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Table 1 Eligibility criteria in line with the SPIDER framework

From: Exploring what is important to patients with regards to quality of life after experiencing a lower limb reconstructive procedure: a qualitative evidence synthesis

  Inclusion Exclusion
Sample Adult patients (aged 16+) requiring, undergoing or who have undergone reconstructive surgery for a lower limb condition (leg, ankle or foot). Conditions may include: a fracture fixation which becomes infected; non-union (a fracture which does not heal); malunion/deformity (a fracture which has healed in an incorrect position); any acquired or congenital condition leading to bone deformity, leg length discrepancy or bone loss, congenital lower limb deformities, joint contracture; lower limb injuries where further limb reconstruction is required; poly-trauma patients (as long as one of the above criteria were met)
Patients were included at any time point after injury or condition onset
Studies with a mix of amputee and reconstruction patients were included if the results for both groups of patients could be separated
Those under the age of 16
Patients who have undergone a lower limb amputation
Phenomenon of interest QOL, including (but not limited to) social interactions, employment, perceived health and QOL after condition onset/injury and throughout recovery
This inclusion was kept broad since defining QOL as a single entity is challenging due to individual perceptions as to what constitutes quality living [20]
Design Studies which used established qualitative methods such as interviews or focus groups and used established qualitative analytical approaches (e.g. thematic analysis, framework analysis, grounded theory)
Mixed-methods studies which included a qualitative component of data collection (as described above) and analysis were eligible for inclusion if the qualitative component was clearly identifiable and suitable for extraction
Opinion pieces, commentaries, case studies, guidelines, audits, clinical observational studies, questionnaire studies, RCTs and other quantitative designs
Evaluation Studies reporting on patient’s attitudes, perspectives and behaviours surrounding QOL in the broadest sense. This encompassed people’s experiences of the condition (symptoms/pain/recovery), experiences of treatment, their physical, mental, emotional, social, daily and professional functioning (effect on working and any financial difficulties), as well as outcome expectations Studies where a mixed population were included and it was not possible to separately extract the results for our population of interest
Research type Primary qualitative studies