End-of-life care following leg amputation in patients with peripheral artery disease or diabetes
British Journal of Surgery Oct 19, 2019
de Mestral C, Hsu AT, Talarico R, et al. - Researchers evaluated end-of-life care among patients who have had a leg amputated for peripheral artery disease (PAD) or diabetes via performing a population-based retrospective cohort study. Participants included patients with PAD or diabetes who died in Ontario, Canada, between 2011 and 2017. Specifically, the investigators compared 3,113 patients who underwent leg amputation within 3 years of death with a control cohort of 213,300 deceased patients with PAD or diabetes, but without leg amputation. Amputees vs controls were identified to have a lower tendency to die at home (15.5% vs 24.9%), and spent a higher number of their last 90 days of life in hospital (median 19 vs 8 days). Patients with PAD or diabetes exhibited underuse of palliative care after amputation, which may contribute to decreasing in-hospital death and time spent in hospital at the end of life.
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