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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.

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    Does Contact with a Podiatrist Prevent The Occurrence of a Lower Extremity Amputation in people with Diabetes? A Systematic Review and Meta-Analysis
    CM Buckley, PM Kearney, IJ Perry, CP Bradley
    J Epidemiol Community Health 2012;66:A42-A43 doi:10.1136/jech 2012-201753.110
     
  2. Admin2

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    Podiatrist care and outcomes for patients with diabetes and foot ulcer.
    Gibson TB, Driver VR, Wrobel JS, Christina JR, Bagalman E, Defrancis R, Garoufalis MG, Carls GS, Gatwood J.
    Int Wound J. 2013 Feb 4
     
  4. NewsBot

    NewsBot The Admin that posts the news.

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    Structured health care for subjects with diabetic foot ulcers results in a major reduction of amputation rates
    Matthias Weck, Torsten Slesaczeck, Hartmut Paetzold, Dirk Muench, Thomas Nanning, Georg Gagern, Andrej Brechow, Ulf Dietrich, Mandy Holfert, Stefan Bornstein, Andreas Barthel, Antje Thomas, Markolf Hanefeld and Carsta Koehler
    Cardiovascular Diabetology 2013, 12:45 doi:10.1186/1475-2840-12-45
     
  5. NewsBot

    NewsBot The Admin that posts the news.

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    Does contact with a podiatrist prevent the occurrence of a lower extremity amputation in people with diabetes? A systematic review and meta-analysis.
    Buckley CM, Perry IJ, Bradley CP, Kearney PM.
    BMJ Open. 2013 May 8;3(5).
     
  6. NewsBot

    NewsBot The Admin that posts the news.

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    Assessing the Economic Impact of a Podiatrist-Analysis of Clinic Activity after Temporary Loss of 50% of the Podiatrists from a Tertiary Specialist Foot Clinic
    CATHERINE GOODAY, RACHEL MURCHISON, KETAN K. DHATARIYA, Norwich, United Kingdom
    American Diabetes Assoication; 73rd Scientific Sessions (2013); Chicago
     
  7. NewsBot

    NewsBot The Admin that posts the news.

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    Foot-In-Wallet Disease: Tripped Up by ‘Cost Saving’ Reductions
    GRANT H. SKREPNEK, JOSEPH L. MILLS, DAVID ARMSTRONG, Tucson, AZ.
    American Diabetes Assoication; 73rd Scientific Sessions (2013); Chicago
     
  8. NewsBot

    NewsBot The Admin that posts the news.

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    Effective management of patients with diabetes foot ulcers: outcomes of an Interprofessional Diabetes Foot Ulcer Team.
    Ogrin R, Houghton PE, Thompson GW.
    Int Wound J. 2013 Jul 9.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

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    An analysis of clinical activity, admission rates, length of hospital stay, and economic impact after a temporary loss of 50% of the non-operative podiatrists from a tertiary specialist foot clinic in the United Kingdom
    Catherine Gooday, Rachel Murchison, Ketan Dhatariya
    Diabetic Foot & Ankle 2013, 4: 21757
     
  10. NewsBot

    NewsBot The Admin that posts the news.

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    Reducing Major Lower Extremity Amputations After the Introduction of a Multidisciplinary Team for the Diabetic Foot
    José Antonio Rubio et al
    International Journal of Lower Extremity Wounds March 2014 vol. 13 no. 1 22-26
     
  11. NewsBot

    NewsBot The Admin that posts the news.

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    Transformation of the Multidisciplinary Diabetic Foot Clinic Into a Multidisciplinary Diabetic Foot Day Unit
    Results From a Service Evaluation
    Chris A. Manu et al
    International Journal of Lower Extremity Wounds August 13, 2014
     
  12. NewsBot

    NewsBot The Admin that posts the news.

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    Association of diabetic foot care and amputation rates in Germany
    Knut Kröger, Theodoros Moysidis, Michel Feghaly, Erika Schäfer, Alexander Bufe and on behalf of the Initiative Chronische Wunden e.V., Germany
    International Wound Journal; Early View
     
  13. NewsBot

    NewsBot The Admin that posts the news.

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    Outcomes of Hospitalized Diabetic Foot Patients in a Multi-disciplinary Team Setting: Thailand’s Experience
    Yotsapon Thewjitcharoen, M.D., , Sirinate Krittiyawong, M.D., Sriurai Porramatikul, M.D., Wyn Parksook, M.D., Lapakorn Chatapat, M.D., Orawan Watchareejirachot, R.N., Jeeraphan Sripatpong, P.T, Thep Himathongkam, M.D., FACP, FACE
    Journal of Clinical & Translational Endocrinology Available online 15 October 2014
     
  14. NewsBot

    NewsBot The Admin that posts the news.

