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Invited Review: Outcome measures used in peripheral nerve surgery for symptomatic neuroma in upper extremity amputations: A scoping review
Invited Review: Outcome measures used in peripheral nerve surgery for symptomatic neuroma in upper extremity amputations: A scoping review
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Abstract
Novel surgical treatments for painful neuromas are increasingly used, but determining which provides the greatest benefit has been difficult due to the inconsistent use of outcome measures. We mapped the current literature of outcome measures used to evaluate peripheral nerve surgery for the management of symptomatic neuromas in patients who underwent an adult-acquired upper extremity amputation (UEA). Medline, Embase, Cochrane, and CINAHL were searched for primary research written in the English language from inception to February 2023. The search yielded 1137 articles, of which 35 were included for final analysis. Studies varied in their assessment of pain, health-related quality of life (HRQOL), neurotrophic measures, psychological and sensorimotor function, highlighting a consensus on crucial domains but also revealing significant heterogeneity in the use and application of outcome measures among primary studies. Our findings highlight the need to establish common standards that reflect the best evidence and unique needs of the UEA population. This includes developing a core outcome set, utilizing multi-center trials, and maintaining flexibility to adapt to ongoing advancements in patient-reported outcome measures (PROMs) research.


Objectives:
(1) Improve patient evaluations and care through understanding of the approaches used by surgeons for treatment of painful neuromas;
(2) Understand and be able to incorporate into clinical care the major outcome assessments of pain and health-related quality of life used for the evaluation of patients who have undergone surgery for painful neuromas;
(3) Understand and be able to incorporate into clinical care the major neurotrophic, psychological, and sensorimotor outcome measures used for the evaluation of patients who have undergone surgery for painful neuromas.


ACCREDITATION STATEMENT
The AANEM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


CREDIT DESIGNATION
The AANEM designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit expires 8/12/2027.

DISCLOSURE INFORMATION
The authors declare no conflicts of interest.

FORMAT
PDF
Author
Borum Yang MD; Rachana Suresh MD; Jon Nam BSc; Amanda L. Mayo MD; Sander L. Hitzig PhD; Alison Wong MD
Summary
Availability: On-Demand
Expires on Aug 12, 2027
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Credit Offered:
1 CME Credit
1 CEU Credit


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