TY - JOUR
T1 - Amputation and prosthetics of the lower extremity
T2 - The 2020 Dutch evidence-based multidisciplinary guideline
AU - Fard, Behrouz
AU - Persoon, Saskia
AU - Jutte, Paul C.
AU - Daemen, Jan Willem H.C.
AU - Lamprou, D.A.A.
AU - ten Hoope, Werner
AU - Prinsen, Erik C.
AU - Houdijk, Han
AU - Olsman, Jeroen
AU - Holling, Tobias
AU - de Wever, Heike P.P.R.
AU - Schrier, Ernst
AU - Donders, Nadine
AU - Rietman, Johan S.
AU - Geertzen, Jan H.B.
N1 - Publisher Copyright:
Copyright © 2022 International Society for Prosthetics and Orthotics.
PY - 2023/2/1
Y1 - 2023/2/1
N2 - Background: Lower-limb amputations are rare but debilitating events in the lives of affected persons. Treatment of persons with amputation inherently involves many different health care professions at different stages leading to and after an amputation. There are prevailing clinical questions within the work field related to different facets of care including peri/postoperative aspects, prosthetic components, rehabilitation treatment, and health care processes.Objectives: To provide an up-to-date multidisciplinary evidence-based guideline for health care professionals involved in the treatment of persons with lower-limb amputation in the Netherlands.Methods: Identification of key questions in a focus group, systematic review of the evidence (up to March 2019, using Embase and MEDLINE databases), and weighing considerations, culminating in clinical recommendations.Results: Twelve key questions were formulated. Recommendations of two key questions were upheld in line with the previous 2012 guideline. Ten systematic literature searches were performed, leading to the inclusion of 59 studies. Conclusion: A summary of evidence-based conclusions, considerations, and recommendations of the 2020 guideline is presented.
AB - Background: Lower-limb amputations are rare but debilitating events in the lives of affected persons. Treatment of persons with amputation inherently involves many different health care professions at different stages leading to and after an amputation. There are prevailing clinical questions within the work field related to different facets of care including peri/postoperative aspects, prosthetic components, rehabilitation treatment, and health care processes.Objectives: To provide an up-to-date multidisciplinary evidence-based guideline for health care professionals involved in the treatment of persons with lower-limb amputation in the Netherlands.Methods: Identification of key questions in a focus group, systematic review of the evidence (up to March 2019, using Embase and MEDLINE databases), and weighing considerations, culminating in clinical recommendations.Results: Twelve key questions were formulated. Recommendations of two key questions were upheld in line with the previous 2012 guideline. Ten systematic literature searches were performed, leading to the inclusion of 59 studies. Conclusion: A summary of evidence-based conclusions, considerations, and recommendations of the 2020 guideline is presented.
KW - Amputation
KW - Diabetes mellitus
KW - Participation
KW - Peripheral arterial disease
KW - Physiotherapy
KW - Prosthetics
KW - Psychological interventions
KW - Rehabilitation
KW - Surgery
KW - n/a OA procedure
UR - http://www.scopus.com/inward/record.url?scp=85148249797&partnerID=8YFLogxK
U2 - 10.1097/PXR.0000000000000170
DO - 10.1097/PXR.0000000000000170
M3 - Review article
C2 - 36112468
AN - SCOPUS:85148249797
SN - 0309-3646
VL - 47
SP - 69
EP - 80
JO - Prosthetics and orthotics international
JF - Prosthetics and orthotics international
IS - 1
ER -
