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Patient education after amputation: systematic review and experts' opinions
Pantera E, Pourtier-Piotte C, Bensoussan L, Coudeyre E
Annals of Physical and Rehabilitation Medicine 2014 Apr;57(3):143-158
systematic review

OBJECTIVE: To perform a systematic review of the literature regarding amputee self-care, and analyze current experts' opinions. METHOD: The research in Medline and Cochrane Library databases was performed using the keywords "amputee self-care", "amputee health care", "amputee education", and "amputee health management". The methodological quality of the articles was assessed using four levels of evidence and three guideline grades (A strong; B moderate; C poor). RESULT: One prospective randomized controlled study confirm the level of evidence of self-care amputee persons with grade B, which is similar others chronic diseases self-care. Self-care of amputee persons contributes to improve functional status, depressive syndrome, and also health-related quality of life. A review of the patients' needs and expectations in self-care amputee persons has been established thanks to the presence of qualitative focus group study. CONCLUSION: A multidisciplinary self-care of amputee persons can be recommended. Regarding literature date, the level of evidence of self-care amputee persons is moderate (grade B). Experts groups are currently working on a self-care amputee persons guideline book in order to standardize practicing and programs in the physical medicine and rehabilitation departments.

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