More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

NewsBot · Oct 20, 2012

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More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot and Venous Leg Ulcers.
Warriner RA 3rd, Wilcox JR, Carter MJ, Stewart DG.
Adv Skin Wound Care. 2012 Nov;25(11):494-501.

OBJECTIVE:: To determine whether patients with Wagner grades 1 and 2 diabetic foot ulcers (DFUs) or venous leg ulcers (VLUs) differed in terms of time to close depending on visit frequency to wound care centers.

DESIGN:: Retrospective cohort study.

SETTING:: Outpatients wound care centers.

PATIENTS:: Two hundred six patients with Wagner grade 1 or 2 DFUs and 215 patients with VLUs in the lower extremities collected from 9 wound care centers in 5 states (6 states for VLUs) during 2009/2010 and whose wounds had closed.

INTERVENTIONS:: For each type of DFU/VLU, 1 group had every-other-week visits, defined as more than 10 days between visits in the first 4 weeks, whereas the other group had weekly visits, defined as at least once a week.

MAIN OUTCOMES MEASURES:: Median time to close.

MAIN RESULTS:: For patients with DFUs, 63.8% of wounds had closed in the weekly visit group after 4 weeks compared with 2.0% in the every-other-week group (P = 2.3 × 10); for patients with VLUs, 78 of 105 wounds (52%) closed in the weekly visit group compared with 0% in the every-other-week group (P = 2.40 × 10). After controlling for all covariates in a Cox regression model, median time to close for weekly patients was 28 days versus 66 days for patients seen every other week. Adjusted median times to close VLUs in the same groups were 25 versus 55 days.

CONCLUSIONS:: More frequent visits can be extremely beneficial, with implications of lower costs and higher quality of life for patients.
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Admin2 · Oct 20, 2012

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NewsBot · Jul 21, 2024

The interplay between patients and healthcare professionals in a cross-sectoral setting in connection with the treatment and care of patients with diabetic foot ulcers: a realistic evaluation
Susanne Friis Søndergaard et al
BMC Health Serv Res. 2024 Jul 9;24(1):782

Background: Diabetes-related lower extremity complications such as diabetic foot ulcer (DFU) are a global disability burden. Treatment and care for patients with DFU call for a multisectoral approach that incorporates interdisciplinary care pathways. We aimed to explore the interplay between patients with DFU and healthcare professionals in cross-sectoral settings that address treatment and care and to determine "what works, for whom, and under what circumstances".

Method: The study was designed as a realistic evaluation. The data were generated from September 2022 to March 2023 and drew upon approximately 60 h of participant observation of 14 patients during the treatment and care of DFUs in their homes (primary care) and/or at outpatient clinics (wound specialist clinics in a hospital setting) in a Danish cross-sectoral setting. The Standards for Reporting Qualitative Research (SRQR) were applied in this study.

Results: We identified three illuminating themes that described the interplay between patients with DFU and related healthcare professionals representing both primary and secondary health care systems: (1) humour is a relationship-enhancing element between nurses and patients; (2) support from patients' coping strategies promotes patient-centeredness and collaboration; and (3) patients and professionals occupy unnegotiated identity roles.

Conclusion: Our study led to a refined programme theory developed through the realistic evaluation process that allows us to propose an answer to the problem of "what works, for whom, and under what circumstances". The interplay between patients with DFU and healthcare professionals in a cross-sectoral setting for treatment and care is characterised by the use of humour as a relation-enhancing element and by improving support for patient coping strategies, which encourages healthcare professionals to promote health literacy. Future research should examine strategies for negotiating identity roles between patients with DFU and healthcare professionals to enhance collaboration, patient health literacy, and health promotion in cross-sectoral healthcare settings.
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More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

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More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

Is lack of arch recoil more important than over pronation?

Barefoot walking is more stable in the gait of balance recovery in older adults

Podiatrist wanted for North Brisbane, Moreton Bay + Sunshine Coast

Are rearfoot or forefoot procedures more painful?

Treating pain in adult flat foot -exercises more effective than orthotics

Runners who had COVID-19 more likely to get an injury

Male Runners Spend $937 a Year, Female Runners 21% More

Share This Page

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