Thesis
The epidemiology of limb amputation and congenital limb difference in Scotland
- Creator
- Rights statement
- Awarding institution
- University of Strathclyde
- Date of award
- 2024
- Thesis identifier
- T17112
- Person Identifier (Local)
- 201487393
- Qualification Level
- Qualification Name
- Department, School or Faculty
- Abstract
- Literature highlights variability in the depth of information available about people living with limb difference, further compounded by challenges in comparing results across populations due to disparities in data collection methods and reporting practices. Epidemiological data are essential for comprehending the challenges encountered by individuals within a population. The International Society of Prosthetics and orthotics identified the absence of standardized data as a significant barrier to the development of prosthetic services. The aim of this thesis was to further our understanding of individuals experiencing limb amputation or congenital limb difference (CLD) in Scotland. This was achieved through studies which used available data to characterise the epidemiology of limb amputation and CLD in Scotland. A retrospective cohort study was conducted utilising routinely collected health data combined using data linkage techniques. The study examined Scotland’s electronic health records to identify all limb amputations conducted between January 2012 and August 2022, and all births with CLD during the same timeframe. Descriptive analysis of clinical and demographic information was performed. During the ten-year period 2012-2021, 17,255 lower limb amputation (LLA) procedures and 4,166 upper limb amputation (ULA) procedures were conducted on 15,974 patients, and 41 babies were born with 30 upper limb and 13 lower limb differences. Fifty-three percent of LLA were partial foot procedures. Ninety-seven percent of ULA were partial hand procedures. An analysis of demographic characteristics showed that the majority of people undergoing their first amputation were male, and a higher percentage lived in the most deprived areas of Scotland. Age of amputation and mean survival time varied according to the site, type, and level of amputation procedure. The thesis provides baseline data which furthers our understanding of Scotland’s limb different population. Recommendations are made for a national register to continue this work with an extended scope of monitoring clinical outcomes.
- Advisor / supervisor
- Buis, Arjan
- Mueller, Tanja
- Resource Type
- DOI
Relazioni
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PDF of thesis T17112 | 2024-10-02 | Pubblico | Scaricare |