Living Well after Amputation: Lessons in Innovation, Peer Support, and Health Policy

Abstract

Currently 2.1 million people in the United States live with limb loss, with 185,000 amputations occurring every year. Amputation numbers are expected to rise with increasing age, diabetes, and vascular disease in our population. Advancements in surgical techniques and prosthetic technology have created the potential for amputees to live active and productive lives. Connecting new amputees with peer support resourses has been shown to improve rehabilitation outcomes. Resources from the Amputee Coalition include the National Limb Loss Resource Center, the Certified Peer Visitor program, a support group network, publications, and advocacy programs. Insurance companies have increased limits on appropriate access to advanced surgical techniques and prosthetic technology. Data on the care of amputation has become dated with additional research needed on incidence, prevention, standards for rehabilitation, and outcomes for surgery and prosthetic devices. Advocacy efforts have been successful in passing laws mandating insurance coverage for prosthetic care in 21 states with a need for additional advocacy on state and federal levels. Team based care and collaboration across disciplines is key to successful outcomes for both individual patient care and for advocacy in our health care system.