On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
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 →
In a recent study conducted by a team from the University of California, San Francisco (UCSF), including Iris H. Liu, MD, Rym El Khoury, MD, Jade S. Hiramoto, MD MAS, Warren J. Gasper, MD, Peter A. Schneider, MD, Shant M. Vartanian, MD, and Michael S. Conte, MD, the relevance of the BEST-CLI trial endpoints was... Continue Reading →
Singapore – February 1, 2024 The American Limb Preservation Society proudly acknowledges the distinguished visit of Dr. David G. Armstrong, ALPS Founding President, to Singapore as a Visiting Expert. Dr. Armstrong, a podiatric surgeon with Keck Medicine of USC, professor of surgery and neurological surgery at the Keck School of Medicine of USC, and a... Continue Reading →
Great work from our Singapore colleagues. Abstract Introduction Diabetes foot disease (DFD) contributes to poor quality of life, clinical and economic burden. Multidisciplinary diabetes foot teams provide prompt access to specialist teams thereby improving limb salvage. We present a 17-year review of an inpatient multidisciplinary clinical care path (MCCP) for DFD in Singapore. Methods This... Continue Reading →
A novel Canadian multidisciplinary acute care pathway for people hospitalised with a diabetic foot ulcer Great work from our Canadian SALSAmigos showing how a novel HotFootLine can be effective in triage and limb preservation. This manuscript describes the implementation and initial evaluation of a novel Canadian acute care pathway for people with a diabetic foot... Continue Reading →
Congratulations to Ashley Miller, Fred Bongard and crew on these important data on an even more important team approach to limb preservation. Abstract Background: Diabetic foot infections (DFIs) can lead to limb loss and mortality. To improve patient care at a safety-net teaching hospital, we created a multidisciplinary limb salvage service (LSS). Methods: We recruited a cohort... Continue Reading →
https://www.youtube.com/watch?v=cuvQIbwU0Gg Let's work together to push science, technology, and public policy to #ActAgainstAmputation ALPSlimb
Congratulations to some of our closest flowmigos for their collective work on this important manuscript. With this manuscript and BEST-CLI being published in NEJM in such quick succession, it highlights the importance of rapid reaction and teamwork in working to #ActAgainstAmputation. Background: Approximately 20% of patients with chronic limb-threatening ischemia have no revascularization options, leading to... Continue Reading →
Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia This from our toe and flowmigos at UCSF. Type of Research: Single-center retrospective cohort study Key Findings: Among 413 patients undergoing infrainguinal revascularization for CLTI, long-term risk of major amputation was associated with presenting WIfI stage (p<0.001). Autogenous vein bypass provided... Continue Reading →
This article from the LA County Department of Health Services via Evan Raff Diabetes-related amputations represent a major preventable health risk for patients living with diabetes and lower extremity limb loss in particular is one of the most devastating events in a patient’s life, with five-year mortality approaching 70% and even higher in the population... Continue Reading →
