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Does Contact with a Podiatrist Prevent The Occurrence of a Lower Extremity Amputation in people with

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, Oct 25, 2012.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effectiveness of Diabetes Foot Screening in Primary Care in Preventing Lower Extremity Amputations.
    Ang GY, Yap CW, Saxena N.
    Ann Acad Med Singapore. 2017 Nov;46(11):417-423.
     
  2. William Fowler

    William Fowler Active Member

    Yes.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Press Release:
    New York State Podiatric Medical Association Releases Study: Podiatric Treatment Saves Limbs, Lives, and Money
    NYSPMA Takes a Deep Dive Analysis Into the Value of Podiatric Services to Prove that Podiatric Treatment Improves Quality of Life While Reducing Healthcare Costs.


    February 27, 2018
    NEW YORK--(BUSINESS WIRE)--A research-based study by the New York State Podiatric Medical Association (NYSPMA) – the largest statewide component of the American Podiatric Medical Association (APMA) – showed that incorporating podiatric care may decrease healthcare costs among obese patients by $1.1 billion and up to $510 million for patients with diabetes.

    What’s more, podiatry services and treatment may decrease opioid dispensing (28 percent) among persons with a back- and podiatric-related pain diagnosis, may decrease falls (36 percent) among elderly and at-risk populations, and may reduce hospitalizations relating to obesity (19 percent) and diabetes (37 percent).

    Feet, may not only provide important clues about a person’s overall health, but foot pain, gait problems, and other foot- and ankle-related disorders can affect the whole person. These issues not only impact the knees, hips and back, but are also predicators of bigger problems, like hypertension, cardiovascular disease, diabetes, and other costly chronic health conditions.

    That’s why in 2017, the NYSPMA commissioned a study by Navigant Consulting in response to New York State’s Medicaid reform to advocate for the value of podiatric services to meet New York’s healthcare goals.

    Beginning in 2011, New York State embarked on a multi-year journey to redesign its Medicaid program. New York is currently implementing projects to improve health outcomes and decrease costs including opportunities to move towards value-based payments1. A central component of these efforts is the Medicaid Delivery System Reform Incentive Payment (DSRIP) program that will shift at least 80 percent of Medicaid managed care payments to providers from fee for-service to value-based payment by 20202. The State is also implementing the State Health Innovation Plan and New York State Prevention Agenda, which aligns with the DSRIP program’s overall population health goals3 focusing on obesity, diabetes, fall prevention, and opioid abuse.

    “Podiatric intervention is a key component of effectively managing chronic conditions and improving quality of life for New Yorkers,” said Dr. Paul J. Liswood, NYSPMA president-elect and a Brooklyn-based podiatrist who actively advocates about podiatry’s critical role in preventative care.

    “As New York podiatrists, it is our mission to educate New Yorkers about how the expansion of podiatry’s role in the New York healthcare landscape can positively impact the whole person while reducing healthcare costs.”

    The NYSPMA study focused on four chronic conditions, including diabetes, obesity, substance abuse/back pain, and fall prevention. The findings were published in the white paper titled, “Podiatric Services Deliver Value and Improved Health Outcomes.”

    Key findings of the analysis:

    Podiatric services deliver value and improved health outcomes for diabetic patients.

    37 percent reduction in the odds of subsequent inpatient admission among persons diagnosed with foot ulcers that received services performed by a podiatrist.
    The potential to reduce approximately 13,500 inpatient admissions for foot ulcers.
    A savings opportunity of approximately $510 million in healthcare costs in one year.
    Podiatrists decrease costs and hospitalizations for obese patients.

    39 percent of New Yorkers are obese, as reported by the State of Obesity in 2017.
    19 percent reduction in the odds of a subsequent inpatient admission among obese persons receiving services provided by a podiatrist – avoiding up to 36,000 inpatient admissions.
    Savings opportunity up to $1.1 billion in healthcare costs.
    Podiatrists decrease opioid dispensing among people with back pain and a podiatric-related condition.

