PMID- 36503591
OWN - NLM
STAT- MEDLINE
DCOM- 20221216
LR  - 20221221
IS  - 1757-1146 (Electronic)
IS  - 1757-1146 (Linking)
VI  - 15
IP  - 1
DP  - 2022 Dec 12
TI  - "I was trying to look after myself, but I really wasn't": Understanding patient's 
      perspectives on risk factors for lower extremity amputations.
PG  - 89
LID - 10.1186/s13047-022-00589-6 [doi]
LID - 89
AB  - BACKGROUND: Lower extremity amputations (LEAs) as a result of type 2 diabetes 
      mellitus (T2DM) cause considerable morbidity, mortality, and burden on the 
      healthcare system. LEAs are thought to be preventable, yet the rate of LEAs, 
      particularly in Australia, has risen despite the availability of preventative 
      healthcare services. Understanding patient's perspectives of risk factors for 
      LEAs may provide valuable insight into why many LEAs occur each year. OBJECTIVE: 
      The aim of this study was to explore patient's perspectives of risk factors for 
      LEAs as a result of T2DM. METHODS: A qualitative descriptive methodology 
      involving non-probability purposive sampling was used to recruit inpatients at a 
      tertiary metropolitan hospital in South Australia. Semi-structured interviews 
      were conducted, and data were transcribed verbatim. Data from the interviews were 
      analysed using thematic analysis and the constant comparison approach. RESULTS: A 
      total of 15 participants shared their perspectives of risk factors for lower 
      extremity amputations. Most (86%) of participants were male and Caucasian, with a 
      median age of 66.4 years ranging from 44-80 years. The median duration of 
      diabetes was 25.2 years, ranging from 12-40 years. More than half of the 
      participants had undergone a previous amputation with 86% being unemployed or 
      retired and 73% living in metropolitan Adelaide. Two main themes emerged: 
      competing priorities and awareness. Finance and family care were identified as 
      subthemes within competing priorities. While subthemes in the context of 
      awareness related to lack of awareness of risk, experiences with health care 
      professionals and perspectives of disease severity. CONCLUSIONS: The findings 
      from this research indicate that addressing risk factors for LEAs for patients 
      with T2DM require a holistic and nuanced approach which considers individual 
      patient's circumstances, and its influence on how risks are viewed and managed.
CI  - (c) 2022. Crown.
FAU - Ben Chmo, Marcelle
AU  - Ben Chmo M
AUID- ORCID: 0000-0002-6869-0074
AD  - University of South Australia Allied Health and Human Performance, University of 
      South Australia, Adelaide, SA, 5000, Australia. Benmb002@mymail.unisa.edu.au.
AD  - Clinical and Health Sciences, University of South Australia, Adelaide, SA, 5000, 
      Australia. Benmb002@mymail.unisa.edu.au.
FAU - Matricciani, Lisa
AU  - Matricciani L
AUID- ORCID: 0000-0002-4480-4188
AD  - University of South Australia Allied Health and Human Performance, University of 
      South Australia, Adelaide, SA, 5000, Australia.
AD  - Clinical and Health Sciences, University of South Australia, Adelaide, SA, 5000, 
      Australia.
FAU - Kumar, Saravana
AU  - Kumar S
AD  - University of South Australia Allied Health and Human Performance, University of 
      South Australia, Adelaide, SA, 5000, Australia.
AD  - Clinical and Health Sciences, University of South Australia, Adelaide, SA, 5000, 
      Australia.
FAU - Graham, Kristin
AU  - Graham K
AD  - University of South Australia Allied Health and Human Performance, University of 
      South Australia, Adelaide, SA, 5000, Australia.
AD  - Clinical and Health Sciences, University of South Australia, Adelaide, SA, 5000, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20221212
PL  - England
TA  - J Foot Ankle Res
JT  - Journal of foot and ankle research
JID - 101471610
SB  - IM
MH  - Humans
MH  - Male
MH  - Aged
MH  - Female
MH  - *Diabetic Foot/surgery
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Amputation, Surgical
MH  - Risk Factors
MH  - Health Services
MH  - Lower Extremity/surgery
PMC - PMC9743707
OTO - NOTNLM
OT  - Lower extremity amputation
OT  - Perspectives
OT  - Qualitative
OT  - Risk factors
OT  - Type 2 diabetes mellitus
COIS- None of the authors have any relevant disclosures related to the funding of the 
      project or any financial benefits received in relation to this research.
EDAT- 2022/12/13 06:00
MHDA- 2022/12/15 06:00
PMCR- 2022/12/12
CRDT- 2022/12/12 09:24
PHST- 2022/05/04 00:00 [received]
PHST- 2022/11/14 00:00 [accepted]
PHST- 2022/12/12 09:24 [entrez]
PHST- 2022/12/13 06:00 [pubmed]
PHST- 2022/12/15 06:00 [medline]
PHST- 2022/12/12 00:00 [pmc-release]
AID - 10.1186/s13047-022-00589-6 [pii]
AID - 589 [pii]
AID - 10.1186/s13047-022-00589-6 [doi]
PST - epublish
SO  - J Foot Ankle Res. 2022 Dec 12;15(1):89. doi: 10.1186/s13047-022-00589-6.