Multidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections ActAgainstAmputation #DiabeticFoot @ALPSlimb @WeAreLAHealth @HarborUCLA_VS @JAPMAFeetTweets #ToeandFlow

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 →

Economic Value of Podiatric Surgery when Added to A Vascular Surgery Program #ActAgainstAmputation #ToeandFlow @vascularsvs @alpslimb @apma

Important data from Naren Patel et al at the University of Arizona's Southern Arizona Limb Salvage Alliance (SALSA). Bottom line: With equal number of surgeons, podiatry contributed 40% of total wRVUs generated by the entire program in 2019. Here are the granular data in for those of you interested in developing a limb preservation program.... Continue Reading →

Good working relationships: how healthcare system proximity influences trust between healthcare work in Limb Preservation #DiabeticFoot #ToeandFlow @alpslimb

Great work from our University of Wisconsin SALSAmigos including Megan Brennan and coworkers. Discussing methods to measure and manage teamwork-- especially "virtual" interdisciplinary teams at a distance. Good working relationships: how healthcare system proximity influences trust between healthcare workers Trust between healthcare workers is a fundamental component of effective, interprofessional collaboration and teamwork. However, little... Continue Reading →

Health service organization impact on lower extremity amputations in people with type 2 diabetes with foot ulcers: systematic review and meta-analysis @DiabetologiaJnl @alpslimb

Excellent work from Meza-Torres and coworkers in Diabetologia. Bottom line: based on these data, half of all major lower extremity amputations may be prevented with adoption of multidisciplinary care pathways. Aims Despite the evidence available on the epidemiology of diabetic foot ulcers and associated complications, it is not clear how specific organizational aspects of health... Continue Reading →

Design of a partially virtual diabetic service improves access to care and education and reduces amputation incidence @diabetesrc @ALPSlimb

Important work from the Devon NHS trust, UK. Service user and community clinician design of a partially virtual diabetic service improves access to care and education and reduces amputation incidence Significance of this studyWhat is already known about this subject? â–º Quality outcome framework, education and multi- disciplinary secondary care have improved services for diabetes... Continue Reading →

Outcomes after Emergency Admission with a Diabetic Foot Attack Indicate a High Rate of Healing and Limb Salvage But Increased Mortality

Timely work from our SALSAmigos at King's. Aim The diabetic foot attack (DFA) is perhaps the most devastating form of diabetic foot infection, presenting with rapidly progressive skin and tissue necrosis, threatening both limb and life. However, clinical outcome data in this specific group of patients are not available. Methods Analysis of 106 consecutive patients who underwent emergency hospitalisation... Continue Reading →

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