    According to the CDC, between the years of 2014 and 2015, the number of drug-related overdose deaths in New York increased by 20 percent.
    11 percent reduction in the odds of an opioid drug being dispensed among persons with back pain and 28 percent reduction in the odds of an opioid drug being dispensed among persons with back, and podiatric-related pain diagnosis who received services performed by a podiatrist.
    Podiatric services may be associated with a reduction of opioid dispensation for 18,000 people per year.
    Podiatrists help prevent falls for the elderly and at-risk populations.

    The New York State Department of Health reports that due to falls: Two older New Yorkers die, 140 are hospitalized, and 223 are seen in emergency departments every day.
    36% reduction of falls over a 12-month period for individuals with an increased risk of falls receiving podiatric interventions.
    New York currently spends approximately $1.7 billion in hospitalization charges and $145.3 million in outpatient emergency department charges annually due to falls.
    “While New Yorkers may typically overlook their feet, preventative podiatry care is proven to play a key role in prevention and management of chronic disease, improving quality of life and increasing mobility,” Liswood adds.

    The NYSPMA complete white paper is available upon request. For more information on foot health or to find a podiatrist in New York State, visit www.nyfoothealth.com and follow on Facebook and Twitter.

    About NYSPMA:
    Established in 1895, the New York State Podiatric Medical Association (NYSPMA) is the first organization of its kind in America. NYSPMA is the largest statewide component of the American Podiatric Medical Association (APMA) and its affiliated national network of certifying boards and professional colleges. The NYSPMA and its more than 1,100 doctors of podiatric medicine adhere to a code of strict ethical standards and participate in numerous programs to benefit patients, the podiatric profession, and the general public. For more information, visit www.nyspma.org.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Reducing Amputations in People with Diabetes (RAPID): Evaluation of a New Care Pathway.
    MacRury S et al
    Int J Environ Res Public Health. 2018 May 16;15(5). pii: E999. doi: 10.3390/ijerph15050999.
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Intervention planning for the REDUCE maintenance intervention: a digital intervention to reduce reulceration risk among patients with a history of diabetic foot ulcers.
    Greenwell K et al
    BMJ Open. 2018 May 18;8(5):e019865. doi: 10.1136/bmjopen-2017-019865.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diabetic foot ulcer outcomes from a podiatry led tertiary service in Kuwait.
    Messenger G et al
    Diabet Foot Ankle. 2018 May 28;9(1):1471927.
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Quality assessment of diabetic foot ulcer clinical practice guidelines.
    Ghanbari A et al
    J Evid Based Med. 2018 Jun 7.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Analysis of recurrent ulcerations at a multidisciplinary diabetic Foot unit after implementation of a comprehensive Foot care program.
    Jiménez S et al
    Endocrinol Diabetes Nutr. 2018 Jun 15.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The appropriate management algorithm for diabetic foot: A single-center retrospective study over 12 years.
    Chang JW, Heo W, Choi MSS, Lee JH.
    Medicine (Baltimore). 2018 Jul;97(27)
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Tale of Two Eras: Mining Big Data from Electronic Health Records to Determine Limb Salvage Rates with Podiatry.
    Schmidt BM et al
    Current Diabetes Reviews [16 Oct 2018]
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    POINT: podiatry for international diabetic foot teams.
    Van Acker K, Garoufalis M, Wilson P.
    J Wound Care. 2018 Nov 1;27(Sup11):1-32. doi: 10.12968/jowc.2018.27.Sup11.1.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Multidisciplinary Care Teams to Reduce Major Amputations for Patients With Diabetic Foot Ulcers: A Systematic Review
    Meghan Brennan et al
    Open Forum Infect Dis. 2018 Nov; 5(Suppl 1): S706.
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Multidisciplinary diabetic foot care in Sweden – a national survey
    Linda Wennberg et al
    DRCP; Article in Press
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Impact of multidisciplinary foot care team on outcome of diabetic foot ulcer in term of lower extremity amputation at a tertiary care unit in Karachi, Pakistan
    Musarrat Riaz Zahid Miyan Nazish Waris Syed I.H. Zaidi Bilal Tahir Asher Fawwad Abdul Basit
    Int W J: 15 February 2019
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Impact of multidisciplinary foot care team on outcome of diabetic foot ulcer in term of lower extremity amputation at a tertiary care unit in Karachi, Pakistan
    Musarrat Riaz Zahid Miyan Nazish Waris Syed I.H. Zaidi Bilal Tahir Asher Fawwad Abdul Basit
    Int W J: 15 February 2019
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Multidisciplinary clinics reduce treatment costs and improve patient outcomes in diabetic foot disease
    Maximilian O.JoretBMedSci(Hons), MBChBaKareemOsmanMBChBaAnastasiaDeanBA, MBBSaColinCaoPGDipPHbBertvan der WerfDRsBcVenuBhamidipatyMBBS, FRACSa
    Journal of Vascular Surgery; Available online 6 March 2019
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    An Evidence-Based Policy Brief Improving Foot Care in Diabetic Patients: Reduces Amputations
    Mabel Belinda Ngaiyaye Chinkhata
    JDM
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The effect of a multidisciplinary outpatient team approach on outcomes in diabetic foot care: a single center study.
    Huizing E et al
    J Cardiovasc Surg (Torino). 2019 Oct 9
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Incidence and Risk Factors Associated With Ulcer Recurrence Among Patients With Diabetic Foot Ulcers Treated in a Multidisciplinary Setting
    Caitlin W.HicksMD, MSabJoseph K.CannerMHScNestorasMathioudakisMD, MHSadChristopherLippincottMDaeRonald L.ShermanDPMabChristopher J.AbularrageMDab
    Journal of Surgical Research; Volume 246, February 2020, Pages 243-250
     
