Decision-making processes for non-emergency diabetes-related lower extremity amputations: A scoping review
Authors' conclusion
This highlights the importance of a holistic and shared decision-making process for amputation which includes assessment of a person's lifestyle and function.
Study context
- Population
- Papers describing clinical reasoning and/or decision-making processes for non-emergency diabetes-related amputation; five electronic databases and grey literaturepapers included
- Participants
- 94 papers
- Outcome
- Key concepts in decision-making for diabetes-related amputation
Methodological detailsArksey and O'Malley's PRISMA scoping review framework, data mapped to WHO ICF framework domains
- Arksey and O'Malley's PRISMA scoping review framework
- Data mapped to WHO ICF framework domains
Main finding
As reported in the abstract
- Personal factors including emotional wellbeing, QoL and treatment goals are key considerations for an elective amputation
- Individual's lifestyle and personal circumstances, as well as pathology, important when deciding between amputation or conservative management
Original publication
Decision-making processes for non-emergency diabetes-related lower extremity amputations: A scoping review. Diabetes Res Clin Pract. Published 17 November 2023. doi:10. 1016/ j. diabres. 2023. 111015
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