patient impact.
• Advances in MLEA surgery necessitate consistent reporting of patient-centered outcomes (PCO).
• This study evaluates PCO reporting prevalence and methods in traumatic MLEA literature.

Purpose of the Study:

• To assess the prevalence of patient-centered outcome reporting in traumatic major lower extremity amputation studies.
• To analyze the methods used for reporting PCO in this patient population.
• To identify trends in PCO reporting over time.

Main Methods:

• Systematic literature search of Ovid MEDLINE (2000-2020).
• Inclusion criteria: studies reporting any outcome of traumatic MLEA.
• Assessment of PCO prevalence across physical function, quality of life (QOL), psychosocial, and pain domains.

Main Results:

• 156 studies included from 7001 screened.
• PCO reported in 60.3% of studies.
• Physical function (53.2%) and pain (27.6%) were most frequently reported PCO; QOL (21.2%) and psychosocial (24.4%) were less common.

Conclusions:

• Despite the importance of function and QOL, only 60% of studies report PCO.
• No significant trend in PCO reporting was observed between 2000 and 2020.
• Standardized PCO assessment is needed to align with patient-centered care goals.