  20. NewsBot

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    Articles:
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    Five-year outcomes of patients attending a diabetic foot clinic in a tertiary referral centre
    Hannah FordeSarah WrigleyLiam Tomas O’MurchadhaLyn CusackSinead CasserlyDaragh MoneleyJames WalshDiarmuid Smith
    Irish Journal of Medical Science: 24 October 2019
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers
    L.SutherlandBA et al
    Journal of Vascular Surgery 30 October 2019
     
  22. NewsBot

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    Articles:
    1
    Reduction in Diabetes-Related Major Amputation Rates After Implementation of a Multidisciplinary Model: An Evaluation in Alberta, Canada.
    Reza Basiri, Brent D. Haverstock, Paul F. Petrasek, and Karim Manji
    Journal of the American Podiatric Medical Association In-Press.
     
  23. NewsBot

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    Articles:
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    Effectiveness of Multidisciplinary Care Teams in Reducing Major Amputation Rate in Adults with Diabetes: A Systematic Review & Meta-Analysis.
    Albright RH et al
    Diabetes Res Clin Pract. 2020 Jan 11
     
  24. NewsBot

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    Articles:
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    Effect of contact with podiatry in a team approach context on diabetic foot ulcer and lower extremity amputation: systematic review and meta-analysis.
    Blanchette V et al
    J Foot Ankle Res. 2020 Mar 20;13(1):15
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Health Economic Indicators in Patients With Diabetic Foot: Outpatient Multidisciplinary Management
    Min Peng et al
    Int J Low Extrem Wounds. 2020 Jun 11
     
  26. NewsBot

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    Diabetic foot ulcer management in a multidisciplinary foot centre: one-year healing, amputation and mortality rate
    Georges Ha Van et al
    J Wound Care. 2020 Aug 2;29(8):464-471
     
