title: Adult acquired major upper limb amputation in Norway: prevalence, demographic features and amputation specific features. A population-based survey.
abstract: OBJECTIVE
  To estimate the prevalence of adult acquired major upper limb amputation in Norway. To describe this amputee population regarding demographic features and amputation specific features. To compare our data to data collected internationally.
  
  
  METHODS
  Population-based cross-sectional study on adult upper limb amputees with acquired limb loss through or proximal to the radio-carpal joint. Patients were found in the databases of the two companies in Norway that make upper limb prostheses and in the medical records of three of the largest Norwegian hospitals. Data were collected by postal questionnaires.
  
  
  RESULTS
  We estimated a population prevalence of 11.6 per 100,000 adults (n = 416). Our survey was not 100% comprehensive and the estimate is conservative. The amputees were predominantly men with traumatic, unilateral, distal amputations at a young age. There were significant gender- and amputation level differences in cause. Most amputees had used prostheses. About four in ten were in paid employment.
  
  
  CONCLUSIONS
  Our findings are mainly consistent with earlier studies from other countries. Implications of our findings related to the planning of future health care for these patients are outlined, including suggestion of regional multidisciplinary rehabilitation emphasising occupational rehabilitation and focus on preventive measures. Potential areas of follow-up are suggested.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Ottestad, Norway. kristin.ostlie@sykehuset-innlandet.no
authors.forename: Kristin
authors.initials: K
authors.lastname: Østlie
authors.forename: Ola H
authors.initials: OH
authors.lastname: Skjeldal
authors.forename: Beate
authors.initials: B
authors.lastname: Garfelt
authors.forename: Per
authors.initials: P
authors.lastname: Magnus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D000673:Amputation, Traumatic / Q000601:surgery; D000704:Analysis of Variance; D001132:Arm / Q000601:surgery*; D001134:Arm Injuries / Q000601:surgery*; D001186:Artificial Limbs; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D015995:Prevalence; D011795:Surveys and Questionnaires