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Updated: Jan 14, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

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Published on: October 29, 2021

Challenges in shared decision-making about major lower limb amputation: the PERCEIVE qualitative study.

Hayley Prout¹, Cherry-Ann Waldron², Brenig Gwilym³

¹Centre for Trials Research, Cardiff University School of Medicine, Cardiff, Cardiff, UK ProutH@cardiff.ac.uk.

|January 12, 2026

Summary

This summary is machine-generated.

Shared decision-making for major lower limb amputation faces challenges due to patient understanding and professional practices. Training healthcare professionals is crucial for improving patient confidence and informed consent in amputation decisions.

Keywords:

Amputation, Surgical Decision Making Diabetic foot Patient Participation QUALITATIVE RESEARCH VASCULAR SURGERY

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Area of Science:

Vascular Surgery
Patient Decision-Making
Qualitative Health Research

Background:

Major lower limb amputation is a high-stakes decision for chronic limb-threatening ischemia or diabetic foot.
Shared decision-making (SDM) is advocated but its application in amputation is unclear.

Purpose of the Study:

To explore the communication, consent, risk prediction, and decision-making processes in major lower limb amputation.
Investigate challenges to effective SDM in this context.

Main Methods:

Qualitative study using semi-structured interviews with patients and healthcare professionals.
Thematic analysis of interview transcripts.
Study conducted in UK vascular centers (2020-2022).

Main Results:

Identified five challenge categories: limited patient understanding, variable patient attitudes, professional challenges, surgeon paternalism, and decisional regret.
These factors impede effective shared decision-making in amputation cases.

Conclusions:

Major lower limb amputation involves life-changing decisions with significant consequences.
Challenges to SDM persist, necessitating targeted training for healthcare professionals.
Enhanced training can improve patient confidence and informed decision-making.