Challenges in shared decision-making about major lower limb amputation: the PERCEIVE qualitative study.

ABSTRACT:

Objectives

Shared decision-making is widely advocated in policy and practice, but how it is to be applied in a high-stakes clinical decision such as major lower limb amputation due to chronic limb-threatening ischaemia or diabetic foot is unclear. The aim of this study was to explore the communication, consent, risk prediction and decision-making process in relation to major lower limb amputation.

Design

A qualitative study (done as part of a broader mixed-methods study) using semi-structured interviews. Interview transcriptions were analysed using thematic analysis.

Setting

Vascular centres in three large National Health Service hospitals in Wales and England, UK, between 1 October 2020 and 30 September 2022.

Participants

A purposive sample of 18 patien

SUBMITTER: Prout H 

PROVIDER: S-EPMC12815046 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature