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One patient with extremity tumor was further excluded because she received an amputation after neoadjuvant chemotherapy and was therefore not scheduled for radiation therapy, leaving 34 evaluable patients for the current analysis.
Patients were excluded if they were pregnant or undergoing dialysis or if they had received an amputation or had comorbid blindness, systemic illnesses such as cancer or cardiovascular disease based on physician diagnosis of myocardial infarction or stroke on national insurance claim forms.
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Among those patients who undertook amputation surgery in the Brazilian study, 44.2 % received a minor amputation and 55.8 % a major amputation.
These results confirm the observation of poor survival after major amputation in patients with and without diabetes reported from studies with shorter follow-up periods (22– 24); however, the Izumi et al. study (7) exclusively followed up patients who had received a lower limb amputation, not all patients had the opportunity to complete ten years of follow-up, and 10-year mortality was not stated.
Interventions: Each professional received a vignette case history of an amputation patient who varied in age (36yr, 76yr), gender (male, female), and patient behavior (ideal, depressed, noncompliant).
Patient deemed unfit for surgery (bypass or amputation) or endovascular treatment received a conservative treatment with antibiotics and analgesics or had a primary amputation.
During a game against Mora IK on 20 November 2004, Henrik received a slash that required a minor amputation to his left little finger.
However, many patients, particularly those who developed restenosis after PTA, received a further revascularization that enabled them to avoid amputation.
In a community with a high amputation rate, only 22% of those with diabetes had ever received a foot examination.
A total of 74 (13.4%) patients received major amputations, 23 in the early period and 51 during follow-up (total incidence per year: 3.72%).
Prior studies have identified age as a factor in determining an individual's likelihood of receiving a prosthesis following a lower limb amputation.
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