Diabetic Foot Risk Classification at the Time of Type 2 Diabetes Diagnosis and Subsequent Risk of Mortality: 75% Increased Risk for Declining Screening #ActAgainstAmputation @alpslimb

Important work from Wang and coworkers. This from a large population based cohort in the UK. Bottom line: screening matters and identifying those that decline foot exam can be life-extending Diabetic Foot Risk Classification at the Time of Type 2 Diabetes Diagnosis and Subsequent Risk of Mortality: A Population-Based Cohort Study Aim: We aimed to... Continue Reading →

Amputation and infection are the greatest fears in patients with diabetes foot complications #ActAgainstAmputation @ALPSlimb

This updated study from our long-time friend Wukich and coworkers confirms what many of our patients relate: that they fear amputation and diabetic foot infection proportionally worse than death. Aims To determine the degree patients with diabetic foot ulcers, Charcot neuroarthropathy and neuropathic fractures and dislocations fear complications (death, dialysis, heart attack, stroke, blindness, diabetic... Continue Reading →

Association between Preventive Podiatric Care and Outcomes of New Diabetic Foot Ulceration among Patients with End Stage Renal Disease @USC @KeckSchool_USC, @USC_Vascular @TzeWoeiTan @APMA @ALPSLIMB @VascularCures @VascularSVS

This was just presented by our team at the American Diabetes Association annual symposium. We're thrilled that Tze Woei Tan, lead author, was awarded the Marvin Levin Award for top abstract in its category. The study, the first of its kind, evaluated more than 50,000 patients. Those that received podiatric care prior to developing a... Continue Reading →

Scottish Nationwide Diabetic Foot Data: 5% Diabetes Prevalence, 1.1% DFU Incidence per year, Dramatically lower amputation-free Survival

Important work from our long-time SALSAmigos Graeme Leese and coworkers (Chamberlain et al) report five year data from a national Scottish database in the journal Diabetes Care. Abstract Objective: To describe incidence of foot ulceration and amputation-free survival associated with foot ulceration status in a national population-based cohort study of people with diabetes. Research design and... Continue Reading →

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.All-cause hospitalization was... Continue Reading →

Survival of Patients Following First Diagnosis of Diabetic Foot Complications: A Nationwide 15-Year Longitudinal Analysis #CGMH @USC @ALPSlimb #ActAgainstAmputation #DiabeticFoot

Survival of Patients Following First Diagnosis of Diabetic Foot Complications: A Nationwide 15-Year Longitudinal Analysis Chia-Hung Lin 1,2,3, David G. Armstrong 4, Pi-Hua Liu1,5, Cheng-Wei Lin1, Chung-Huei Huang1 and Yu-Yao Huang1,3,6* Background and Aims: The long-term survival in people with type 2 diabetes following first diagnosis of diabetic foot complications (FDDFC) is unclear. The object is... Continue Reading →

From our combined team: Time in Range (TIR) may help to predict amputation and mortality risk #ActAgainstAmputation @USC @USC_Vascular @KeckSchool_USC

This from our combined Chongqing/Singapore/USC team. This adds additional data pointing to a relationship with glucose, morbidity and mortality in high risk diabetic foot patients. Aims: To evaluate the association of time in range (TIR) with amputation and all-cause mortality in hospitalized patients with diabetic foot ulcers (DFUs) MATERIALS AND METHODS: A retrospective analysis was performed... Continue Reading →

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... Continue Reading →

Survival and factors predicting mortality after major and minor lower-extremity amputations among patients with diabetes: a population-based study using health information systems – PubMed

The present study confirms the high mortality rates described in patients with diabetes after non-traumatic LEA. It shows differences between minor and major LEA in terms of mortality rates and related risk factors. The study highlights the role of depression as specific risk factor for death in pat … — Read on pubmed.ncbi.nlm.nih.gov/32690575/ Mortality at... Continue Reading →

6.3 fold greater risk for mortality in people presenting with heel ulcers vs. forefoot ulcers

Intriguing work from Schofield and coworkers from the Salford Royal Infirmary report an independent risk of hindfoot DFU vs forefoot in the journal Diabetic Medicine. Introduction: We previously demonstrated in both a longitudinal study and in meta-analysis (pooled relative-risk RR, 2.45) that all-cause mortality is significantly higher in people with diabetes foot ulceration (DFU) than with... Continue Reading →

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