Value of team approach combined with clinical pathway for diabetic foot problems: A clinical evaluation

Diabetic Foot and Ankle

Volumn 1, Issue , 2010, Pages

  Nather, Aziz ^a   Bee, Chionh Siok ^b   Lin, Wong Keng ^a   Valerie, Chan Xin Bei ^a   Liang, Shen ^a   Tambyah, Paul A ^b   Jorgensen, Adam ^b   Nambiar, Ajay ^a  

^a NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

^b NATIONAL UNIVERSITY HOSPITAL   (Singapore)

Author keywords

Amputation; Clinical pathways; Diabetic foot; Infection; Length of stay

Indexed keywords

ADULT; AGED; AMPUTATION; ANAMNESIS; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CLINICAL EXAMINATION; CLINICAL PATHWAY; DIABETIC FOOT; DISEASE CLASSIFICATION; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL READMISSION; HOSPITALIZATION COST; HUMAN; INFECTION RATE; INFECTION RISK; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; RISK REDUCTION; SEASONAL VARIATION;

EID: 79952177556     PISSN: None     EISSN: 2000625X     Source Type: Journal    
DOI: 10.3402/dfa.v1i0.5731     Document Type: Article

References (18)

1. Epidemiology and Disease Control Division. National Health Survey 2004. Singapore: Ministry of Health; 2004, pp. 3-7.
2. Epidemiology and Disease Control Division. Annual Report 2001, Singapore: Ministry of Health; 2001, p. 35.
3. Nather A, Chionh SB, Chan YH, Chew JLL, Lin CB, Neo S, et al. Epidemiology of diabetic foot problems and predictive factors for limb loss. J Diabetes Complications 2008; 22: 77-82.
4. Reiber GE. The epidemiology of diabetic foot problems. Diabet Med 1996; 13: S6-S11.
5. Anichini R, Zechinni F, Cerretini I, Meucci G, Fusilli D, Alviggi L, et al. Improvement of diabetic foot care after the implementation of the International Consensus on the Diabetic Foot (ICDF): results of a 5-year prospective study. Diabetes Res Clin Pract 2007; 75: 153-8.
6. Canavan RJ, Unwin NC, Kelly WF, Connolly VM. Diabetesand nondiabetes-related lower extremity amputation incidence before and after the introduction of better organised diabetes foot care. Diabetes Care 2008; 31: 459-63.
7. Dargis V, Pantelejeva O, Jonushaite A, Vileikyte L, Boulton AJM. Benefits of multidisciplinary approach in the management of recurrent diabetic foot ulceration in Lithuania. Diabetes Care 1999; 22: 1428-31.
8. Edmonds ME, Blundell MP, Morris ME, Thomas EM, Cotton LT, Watkins PJ. Improved survival of the diabetic foot: the role of a specialised foot clinic. Q J Med 1986; 60: 763-71.
9. Hedetoft C, Rasmussen A, Fabrin J, Kolendorf K. Four-fold increase in foot ulcers in type 2 diabetic subjects without an increase in major amputations by a multidisciplinary setting. Diabetes Res Clin Pract 2008; 83: 353-7.
10. Park JS, Ahn CW. Educational program for diabetic patients in Korea - multidisciplinary intensive management. Diabetes Res Clin Pract 2007; 77S: S194-8.
11. Sakka KE, Fassiadis N, Gambhir RPS, Halawa M, Zayed H, Doxford M, et al. An integrated care pathway to save the critically ischaemic diabetic foot. Int J Clin Pract 2006; 60: 667-9.
12. Leichter SB, August GL, Moore W. The business of hospital care of diabetic patients: 2. A new model for inpatient support services. Clinical Diabetes 2003; 21: 136-9.
13. Driver VR, Madsen J, Goodman RA. Reducing amputation rates in patients with diabetes at a military medical centre. Diabetes Care 2005; 28: 248-53.
14. Rose G, Duerkson F, Trepman E, Cheang M, Simonsen JN, Koulack J, et al. Multidisciplinary treatment of diabetic foot ulcers in Canadian aboriginal and non-aboriginal people. Foot Ankle Surg 2008; 14: 74-81.
15. Trautner C, Gatcke LM, Haastert B, Giani G, Mauckner P. Reduced incidence of lower-limb amputations in the diabetic population of a German city, 1990-2005. Diabetes Care 2007; 30: 2633-7.
16. Rubin RJ, Dietrich KA, Hawk AD. Clinical and economic impact of implementing a comprehensive diabetes management program in managed care. J Clin Endocrinol Metab 1998; 83: 2635-42.
17. Scanlon DP, Hollenbeak CS, Beich J, Dyer AM, Gabbay RA, Milstein A. Financial and clinical impact of team-based treatment for medicaid enrollees with diabetes in a federally qualified health center. Diabetes Care 2008; 31: 2160-5.
18. Krishnan S, Fowler D, Nash F, Rayman G, Baker N. Reduction in diabetic amputations over 11 years in a defined U.K. population. Diabetes Care 2008; 31: 99-101.