May 2018

Dillon completes AOPA-funded systematic review project

Michael Dillon, PhD, of La Trobe University, Melbourne, Australia, has completed his project, “Evaluating outcomes of dysvascular partial foot and transtibial amputation: a systematic review for the development of shared decision making resources.” The review was funded by the American Orthotic Prosthetic Association. The project resulted in the publication of 6 articles in peer-reviewed journals, including a systematic review protocol1; 2 systematic reviews2,3; an expert clinical viewpoint article that describes the development of the decision aid and discussion guide4; and 2 translational pieces challenging long-held views about the association between amputation level and mortality rates, as well as increasing amputation prevalence.5,6 The review was registered with PROSPERO in 2015.

In addition, Dr Dillon developed the first decision aid and discussion guide to support decisions about dysvascular amputation and presented the work in 7 keynote/invited addresses. Work on the project began in 2015.

REFERENCES

1. Dillon M, Fatone S, Quigley M. Describing the outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review protocol for the development of shared decision making resources. Syst Rev. 2015;4:173.

2. Dillon MP, Quigley M, Fatone S. A systematic review describing incidence rate and prevalence of dysvascular partial foot amputation; how both have changed over time and compare to transtibial amputation. Syst Rev. 2017;6(1):230.

3. Dillon MP, Quigley M, Fatone S. Outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review for the development of shared decision-making resources. Syst Rev. 2017;6(1):54.

4. Quigley M, Dillon MP, Fatone S. Development of shared decision-making resources to help inform difficult healthcare decisions: an example focused on dysvascular partial foot and transtibial amputations [published online February 1, 2018]. Prosthet Orthot Int. 2018:309364617752984.

5. Dillon MP, Fatone S, Quigley M. Uncertainty with long-term predictions of lower-limb amputation prevalence and what this means for prosthetic and orthotic research {published online April 3, 2018]. J Prosthet Orthot. 2018: doi: 10.1097/JPO.0000000000000191.

6. Dillon M, Fatone S, Quigley M. While mortality rates differ after dysvascular partial foot and transtibial amputation, should they influence the choice of amputation level? Arch Phys Med Rehabil. 2017;98(9):1900-1902.

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- Emily Delzell

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