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Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
Published on: September 22, 2020
Predicting Functional Outcomes Following Dysvascular Lower Limb Amputation: An Evidence Review of Personalizing
Daniel C Norvell1, Alison W Henderson2, Elizabeth G Halsne1
1VA Center for Limb Loss and Mobility (CLiMB), VA Puget Sound Health Care System, 1660 South Columbian Way, MS 151-R, Seattle, WA 98108, USA.
Abstract:
Most research on people undergoing lower limb amputations for dysvascular disease summarizes average patient outcome risks and average associations between patient factors and these outcomes. More recently, the importance of predicting patient-specific outcomes based on individual factors (ie, personalized rehabilitation) has become evident. This article reviews the evidence and discusses the importance of the following: (1) predicting outcomes to facilitate amputation-level and prosthesis prescription decisions and (2) how prediction models can be leveraged to develop decision support tools to facilitate provider/patient shared decision-making to ensure decisions considering each individual patient's priorities and preferences. Examples of these tools are discussed and referenced.
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