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Improving Culturally Sensitive Care in Digit Amputations: A Quality Improvement Project.

Tiffany K Y Tse1, Annie Wang1, Daniel Antflek2

  • 1University of Toronto, Division of Plastic, Reconstructive & Aesthetic Surgery, ON, Canada.

Hand (New York, N.Y.)
|November 8, 2025
PubMed
Summary

Many patients have spiritual or cultural preferences for amputated limb disposal. Providing accessible educational materials significantly improved patient understanding and reduced concerns regarding limb management.

Keywords:
amputationanatomydiagnosisdigitshandoutcomespsychosocialresearch and health outcomestrauma

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Area of Science:

  • Medical Ethics
  • Patient Care
  • Surgical Outcomes

Background:

  • Patient preferences for amputated part disposal and reclamation are often overlooked.
  • Limited understanding exists regarding current practices and patient desires for managing amputated limbs.

Purpose of the Study:

  • To investigate patient preferences for amputated part disposal and reclamation.
  • To enhance patient education on the processes involved in managing amputated limbs.

Main Methods:

  • A quality improvement methodology was employed, including stakeholder interviews and patient surveys.
  • The Plan-Do-Study-Act model guided the implementation of change concepts.
  • Statistical analysis included descriptive methods, ANOVA, and t-tests to evaluate outcomes.

Main Results:

  • Barriers to reclamation included lack of patient resources, unclear provider communication, and absence of standardized policies.
  • Initial surveys revealed low patient education (42%), high concern (42%), and a desire for more information (74%).
  • Distributing educational handouts significantly improved patient knowledge and decreased concerns about amputated part management.

Conclusions:

  • Patient preferences regarding amputated part disposal are significant and varied.
  • Education and awareness are paramount for patients concerning amputated limb management.
  • Accessible educational materials are crucial for effectively addressing patient needs and preferences.