  27. NewsBot

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    Quality of Diabetic Foot Ulcer Care: Evaluation of an Interdisciplinary Wound Care Clinic Using an Extended Donabedian Model Based on a Retrospective Cohort Study
    Jérôme Patry
    Can J Diabetes. 2020 Oct 5;S1499-2671(20)30398-1
     
  28. NewsBot

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    Outcomes and prognosis of diabetic foot ulcers treated by an interdisciplinary team in Canada
    Jérôme Patry et al
    Int Wound J. 2020 Nov 25
     
  29. NewsBot

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    Reducing Nontraumatic Lower-Extremity Amputations by 20% by 2030: Time to Get to Our Feet: A Policy Statement From the American Heart Association
    Mark A Creager, Kunihiro Matsushita, Shipra Arya, Joshua A Beckman, Sue Duval, Philip P Goodney, J Antonio T Gutierrez, John A Kaufman, Karen E Joynt Maddox, Amy W Pollak, Aruna D Pradhan, Laurie P Whitsel, American Heart Association Advocacy Coordinating Committee
    Circulation. 2021 Mar 25
     
  30. NewsBot

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    The effectiveness of Diabetic Foot Clinic on prevention and healing of diabetic foot ulcers of a university hospital in Thailand
    NantawanKoonalinthipabPongbunSiwabanpakulbArayaJaroenarpornwatanaab
    The Foot; 28 May 2021, 101836
     
  31. NewsBot

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    Clinical and economic outcomes of a multidisciplinary team approach in a lower extremity amputation prevention programme for diabetic foot ulcer care in an Asian population: A case-control study
    Zhiwen Joseph Lo, Sadhana Chandrasekar, Enming Yong, Qiantai Hong, Li Zhang, Lester Rhan Chaen Chong, Glenn Tan, Yam Meng Chan, Hui Yan Koo, Tiffany Chew, Nur Faezah Sani … See all authors
    06 August 2021
     
  32. NewsBot

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    Multidisciplinary team led by internists improves diabetic foot ulceration outcomes a before-after retrospective study
    Gida Ayada et al
    Eur J Intern Med. 2021 Jul 26;S0953-6205(21)00249-1
     
  33. NewsBot

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    ECONOMIC VALUE OF PODIATRY SERVICE IN LIMB SALVAGE ALLIANCE
    Naren Patel et al
    J Vasc Surg. 2021 Jul 24
     
  34. NewsBot

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    Multidisciplinary unit specialized in the treatment of diabetic foot: Evaluation and results
    M A Moreno Carrillo et al
    Rehabilitacion (Madr). 2021 Sep 11;S0048-7120(21)00092-X
     
  35. NewsBot

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    Foot-related diabetes complications: care pathways, patient profiles and costs
    Olli Kurkela et al
    BMC Health Serv Res. 2022 Apr 26;22(1):559
     
  36. NewsBot

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    Evaluation of foot ulcer incidence in diabetic patients at a diabetic foot ulcer prevention clinic over a 10-year period
    Makoto Oe et al
    Wound Repair Regen. 2022 Jul 16
     
  37. NewsBot

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    Outcomes of a multidisciplinary Diabetic Foot Day UnitResultados de una Unidad de Día de Pie Diabético multidisciplinar
    AnaPiñar-Gutiérrez et al
    Endocrinología, Diabetes y Nutrición; Available online 11 July 2022
     
  38. NewsBot

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    Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes
    Latricia L Allen et al
    J Appl Gerontol. 2022 Oct 1
     
  39. NewsBot

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    Multidisciplinary approach to decreasing major amputation, improving outcomes, and mitigating disparities in diabetic foot and vascular disease
    Katherine M.McDermottTaraSrinivasChristopher J.Abularrage
    Seminars in Vascular Surgery; 12 November 2022
     
  40. NewsBot

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    Multidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections
    Eric Pillado et al
    J Am Podiatr Med Assoc. 2023 Mar-Apr;113(2):20-176.
     
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