Reduction of major amputations after starting a multidisciplinary diabetic foot care team: Single centre experience from Turkey

Experimental and Clinical Endocrinology and Diabetes

Volumn 117, Issue 7, 2009, Pages 345-349

  Yesil, S ^a   Akinci, B ^a   Bayraktar, F ^a   Havitcioglu, H ^a   Karabay, O ^a   Yapar, N ^a   Demirdover, C ^a   Yener, S ^a   Yalcin, M ^a   Comlekci, A ^a   Eraslan, S ^a  

^a DOKUZ EYLUL UNIVERSITY   (Turkey)

Author keywords

Amputation; Diabetes; Foot ulcer; Multidisciplinary team

Indexed keywords

ANTIBIOTIC AGENT; INSULIN;

ABOVE KNEE AMPUTATION; ADULT; ARTICLE; BELOW KNEE AMPUTATION; CLINICAL ASSESSMENT; CLINICAL TRIAL; CONTROLLED STUDY; DEBRIDEMENT; DIABETES MELLITUS; DIABETIC FOOT; FEMALE; FOOT AMPUTATION; FOOT CARE; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; OSTEOMYELITIS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK REDUCTION; SURGICAL TECHNIQUE; TURKEY (REPUBLIC); UNIVERSITY HOSPITAL; WOUND CARE; AGED; AMPUTATION; FOLLOW UP; HOSPITAL PATIENT; INCIDENCE; INTERDISCIPLINARY COMMUNICATION; MIDDLE AGED; NON INSULIN DEPENDENT DIABETES MELLITUS; PATIENT CARE; PRODUCTIVITY; STATISTICS;

AGED; AMPUTATION; DIABETES MELLITUS, TYPE 2; DIABETIC FOOT; EFFICIENCY; FEMALE; FOLLOW-UP STUDIES; HUMANS; INCIDENCE; INPATIENTS; INTERDISCIPLINARY COMMUNICATION; MALE; MIDDLE AGED; PATIENT CARE TEAM; TURKEY;

EID: 70349581601     PISSN: 09477349     EISSN: 14393646     Source Type: Journal    
DOI: 10.1055/s-0028-1112149     Document Type: Article

References (24)

1. Jeffcoate WJ, Harding KG. Diabetic foot ulcers. Lancet 2003 ; 361 : 1545 - 1551
2. American Diabetes Association. Consensus Development Conference on Diabetic Foot Wound Care: 7 - 8 April 1999, Boston, Massachusetts. American Diabetes Association. Diabetes Care 1999 ; 22 : 1354 - 1360
3. Ragnarson Tennvall G, Apelqvist J. Health-economic consequences of diabetic foot lesions. Clin Infect Dis 2004 ; 39 (Suppl. 2) : S132 - S139
4. American Diabetes Association. Consensus Development Conference on Diabetic Foot Wound Care. 7 - 8 April 1999, Boston, MA. American Diabetes Association. Adv Wound Care 1999 ; 12 : 353 - 361
5. Apelqvist J, Bakker K, van Houtum WH et al. Practical guidelines on the management and prevention of the diabetic foot: based upon the International Consensus on the Diabetic Foot (2007) Prepared by the International Working Group on the Diabetic Foot. Diabetes Metab Res Rev 2008 ; 24 (Suppl. 1) : S181 - S187
6. Edmonds M. The multidisciplinary diabetic-foot clinic. Int J Low Extrem Wounds 2008 ; 7 : 66 - 67
7. Knowles EA, Gem J, Boulton AJ. The diabetic foot and the role of a multidisciplinary clinic. J Wound Care 1996 ; 5 : 452 - 454
8. Ghirlanda G, Mancini L, Castagneto M et al. The foot clinic. Multidisciplinary management of the patient with diabetic foot. Rays 1997 ; 22 : 638 - 643
9. Ragnarson Tennvall G, Apelqvist J. Health-related quality of life in patients with diabetes mellitus and foot ulcers. J Diabetes Complications 2000 ; 14 : 235 - 241
10. Larsson J, Apelqvist J, Agardh CD et al. Decreasing incidence of major amputation in diabetic patients: a consequence of a multidisciplinary foot care team approach? Diabet Med 1995 ; 12 : 770 - 776
11. Holstein P, Ellitsgaard N, Olsen BB et al. Decreasing incidence of major amputations in people with diabetes. Diabetologia 2000 ; 43 : 844 - 847
12. Unwin N. The diabetic foot in the developing world. Diabetes Metab Res Rev 2008 ; 24 (Suppl. 1) : S31 - S33
13. Ramachandran A. Specifi c problems of the diabetic foot in developing countries. Diabetes Metab Res Rev 2004 ; 20 (Suppl. 1) : S19 - S22
14. Batista F, Pinzur MS. Disease knowledge in patients attending a diabetic foot clinic. Foot Ankle Int 2005 ; 26 : 38 - 41
15. Parisi M, Zantut-Wittmann D, Pavin E et al. Comparison of three systems of classifi cation in predicting outcome of diabetic foot ulcers in a Brazilian population. Eur J Endocrinol 2008 ; 159 : 417 - 422
16. Karakoc A, Ersoy RU, Arslan M et al. Change in amputation rate in a Turkish diabetic foot population. J Diabetes Complications 2004 ; 18 : 169 - 172
17. Aksoy DY, Gurlek A, Cetinkaya Y et al. Change in the amputation profile in diabetic foot in a tertiary reference center: effi cacy of team working. Exp Clin Endocrinol Diabetes 2004 ; 112 : 526 - 530
18. Gurlek A, Bayraktar M, Savas C et al. Amputation rate in 147 Turkish patients with diabetic foot: the Hacettepe University Hospital experience. Exp Clin Endocrinol Diabetes 1998 ; 106 : 404 - 409
19. Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control study. Ann Intern Med 1992 ; 117 : 97 - 105
20. Mayfi eld JA, Reiber GE, Nelson RG et al. A foot risk classifi cation system to predict diabetic amputation in Pima Indians. Diabetes Care 1996 ; 19 : 704 - 709
21. Flores Rivera AR. Risk factors for amputation in diabetic patients: a case-control study. Arch Med Res 1998 ; 29 : 179 - 184
22. Eneroth M, Apelqvist J, Stenstrom A. Clinical characteristics and outcome in 223 diabetic patients with deep foot infections. Foot Ankle Int 1997 ; 18 : 716 - 722
23. Winkley K, Stahl D, Chalder T et al. Risk factors associated with adverse outcomes in a population-based prospective cohort study of people with their fi rst diabetic foot ulcer. J Diabetes Complications 2007 ; 21 :341 - 349
24. Faglia E, Clerici G, Clerissi J et al. Early and fi ve-year amputation and survival rate of diabetic patients with critical limb ischemia: data of a cohort study of 564 patients. Eur J Vasc Endovasc Surg 2006 ; 32 :484 - 490