Impact of prostheses on quality of life and functional status of transfemoral amputees in Tanzania
African Journal of Disability
| Field | Value | |
| Title | Impact of prostheses on quality of life and functional status of transfemoral amputees in Tanzania | |
| Creator | von Kaeppler, Ericka P. Hetherington, Alexander Donnelley, Claire A. Ali, Syed H. Shirley, Corin Challa, Sravya T. Lutyens, Emily Haonga, Billy T. Morshed, Saam Andrysek, Jan Shearer, David W. | |
| Description | Background: The rise of diabetes and traumatic injury has increased limb loss-related morbidity in low- and middle-income countries (LMICs). Despite this, the majority of amputees in LMICs have no access to prosthetic devices, and the magnitude of prosthesis impact on quality of life (QOL ) and function has not been quantified.Objectives: Quantify the impact of prostheses on QOL and function in Tanzanian transfemoral amputees.Method: A prospective cohort study was conducted. Transfemoral amputees at Muhimbili Orthopaedic Institute were assessed twice before and three times after prosthetic fitting using EuroQol-5D-3L (EQ-5D-3L), Prosthetic Limb Users Survey of Mobility (PLUS-M), 2-minute walk test (2MWT) and Physiologic Cost Index (PCI). Data were analysed for change over time. Subgroup analysis was performed for amputation aetiology (vascular or non-vascular) and prosthesis use.Results: Amongst 30 patients, EQ-5D, PLUS-M and 2MWT improved after prosthesis provision (p 0.001). EuroQol-5D increased from 0.48 to 0.85 at 1 year (p 0.001). EuroQol-5D and 2MWT were higher in non-vascular subgroup (p 0.030). At 1-year, 84% of non-vascular and 44% of vascular subgroups reported using their prosthesis (p = 0.068).Conclusion: Prosthesis provision to transfemoral amputees in an LMIC improved QOL and function. This benefit was greater for non-vascular amputation aetiologies. Quality of life and function returned to pre-prosthesis levels with discontinued use of prosthesis. | |
| Publisher | AOSIS | |
| Date | 2021-09-07 | |
| Identifier | 10.4102/ajod.v10i0.839 | |
| Source | African Journal of Disability; Vol 10 (2021); 10 pages 2226-7220 2223-9170 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://ajod.org/index.php/ajod/article/view/839/1627
https://ajod.org/index.php/ajod/article/view/839/1628
https://ajod.org/index.php/ajod/article/view/839/1629
https://ajod.org/index.php/ajod/article/view/839/1630
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