Telemedical treatment at home of diabetic foot ulcers.
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J Telemed Telecare. 2005;11 suppl. 2(8):14-16
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Telemedicine: diabetes
Netizens
http://www.thevillagenews.com/story.asp?story_ID=9012
Cameron -
Treatment of diabetic foot ulcers in the home: video consultations as an alternative to outpatient hospital care.
Clemensen J, Larsen SB, Kirkevold M, Ejskjaer N
Int J Telemed Appl. 2008;:132890
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netizens
What appears light years away now, myself and colleague Dr Chris Kirtley applied for sizable grant to support the use of telemedicine in Western Australia to track itinerant diabtiec clients as they moved across the big brown land. Using rural GP practices and the experts at a diabetic podiatry clinic in a city based hospital, the intention was to use the 'new computer cameras' (for that is how long ago it was) for monitoring diabetic ulcerations. Many rural indigenous clients go walkabout and some with horrendous ulcerations. Usually when they cross GP Division they are lost to the system and out intention was to use the new technology to link clinical experts.
We lost the grant for two reasons, unofficially we were told 'telemedicine' as a new developing technology had to be driven by the medical profession and applications from other disciplines were not seriously considered at that time; and officially we were informed the podiatry experts (at the city hospital) refused to share their knowledge with others.:craig:
More recently I worked with the Department of Health in WA in a home based care project (healthy@home), the staff were issued with a palm top computer as a means of telecommunication. The system had the potential to reply images and was for a very short time used to convey information to "experts" for on the spot help. Not sure whether the project was developed further but it did have great potential. At the FIP conference last year there was a podiatrist from Hong Kong who was also using telemedicine to good effect.
One of the interesting challenges about clinical education on placement is being able to maintain the educational continuity in the multi-centre placement (which may now be in different countries). Telemedicine does offer a viable means of communication which could link satellite placements. Driven by a common core curricululm ( we are probably closer to that than most people think) then through the web, clinicians, supervisors, experts and students can all be linked. Construction of this type of curriculum would come at a cost but it is technically possible to have one major podiatry education centre per country capable of directing and controlling clinical education. Once standard podiatric text are available on the web ( somethig that is likely to happen sooner rather than later) then individual CPD could easily be arranged to support and maintain a multitude of activities. (anywhere in the globe). Brave new world and its just around the corner.
What say you?
toeslayer -
Pilot trial of telemedicine as a decision aid for patients with chronic wounds.
Dobke MK, Bhavsar D, Gosman A, De Neve J, De Neve B.
Telemed J E Health. 2008 Apr;14(3):245-9.
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Telemedical home-monitoring of diabetic foot disease using photographic foot imaging - a feasibility study.
Hazenberg CE, Bus SA, Kottink AI, Bouwmans CA, Spraul A, van Baal SG.
J Telemed Telecare. 2011 Nov 8. [Epub ahead of print]
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This clinical trial was just registered:
Telemedicine Follow-up in Primary Health Care for Diabetes-related Foot Ulcers (DiaFOTo)
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A qualitative study of the key factors in implementing telemedical monitoring of diabetic foot ulcer patients
B.S.B. Rasmussen, L.K. Jensen, J. Froekjaer, K. Kidholm, F. Kensing, K.B. Yderstraed
International Journal of Medical Informatics; Available online 29 May 2015
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A qualitative study of the key factors in implementing telemedical monitoring of diabetic foot ulcer patients.
Rasmussen BS, Jensen LK, Froekjaer J, Kidholm K, Kensing F, Yderstraede KB
Int J Med Inform. 2015 May 29
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A Randomized Controlled Trial Comparing Telemedical and Standard Outpatient Monitoring of Diabetic Foot Ulcers.
Rasmussen BS et al
Diabetes Care. 2015 Jun 26. pii: dc150332
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Telemedicine in diabetes foot care delivery: health care professionals' experience.
Kolltveit BC et al
BMC Health Serv Res. 2016 Apr 18;16(1):134.
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This clinical trial was just registered:
The Role of Telemedical Monitoring in Diabetic Foot Ulcer Care (A15-06)
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Telemedicine Versus Standard Follow-Up Care for Diabetes-Related Foot Ulcers: Protocol for a Cluster Randomized Controlled Noninferiority Trial (DiaFOTo).
Iversen MM, Espehaug B, Hausken MF, Graue M, Ostbye T, Skeie S, Cooper JG, Tell GS, G?nther BE, Dale H, Smith-Str?m H, Kolltveit BC, Kirkevold M, Rokne B.
JMIR Res Protoc. 2016 Jul 18;5(3):e148. doi: 10.2196/resprot.5646.
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Cost-effectiveness of telemonitoring of diabetic foot ulcer patients.
Fasterholdt I et al
Health Informatics J. 2016 Sep 16. pii: 1460458216663026.
