Identifying priorities and developing strategies for building capacity in amputation research in Canada.
Sander L HitzigAmanda L MayoAhmed KayssiRicardo VianaCrystal MacKayMichael DevlinSteven DilkasAristotle DomingoJacqueline S HebertWilliam C MillerJan AndrysekFae AzhariHeather L BaltzerCharles de MestralDouglas K DittmerNancy L DudekSharon GradSara J T GuilcherNatalie HabraSusan W HunterW Shane JourneayJoel D KatzSheena KingMichael W PayneHeather A UnderwoodJosé ZariffaAndrea AternaliSamantha L AtkinsonStephanie G BrooksStephanie R CiminoJorge RiosPublished in: Disability and rehabilitation (2020)
The consensus-workshop provided an initial roadmap for limb loss research in Canada, and the event served as an important catalyst for stakeholders to initiate collaborations for moving identified priorities into action. Given the increasing number of people undergoing an amputation, there needs to be a stronger Canadian collaborative approach to generate the necessary research to enhance evidence-based clinical care and policy decision-making.IMPLICATIONS FOR REHABILITATIONLimb loss is a growing concern across North America, with lower-extremity amputations occurring due to complications arising from diabetes being a major cause.To advance knowledge about limb loss and to improve clinical care for this population, stronger connections are needed across the continuum of care (acute, rehabilitation, community) and across sectors (clinical, advocacy, industry and research).There are new surgical techniques, technologies, and rehabilitation approaches being explored to improve the health, mobility and community participation of people with limb loss, but further research evidence is needed to demonstrate efficacy and to better integrate them into standard clinical care.
Keyphrases
- healthcare
- palliative care
- quality improvement
- mental health
- public health
- decision making
- cardiovascular disease
- type diabetes
- affordable care act
- physical activity
- intensive care unit
- liver failure
- lower limb
- mechanical ventilation
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- weight loss
- aortic dissection