First-ever “episode of care” data shows the true toll of Diabetic Foot Ulcers: Study @USC @KeckMedUSC

This from our collective team at USC / University of Michigan / University of Arizona and Podimetrics We validated a model to identify diabetic foot ulcer episodes in Medicare data. With this model, we compared morbidity and mortality rates during and after episodes. All-cause mortality was 1.5 times more likely during diabetic foot ulcer episodes. […]

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Social determinants of diabetes-related foot disease among older adults in Australia: evidence from a population-based study @alpslimb #SocialDeterminants #ActAgainstAmputation #DiabeticFoot

Social determinants of diabetes-related foot disease among older adults in New South Wales, Australia: evidence from a population-based study Background: Diabetes-related foot is the largest burden to the health sector compared to other diabetes-related complications in Australia, including New South Wales (NSW). Understanding of social determinants of diabetes- related foot disease has not been definitive […]

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Simple, Home System for Early Detection and Monitoring of Diabetic Foot Ulcers: The Foot Selfie #FootSelfie #ActAgainstAmputation #DiabeticFoot @usc @usc_vascular @alpslimb

Simple, Home System for Early Detection and Monitoring of Diabetic Foot Ulcers:The Foot Selfie Mark Swerdlow 1 2, Laura Shin 1 2, Karen D’Huyvetter 1 2, Wendy J Mack 3, David G Armstrong 1 2 Background: Diabetic foot ulcers (DFUs) are a leading cause of disability and morbidity. There is an unmet need for a simple, practical, home method to detect DFUs early and remotely monitor their healing. Method: We […]

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More reason for hope: Improved outcomes in patients with diabetic foot ulcers over the past decade despite more complex patients

Great work from our long-time SALSAmigos Akturk and coworkers from the Netherlands. The bottom line: more complicated patients (ie about 5x the rate of patients on dialysis) but better overall outcomes of people treated with DFU from 2003-2004 to 2014-2018. The incidence of diabetes is increasing worldwide with concomitant raising number of patients with diabetic […]

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Pay For Performance Reduces Incident Ulceration, Amputation, Death in the Diabetic Foot: Nationwide Study

A key Taiwanese nationwide study suggests that focusing on quality can improve outcomes. See for yourself: A nationwide cohort investigation on pay-for-performance and major adverse limb events in patients with diabetes A nationwide cohort investigation on pay-for-performance and major adverse limb events in patients with diabetes Highlights The nationwide population-base investigation unlinked vascular benefit of […]

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Diabetic Foot in Mouth Disease?

Yet more data to support the contention that different matrices are deleteriously and similarly affected by this silent sinister syndrome Proportion and severity of periodontitis and correlation of periodontal inflamed surface area with glycemic status in type 2 diabetic neuropathy patients with and without diabetic foot Background The association between diabetic neuropathy with and without […]

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Mixed up Macrophages: M1/M2 Dysregulation in Diabetic Foot Ulcers

A great review from Queensland that should help put some of the confusing M1-M2 phenotype story into sharper relief. Skin Wound Healing: Normal Macrophage Function and Macrophage Dysfunction in Diabetic Wounds Abstract: Macrophages play a prominent role in wound healing. In the early stages, they promote inflammation and remove pathogens, wound debris, and cells that […]

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The Thermo-Pressure Concept: A New Model in Diabetic Foot Risk Stratification

The Thermo-Pressure Concept: A New Model in Diabetic Foot Risk Stratification This from our Maltese SALSAmigos, Perren and coworkers Abstract: Elevated foot pressure and high temperatures have been proposed as predictive factors for diabetic foot ulceration; however, on their own, their predictive value is still questionable. This pilot study hypothesized that combining these two measurements […]

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The microbiology of diabetic foot infections: a meta-analysis

The microbiology of diabetic foot infections: a meta-analysisExcellent work from MacDonald and coworkers from Edinburgh. The microbiology of diabetic foot infections: a meta-analysis Background: Diabetic foot ulcers are a common complication of poorly controlled diabetes and often become infected, termed diabetic foot infection. There have been numerous studies of the microbiology of diabetic foot infec- […]

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Development of a prediction model for foot ulcer recurrence in people with diabetes using easy-to-obtain clinical variables #Remission #DiabeticFoot #UlcerFreeDays #Thermometry

Here is important work from our long-time Dutch friends and colleagues. Bottom line: there are now key factors that can be inputted into models to predict (and therefore reduce) risk for reulceration in patients in diabetic foot remission. This is the first multivariate model we’ve seen include use of personal thermometry. Wouter B Aan de […]

Read More Development of a prediction model for foot ulcer recurrence in people with diabetes using easy-to-obtain clinical variables #Remission #DiabeticFoot #UlcerFreeDays #Thermometry