Psychological outcome of extremity XXXX survivors undergoing amputation or limb salvage.

@entity1 @entity242 @entity146 @entity1109 @entity79 @entity347
When compared to amputation, limb salvage procedures for extremity @entity242 have been advocated because of potential functional benefits and presumed psychological-outcome advantages. The purpose of this study was to compare psychological outcomes between survivors who underwent either amputation or limb salvage procedures for extremity @entity242 . Fifteen amputees and 20 @entity1 with salvaged limbs (mean age, 37.9 years; range, 15 to 71 years) were evaluated 1 to 5 years after surgery for extremity @entity242 . Demographic and medical information was obtained and cognitive functioning, affect, mood, body image, physical functioning, global psychological adjustment to illness and surgery, and lifetime prevalence of @entity146 before and after surgery were assessed. Two @entity1 were excluded because of the presence of an incapacitating @entity347 . The remaining @entity1 , 14 amputees and 19 @entity1 with salvaged limbs, had a variety of soft-tissue and @entity79 . No significant differences were found between the groups in age, sex, marital status, surgically involved extremity, chemotherapy status, and social class at the time of surgery and interviews. There were no significant differences between the groups in scores of cognitive capacity, symptoms, mood, body image changes, global physical functioning, global adjustment to illness and surgery, and lifetime prevalence of @entity146 before or after surgery. Most @entity1 revealed only mild @entity1109 and 55% demonstrated good to excellent adjustment to their surgeries and diseases. There were no significant differences in measures of psychological outcome for @entity1 with extremity @entity242 who underwent limb salvage procedures compared to those who underwent amputation. A psychological-outcome advantage of limb-salvage surgery compared to amputation has yet to be demonstrated.