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    Reduction of amputation rates in multidisciplinary foot clinics - a systematic review
    Quinlivan, E; Jones, S; Causby, R; Brown, D
    Wound Practice & Research: Journal of the Australian Wound Management Association Volume 22 Issue 3 (Sep 2014)
     
  15. NewsBot

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    Outcomes of Neuroischemic Wounds Treated by a Multidisciplinary Amputation Prevention Service.
    Vartanian SM, Robinson KD, Ofili K, Eichler CM, Hiramoto JS, Reyzelman AM, Conte MS.
    Ann Vasc Surg. 2015 Jan 14. pii: S0890-5096(15)00014-X. doi: 10.1016/j.avsg.2014.10.030.
     
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    A survey on the status of the management of diabetic foot in the Mediterranean region.
    Spanos K, Lachanas V, Karathanos C, Poredos P, Hussein E, Giannoukas AD.
    Int Angiol. 2015 Feb 13
     
  17. NewsBot

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    Organization of wound healing services: The impact on lowering the diabetes foot amputation rate in a ten-year review and the importance of early debridement.
    Hsu CR, Chang CC, Chen YT, Lin WN, Chen MY
    Diabetes Res Clin Pract. 2015 May 15
     
  18. NewsBot

    NewsBot The Admin that posts the news.

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    A prospective audit of the impact of additional staff on the care of diabetic patients in a community podiatry service
    Alexandra Ryan, BSc, Meenakshi Uppal, MRCP, MSc, Imelda Cunning, BSc and Claire M. Buckley, PhD
    Diabetic Foot & Ankle 2015, 6: 25508
     
  19. NewsBot

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    The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country.
    Lowe J et al
    Int J Endocrinol. 2015;2015:920124. doi: 10.1155/2015/920124. Epub 2015 May 19.
     
  20. NewsBot

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    Diabetes foot complication: assessing primary and secondary outcomes of multidisciplinary team versus standard care (a systematic review)
    Nasir Khan, Susan Sapsed
    International Journal of Diabetes in Developing Countries; July 2015
     
  21. NewsBot

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    Increased healing in diabetic toe ulcers in a multidisciplinary foot clinic-An observational cohort study.
    Almdal T et al
    Diabetes Res Clin Pract. 2015 Oct 23. pii: S0168-8227(15)00403-9. doi: 10.1016/j.diabres.2015.10.003
     
  22. NewsBot

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    Impact of a multidisciplinary diabetic foot clinic on patient outcomes
    Lowri Phillips & Louise Osborne
    Endocrine Abstracts (2015) 38 P52 | DOI:10.1530/endoabs.38.P52
     
  23. NewsBot

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    Temporal changes in the prevalence and associates of diabetes-related lower extremity amputations in patients with type 2 diabetes: the Fremantle Diabetes Study
    Mendel Baba, Wendy A. Davis, Paul E. Norman and Timothy M. E. Davis
    Cardiovascular Diabetology 2015, 14:152 doi:10.1186/s12933-015-0315-z
     
  24. Elizabeth Humble-Thomas

    Elizabeth Humble-Thomas Active Member

    I have a busy private practice with thousands of patients, many of them diabetic. In our area almost the only patients receiving NHS treatment on a regular basis are diabetic.
    Many, many of my patients have severe foot problems, but are not diabetic. Even though they find it difficult to pay for private treatment, they effectively have no choice.
    If the diabetic patients with minor foot problems were simply told to check their own feet before bed (with a mirror if necessary) every day, they would only need to see an NHS podiatrist if they noticed a problem. In any case, seeing a podiatrist on the 1st March does not preclude the possibility of damage to the foot on 2nd March, with maybe 8 weeks to go before the next contact with the podiatrist...
    Is podiatry about dealing with problem feet, or taking responsibility for diabetics, who should be taking responsibility for themselves.
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Reducing major lower extremity amputations after the introduction of a multidisciplinary team in patient with diabetes foot ulcer.
    Wang C et al
    BMC Endocr Disord. 2016 Jul 7;16(1):38.
     
  26. NewsBot

    NewsBot The Admin that posts the news.

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    The Diabetic Foot in a Multidisciplinary Team Setting. Number of Amputations below Ankle Level and Mortality.
    Wilbek TE et al
    Exp Clin Endocrinol Diabetes. 2016 Jul 20
     
  27. NewsBot

    NewsBot The Admin that posts the news.

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    MULTIDISCIPLINARY TEAM APPROACH FOR DIABETIC FOOT PATIENTS IN AN OUT-PATIENT CLINIC
    Komelyagina EY, Volkovoy AK, Sanbanchieva NI, Zaichikova MF, Maksimov NV, Antsiferov MB.
    Klin Med (Mosk). 2016;94(2):127-32.
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Interdisciplinary treatment of diabetic foot wounds in the elderly: Low risk of amputations and mortality and good chance of being mobile with good quality of life.
    Hartmann B et al
    Diab Vasc Dis Res. 2017 Jan;14(1):55-58
     
  29. NewsBot

    NewsBot The Admin that posts the news.

