To assess quality of life in patients who underwent an amputation because of serious CRPS-*, with life threatening ulcers or infections, or unbearable and therapy resistant pain in a none functional limb that had a negative influence on the…
ID
Source
Brief title
Condition
- Cornification and dystrophic skin disorders
- Therapeutic procedures and supportive care NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Results of the questionnaires Symptom Checklist-90-Revised (SCL-90-R), World
Health Organisation - Quality of life Assessment (WHO-QOL), Groninger
vragenlijst klachten na arm- of beenamputatie.
Secondary outcome
Descriptive. Results of a semi-structured interview with questions about
reported satisfaction after amputation, coping style, body scheme, locus of
control, current stump pain, current phantom pain, recurrence of the disease,
avoidance behaviour. Perceived changes after amputation in: pain, mobility, ADL
activities, house holding, work, hobbies, sports, relationships, intimacy,
mood, appearance, worrying, sleeping, future expectations. Results of the
questionnaire Connor-Davidson Resilience Scale (CD-RISC). And results of a
short physical exam of the limb for signs of recurrence of CRPS-*, by using
criteria of the International Association for the Study of Pain (IASP) and the
criteria of Bruehl.
Background summary
In the University Medical Centre of Groningen, between May 2000 to October
2008, 22 patients above 18 years with serious CRPS-*, with life threatening
ulcers or infections, or unbearable and therapy resistant pain in a none
functional limb that had a negative influence on the possibilities of
participation in daily life, underwent an amputation of the affected limb.
Little is known about outcome after amputation of a limb affected by CRPS-*.
Study objective
To assess quality of life in patients who underwent an amputation because of
serious CRPS-*, with life threatening ulcers or infections, or unbearable and
therapy resistant pain in a none functional limb that had a negative influence
on the possibilities of participation in daily life. To assess perceived
changes in quality of life in patients who underwent an amputation of a limb
affected by CRPS-*. To assess the perceived satisfaction of these patients with
the results of amputation. To assess the ability of successful stress coping in
these patients. To assess recurrence of CRPS-* in these patients.
Study design
Qualitative explorative analysis, partly retrospective, partly cross-sectional.
Study burden and risks
There are no risks related to participation. Participation means filling in
questionnaires and one visit of the patient to a hospital nearby his/here own
house. This visit is meant for the semi-structured interview, and as well to
assess the stump for signs of recurrence of CRPS-*. This assessment is not
invasive. Total estimated time: 2 hours. The benefits for the patients are
none. In future, we will be able to inform patients more adequately about the
outcome after amputation and possible changes as a result of the amputation.
Additionally, it will help us to make a more weighed decision concerning
amputation.
Hanzeplein 1
9700 RB Groningen
NL
Hanzeplein 1
9700 RB Groningen
NL
Listed location countries
Age
Inclusion criteria
All patients who underwent an amputation due to serious CRPS-*, with life threatening ulcers or infections, or unbearable and therapy resistant pain in a none functional limb that had a negative influence on the possibilities of participation in daily life, in the period of May 2000 to October 2008, in the University Medical Centre of Groningen.
Exclusion criteria
Patients will be excluded if they have insufficient knowledge of Dutch to fill out the questionnaires. Patients under the age of 18 will be excluded.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL25789.042.09 |