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Phantom Limb Phenomena in Cancer Amputees
Authors:Danièlle Probstner MD  MSc  Luiz Claudio Santos Thuler MD  MSc   PhD  Neli Muraki Ishikawa PT  MSc   PhD  Regina Maria Papais Alvarenga MD  MSc   PhD
Affiliation:1. Federal University of the State of Rio de Janeiro, Rio de Janeiro;2. National Cancer Institute, Rio de Janeiro, Brazil
Abstract:Purpose: The objective of this study was to determine the prevalence of phantom pain and correlated conditions such as phantom sensations and stump pain in a population of cancer patients who had undergone limb amputation. Method: A cross‐sectional study was carried out in adult patients submitted to limb amputation, who were being followed up at the Physiotherapy Department between April 3 and November 30, 2006. The presence of phantom pain and associated conditions was quantified using a verbal numerical scale. The data obtained were analyzed for means, medians, and proportions with their respective confidence intervals, as appropriate. Results: Seventy‐five patients participated in this study, 50 men (66.7%) and 25 women (33.3%). Mean age was 54.4 years (SD ± 18.5); range 19 to 88 years. The prevalence of phantom pain was 46.7% (95%CI: 35.1 to 58.6), phantom sensation 90.7% (95%CI: 81.7 to 96.2), and surgical stump pain 32.0% (95%CI: 21.7 to 43.8). Conclusion: Phantom pain and phantom sensations are highly prevalent among cancer patients. Further studies should be carried out to determine the main factors associated with their onset.
Keywords:phantom pain  cancer  prevalence  incidence  amputees
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