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This clinical trial was just registered:
Evaluation of the Management of Diabetic Foot Ulcers by Telemedicine on the Number of Hospital Days in Diabetic Patients (TELEPIED)
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As somebody who had to work in times when what you are talking about , was not in existence. We had to communicate with surgeries that was often vague. I think what is going on now is brilliant. A further note, i came across a retired hospital sister who had her own remedy for ulcers. The results were very good, she would let you purchase some of her remedy which was an ointment. But she would not share what was in it. But i would go there if i had a bad diabetic ulcer. I always kept in touch with the practice who my patient was under. They were impressed and tried to encourage her to share her prescription.
No luck for anybody, she took it to her grave. -
Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry
Beate-Christin Hope Kolltveit, Eva Gjengedal, Marit Graue, Marjolein M. Iversen, Sally Thorne and Marit Kirkevold
BMC Nursing: 13 January 2017
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This would be the best ever for this type of treatment. More so in the U.K. just now. To get a patient an appointment at a surgery is a long wait. A visit to A.E. is not much better. Yes I will say Amen to this.
Cyril Almond. -
The validity and reliability of remote diabetic foot ulcer assessment using mobile phone images.
Netten JJV et al
Sci Rep. 2017 Aug 25;7(1):9480. doi: 10.1038/s41598-017-09828-4.
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Remote home monitoring to identify and prevent diabetic foot ulceration
P. Andrew Crisologo, Lawrence A. Lavery
Annals of Translational Medicine
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Views of Patients on Using mHealth to Monitor and Prevent Diabetic Foot Ulcers: Qualitative Study
Chris Boodoo et al
JMIR Diabetes 2017;2(2):e22 Vol 2, No 2 (2017): Jul-Dec
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Telemedicine in Diabetic Foot Care: A Systematic Literature Review of Interventions and Meta-analysis of Controlled Trials.
Tchero H et al
Int J Low Extrem Wounds. 2017 Nov 1:1534734617739195. doi: 10.1177/1534734617739195.
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The Effect of Telemedicine Follow-up Care on Diabetes-Related Foot Ulcers: A Cluster Randomized Controlled Noninferiority Trial.
Smith-Strøm H et al
Diabetes Care. 2017 Nov 29. pii: dc171025. doi: 10.2337/dc17-102
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Cost-effectiveness of telemonitoring screening for diabetic foot ulcer: a mathematical model.
Boodoo C et al
CMAJ Open. 2018 Oct 18;6(4):E486-E494.
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Facilitators and barriers of using digital technology for the management of diabetic foot ulcers: A qualitative systematic review
Hui Foh Foong Bhone Myint Kyaw Zee Upton Lorainne Tudor Car
IWJ: 10 May 2020
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Application of tele-podiatry in diabetic foot management: A series of illustrative cases
Karakkattu V.KavithaaShailesh R.DeshpandebAnil P.PanditcAmbika G.Unnikrishnand
Diabetes & Metabolic Syndrome: Clinical Research & Reviews; Volume 14, Issue 6, November–December 2020, Pages 1991-1995
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Remotely Delivered Monitoring and Management of Diabetes-Related Foot Disease: An Overview of Systematic Reviews
Aaron Drovandi, PhD, Shannon Wong, Leonard Seng, MPhil, ...
May 19, 2021
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Telemedicine and diabetic foot ulcer outcomes. A meta-analysis of controlled trials
Kaissar Yammine, Michel Estephan
Foot (Edinb). 2021 Oct 25;50
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Unsupervised diabetic foot monitoring techniques
Ioannis N. Tzortzis et al
PETRA '22: Proceedings of the 15th International Conference on PErvasive Technologies Related to Assistive EnvironmentsJune 2022 Pages 608
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Effectiveness of Telemedicine for the Management of Foot Ulcers in People With Diabetes: A Meta-Analysis
Ushna Khan et al
Cureus. 2022 Oct 24;14(10):e30634
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A scoping review of foot and ankle telemedicine guidelines
Lisa Ann Stojmanovski Mercieca, Cynthia Formosa, Nachiappan Chockalingam
Health Sci Rep. 2023 Jan 20;6(1):e1076
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Efficacy of telemedicine applications in patients with diabetic foot ulcers: A focus on mortality and major amputation rates
Mesut Demirkoparan et al
Int Wound J. 2023 Jun 20
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Hospital stays and costs of telemedical monitoring versus standard follow-up for diabetic foot ulcer: an open-label randomised controlled study
Dured Dardari et al
Lancet Reg Health Eur. 2023 Jul 16
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A Nurse-Led Telehealth Program for Diabetes Foot Care: Feasibility and Usability Study
Hsiao-Hui Ju et al
JMIR Nurs. 2023 Jun 6;6:e40000. doi: 10.2196/40000.
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The effect of telemedicine interventions on patients with diabetic foot ulcers: A systematic review and meta-analysis of randomized controlled trials
Huiren Zhuang et al
Adv Wound Care (New Rochelle). 2024 Apr 15
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