Journal of the American Medical Association: Diabetic Foot Ulcers @JAMA_Current #ActAgainstAmputation #DiabeticFoot

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 →

Cost-effectiveness of Compression Therapy With Early Endovenous Ablation in Venous Ulceration for a Medicare Population @JAMANetwork ActAgainstAmputation @ALPSlimb @USC @USC_vascular @ResearchatUSC @KeckSchool_USC @SchaefferCenter

Cost-effectiveness of Compression Therapy With Early Endovenous Ablation in Venous Ulceration for a Medicare Population This from our combined USC Schaeffer Center for Health Policy and Keck School of Medicine Department of Surgery, Division of Vascular and Endovascular Surgery. Importance: Venous leg ulcers (VLU) are the most common cause of lower extremity ulceration that commonly occur... 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 →

33% Reduction in Major Amputations in Non-White Patients with Diabetes In States Adopting Medicaid Expansion vs. No Change in Non-Adopters #ActAgainstAmputation @UArizona @USC @ALPSLimb @apma

This manuscript from our combined team led by Tze Woei Tan was just published in JAMA Network Open. Further coverage of this manuscript can be found in Close Concerns here. Rates of Diabetes-Related Major Amputations Among Racial and Ethnic Minority Adults Following Medicaid Expansion Under the Patient Protection and Affordable Care Act Tze-Woei Tan, MD1,2; Elizabeth A. Calhoun, PhD3; Shannon M. Knapp, PhD4; Adelina... Continue Reading →

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