Life and Limb: Multidisciplinary Management of Diabetic Foot Infection- A Leap Forward in Survival Over an 8 Year Period #ActAgainstAmputation #ToeandFlow #TeamApproach

Diabetic foot infections (DFIs) are a serious complication of diabetes, often leading to hospitalization, amputation, and even increased mortality rates. However, a recent study by Miska Vuorlaakso, Verna Karèn, Juha Kiiski, Jorma Lahtela, and Ilkka Kaartinen from the Department of Musculoskeletal Surgery and Diseases, Clinic of Plastic and Reconstructive Surgery, and the Department of Internal... Continue Reading →

The Effect of Limb Salvage Efforts in Different Age Groups: Relationships Between Major and Minor Amputations- limb sparing amputations increasing for some age groups

The manuscript titled "The Effect of Limb Salvage Efforts in Different Age Groups: Relationships Between Major and Minor Amputations" by Wenye Song, MD, Javier La Fontaine, DPM, Naohiro Shibuya, DPM, MS, John Prochaska, DrPH, MPH, and Daniel C. Jupiter, PhD, was published on January 22, 2024. The DOI link for the manuscript is [https://doi.org/10.1053/j.jfas.2024.01.010][5]. The... Continue Reading →

Shared decision-making processes for non-emergency diabetes-related lower extremity amputations #DiabeticFoot #Amputation

The important contribution by Kim Ming Ong and colleagues, published in Diabetes Research and Clinical Practice, offers a thorough scoping review of decision-making processes for non-emergency diabetes-related lower extremity amputations. This study emphasizes the importance of shared decision-making, taking into account both clinical factors and personal patient values. It's a significant contribution to understanding and... Continue Reading →

Disparities that Cut Deep: Understanding the Social Determinants Behind Amputation Rates in the US #DiabetesAwarenessMonth #ActAgainstAmputation #ALPSlimb #HealthDisparities #SocioeconomicFactors #HealthcareAccess #SDOH

The Intersection of Health Equity and Limb Preservation The recent study by Kassavin et al., published in 2023, illuminates a critical public health issue: the varying rates of amputations across different communities and the underlying social factors that contribute to these disparities. #AmputationPrevention #SocialDeterminantsOfHealth #PublicHealth #LimbSalvage Disparities That Cut Deep The research found that counties... Continue Reading →

From the New York Times: The Diabetic foot and amputations as a measure of our nation’s health system #ActAgainstAmputation #ALPSlimb #NYT

A tour de force by the NYT's Nick Kristof One of the solutions? Expansion of medicare/medicaid services. This fits so very well with work from our collective team. When foot care was removed during the economic crisis of 2008, diabetic amputation, sepsis and death increased. When foot care was expanded in Affordable Care Act early... Continue Reading →

Medial Arterial Calcification Score is Associated with Increased Risk of Major Limb Amputation #DiabeticFoot #ActAgainstAmputation #Diabetes #PAD #CLTI

Congratulations to our combined UNC and USC team led by Kate McGinigle and Alex DiBartolomeo. This provides further data supporting the use of medial arterial calcification (MAC) score as a useful surrogate for risk. Alexander D DiBartolomeo 1, Sydney E Browder 2, Sebouh Bazikian 1, Diwash Thapa 2, Sooyeon Kim 2, Avital Yohann 2, David... Continue Reading →

Outcomes after minor lower limb amputation for peripheral arterial disease and diabetes: population-based cohort study #ActAgainstAmputation @ALPSlimb @BJSurgery

Strong work from our colleagues in Hull, Stoke, and London. These data line up well with previous works from our team and others. Published in: British Journal of Surgery Date of Publication: 22 May 2023 This study aimed to evaluate the rates of re-amputation and death following an initial minor amputation among patients with diabetes... Continue Reading →

The Impact of Implementing a Diabetic Limb-Preservation Program on Amputation Outcomes at an Academic Institution in a Majority-Minority State

This is important work from our SALSAmigo and former fellow, the pride of University of New Mexico, Eric Lew. Summary: Abstract Healthcare institutions with dedicated limb-preservation teams see lower amputation rates and improved quality of care.This study evaluated the results of a diabetic limb-preservation program implemented at an academic institution.Patients with diabetes admitted for osteomyelitis... Continue Reading →

We need to do better: Real-World Racial Variation in Treatment and Outcomes Among Patients with Peripheral Artery Disease ActAgainstAmputation #DiabeticFoot @ALPSlimb @USC @USC_vascular @ResearchatUSC @KeckSchool_USC @CouncilPVD

This study from our combined Tulane and USC teams. In summary: Black patients with PAD and health insurance were nearly 50% more likely not to receive a bypass. We need to collectively do better. For immediate release Real-World Study Reveals Racial Disparities in Peripheral Artery Disease Diagnosis, Treatment, and Outcomes A study conducted by a... Continue Reading →

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