On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
A cost-effectiveness analysis of the DIAFOS trial shows that in-shoe plantar pressure-guided custom footwear saves over €8,000 per ulcer prevented — and adherent patients push the probability of cost-effectiveness to 94%. The economic case for prevention just got stronger.
A new single-center study from the Netherlands quantifies the devastating outcomes of the diabetic foot attack: only 48.5% wound closure, 46% major amputation by 12 months, 26% one-year mortality, and 12-month amputation-free survival of just 39.7%. Time is tissue.
Honored to deliver the keynote at the inaugural meeting of ADFA in Paris.
Chronic wounds are biological computers stuck in a boot loop. Sharp debridement is Control-Alt-Delete — the histological reboot that converts a chronic wound back into an acute one. Only then can you run the apps.
GLP‑1 Receptor Agonists and Limb Outcomes: What a 645,000‑Patient Study Tells Us A nationwide retrospective cohort analysis published this week in Diabetes Care explores whether glucagon‑like peptide‑1 receptor agonists (GLP‑1 RAs) confer advantages over sodium–glucose cotransporter‑2 inhibitors (SGLT2i) for lower‑extremity events in type 2 diabetes. Led by Dr Tze‑Woei Tan, the investigation examined 645,121 individuals newly started on either drug class between... Continue Reading →
Screenshot Important work published in the Journal of Diabetes underscores the critical role of regular physical activity in preventing lower extremity amputations among individuals with diabetes. This population-based study tracked over 1.9 million diabetic patients in South Korea, examining the link between physical activity and the risk of amputation due to complications like diabetic foot... Continue Reading →
In an important study led by Tze-Woei Tan, MBBS, MPH, and his team, including Bryan Caldwell, DPM, MD; Yi Zhang, PhD; Onkar Kshirsagar, PhD; Dennis J. Cotter, MSE; and Thomas W. Brewer, PhD, MJur, CHC, the significance of podiatric care for patients with diabetes and kidney failure has been brought to light. Published in JAMA... Continue Reading →
David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of USC, delivered a highly successful keynote lecture to the International Podiatrists Association of Hong Kong (IPAHK) via a virtual platform. The lecture, which took place yesterday, focused on the methods used by Dr.... Continue Reading →
https://www.youtube.com/watch?v=bpgxy9j8EKE FOR IMMEDIATE RELEASE: The American Diabetes Association (ADA) recently hosted a worldwide webinar entitled "Dialogue with ADA: Addressing Opportunities & Challenges of Preventing Diabetes-Related Amputations". This virtual event featured leading experts in the field, including Professors Rodica Pop Busui of University of Michigan, Richard Neville, Chief of Surgery at Innova Healthcare, and Professor David... Continue Reading →
An important contribution from Allen and coworkers Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes What this paper adds: Data to improve understanding how consistent annual diabetic foot exams can reduce incident LEA in older veterans with diabetesA brief review of existing literature that reveals a gap in evidence... Continue Reading →
