From JAMA Armstrong, Tan, Boulton, and Bus, JAMA. 2023;330(1):62-75. doi:10.1001/jama.2023.10578 In diabetic foot disease, tissue loss,ischemia, and infection frequentlyoverlap. However, one is frequentlymore dominant than the other atdifferent times in the life cycle of anacute-on-chronic event. Here, theamount of tissue loss, ischemia, andfoot infection can be ordinally gradedto help predict outcome and assist incommunicating a plan... Continue Reading →
A comprehensive review of methods based on deep learning for diabetes-related foot ulcers #AI #DeepLearning @ALPSlimb #ActAgainstAmputation #C2SHiP
Terrific work from Zhang and coworkers Background: Diabetes mellitus (DM) is a chronic disease with hyperglycemia. If not treated in time, it may lead to lower limb amputation. At the initial stage, the detection of diabetes-related foot ulcer (DFU) is very difficult. Deep learning has demonstrated state-of-the-art performance in various fields and has been used to... Continue Reading →
Association of Race, Ethnicity, and Rurality With Major Leg Amputation or Death Among Medicare Beneficiaries Hospitalized With Diabetic Foot Ulcers @ALPSlimb #ActAgainstAmputation
A superb manuscript from Meghan Brennan and coworkers from Wisconsin. This so clearly shows the overlap of socioeconomic status, rurality, and ethnicity. Key Points Question Is the intersection of race, ethnicity, rurality, and/or neighborhood disadvantage associated with outcomes among US patients with diabetic foot ulcers? Findings In this cohort study of 124 487 patients hospitalized with diabetic foot... Continue Reading →
@USC Armstrong on the @Buckmastershow – Diabetic Amputations are rising (again)— but there’s hope. Here’s how.
Dr. David Armstrong, Professor of Surgery at USC’s Keck School of Medicine and former University Distringuished Outreach Professor of Surgery at the University of Arizona on the Diabetes Epidemic and the rise in its feared complication, amputation.
Median time to healing for diabetic foot wounds: 147,188, and 237 days for toe, midfoot and heel ulcers.
New data from the Eurodiale study by Pickwell, et al, review healing based on location. Kristy M. Pickwell, MD 1 (corresponding author) Volkert D. Siersma, PhD 2 Marleen Kars, MD, PhD 1 Per E. Holstein, DrMedSc 3 Nicolaas C. Schaper, MD, PhD 1 on behalf of the Eurodiale Consortium 1 Department of Internal Medicine, Subdivision... Continue Reading →