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    Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg.
    May M et al
    J Diabetes Res. 2016;2016:6247045. doi: 10.1155/2016/6247045.
     
  30. NewsBot

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    Re-organizing inpatient care saves legs in patients with diabetic foot infections
    Miska Laakso, Mikael Honkasalo, Juha Kiiski, Meri Ala-Houhala, Heidi Haapasalo, Heikki-Jussi Laine, Tiina Luukkaala, Jorma Lahtela, Ilkka Kaartinen
    Diabetes Research and Clinical Practice; Article in Press
     
  31. NewsBot

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    Podiatry Impact on High-Low Amputation Ratio Characteristics: A 16-year Retrospective Study
    Brian M. Schmidt, Brian M. Schmidt, Brian M. Schmidt, James Wrobel, Michael Munson, Gary Rothenberg, Crystal M. Holmes
    Diabetes Research and Clinical Practice; Article in Press
     
  32. NewsBot

    NewsBot The Admin that posts the news.

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    Trends in the incidence of lower limb amputation after implementation of a Multidisciplinary Diabetic Foot Unit.
    Jiménez S et al
    Endocrinol Diabetes Nutr. 2017 Apr;64(4):188-197. doi: 10.1016/j.endinu.2017.02.009.
     
  33. NewsBot

    NewsBot The Admin that posts the news.

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    The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review.
    Buggy A, Moore Z
    J Wound Care. 2017 Jun 2;26(6):324-339. doi: 10.12968/jowc.2017.26.6.324.
     
  34. NewsBot

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    Partnerships between podiatrists and vascular surgeons in building effective wound care centers
    Venita Chandra, MD et al
    Journal of Vascular Surgery; Volume 66, Issue 3, September 2017, Pages 902–905
     
  35. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Wound healing outcomes in a diabetic foot ulcer outpatient clinic at an acute care hospital: a retrospective study.
    Lu SH, McLaren AM.
    J Wound Care. 2017 Oct 1;26(Sup10):S4-S11. doi: 10.12968/jowc.2017.26.Sup10.S4.
     
  36. Elizabeth Humble-Thomas

    Elizabeth Humble-Thomas Active Member

    I have a busy private practice with thousands of patients, many of them diabetic. In our area almost the only patients receiving NHS treatment on a regular basis are diabetic.
    Many, many of my patients have severe foot problems, but are not diabetic. Even though they find it difficult to pay for private treatment, they effectively have no choice.
    If the diabetic patients with minor foot problems were simply told to check their own feet before bed (with a mirror if necessary) every day, they would only need to see an NHS podiatrist if they noticed a problem. In any case, seeing a podiatrist on the 1st March does not preclude the possibility of damage to the foot on 2nd March, with maybe 8 weeks to go before the next contact with the podiatrist...
    Is podiatry about dealing with problem feet, or taking responsibility for diabetics, who should be taking responsibility for themselves.
     
    Last edited by a moderator: Oct 6, 2017
  37. Catfoot

    Catfoot Well-Known Member

    Yesterday I attended The Diabetic Foot Journal Conference in London.

    There was an interesting talk given by Emily McBride, a Health Psychologist, from University London. She told us about a study she conducted which was trying to determine the psychological makeup of patients who presented with a diabetic foot ulcer, and why there was non-adherence to foot treatments and lack of preventative footcare.

    The conclusions drawn from this was that contrary to the popular belief that patients wanted information, and to be involved in treatment decisions, they actually didn't. The prevailing attitude seemed to be that it was the job of the Nurse/GP/Podiatrist/Surgeon/old Uncle Tom Cobley & All to manage their condition., certainly not theirs.

    I believe this was the paper ; http://onlinelibrary.wiley.com/doi/10.1111/dme.13158/abstract
     
  38. NewsBot

    NewsBot The Admin that posts the news.

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    Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services: peer review of the South-West of England.
    Paisey RB et al
    Diabet Med. 2017 Oct 11. doi: 10.1111/dme.13512.
     
  39. NewsBot

    NewsBot The Admin that posts the news.

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    PUBLIC RELEASE: 18-OCT-2017
    Diabetes foot care services may help avoid lower limb amputations
    In a Diabetic Medicine study that compared different regions in England, areas that provided 10 key services for diabetes foot care had lower rates of major diabetes-related lower limb amputations.

    Services introduced included administrative support, standardized general practice foot screening, improved community podiatry staffing, hospital multidisciplinary foot clinics, effective care pathways, availability of an orthotist and audit.

    "Based on these findings we strongly recommend robust commissioning to provide and coordinate 10 key service provisions for diabetic foot care," wrote the authors of the study.
     
  40. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Improved limb salvage for patients with vascular disease and tissue loss associated with new model of provision targeted at the diabetic foot
    Dean T. Williams et al
    Diabetes Research and Clinical Practice; 28 October 2017
     
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