b278124d6be53b89ebe1177aacc1a657 320152.pdf 87fe0f165571d4cb05367a21e187251ffc401ccb 320152.pdf 55ea95b0a5af9740365606c253bddd75ee9ef0e07041713082a76dc9f26eacc9 320152.pdf Title: Impact of Diabetic Foot Multidisciplinary Unit on Incidence of Lower-Extremity Amputations by Diabetic Foot Subject: Background: One of the most devastating complications of diabetes is diabetes-related foot disease (DFD), which is a priority for public health systems. The 2016–2020 Catalonia Health Plan aimed to reduce the incidence of total and major lower-extremity amputations (LEAs) due to DFD by 10% in the population aged 45–74 years. The aim of the present study was to compare the incidence of LEA-DFD 5 years before and after the creation of the Diabetic Foot Multidisciplinary Unit at our Hospital. Methods: We prospectively collected all cases of LEA-DFD performed at Vall d’Hebron University Hospital from 1 January 2016 to 31 December 2020. Cases of LEA-DFD performed from1 January 2011 to 31 December 2015 were retrospectively reviewed. The incidence of LEA-DFD between these periods was compared. Results: A total of 457 LEAs due to DFD were performed in 316 patients. We observed a reduction of 27.9% [CI: 23.7–32.1%] in the incidence of total LEA in the 2016–2020 period in comparison with the period 2011–2016 (0.8 0.1 vs. 1.1 0.3 per 10.000 inhabitants/year, p < 0.001), as well as a reduction of 49.3% [CI: 44.6–53.9%] in the incidence of major LEA-DFD (0.15 0.1 vs. 0.30 0.1 per 10.000 inhabitants/year, p < 0.001). Conclusions: The implementation of a Diabetic Foot Multidisciplinary Unit resulted in a significant reduction in the rate of amputations due to DFD in the population with diabetes in North Barcelona. Keywords: diabetes; diabetic complications; diabetic foot ulcer; lower-extremity amputations Author: Ángel Ortiz-Zúñiga, Jordi Samaniego, Betina Biagetti, Nicolás Allegue, Anna Gené, Andrea Sallent, Almudena Crespo, Jordi Serracanta, Carme Torrents, Daniela Issa, Danilo Rivas, Maria Teresa Veintemillas, Núria Fernández-Hidalgo, Rosa Busquets, Josep Royo and Cristina Hernández Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Mon Aug 28 11:40:27 2023 CEST ModDate: Mon Aug 28 12:09:03 2023 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 9 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 942536 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JWWSJO+VnURWPalladioL-Bold Type 1 Custom yes yes no 10 0 RAFMMA+VnURWPalladioL Type 1 Custom yes yes no 15 0 DKIAPL+URWPalladioL-Bold Type 1 Custom yes yes no 19 0 XEPJHR+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 PMWMNY+URWPalladioL-Ital Type 1 Custom yes yes no 28 0 JGMOZW+CMSY10 Type 1 Builtin yes yes no 32 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 50 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 53 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 81 0 AOBLHH+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 101 0 AOBMJB+Calibri CID TrueType Identity-H yes yes yes 104 0 AOBJGK+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 110 0 AOBJGM+PalatinoLinotype TrueType WinAnsi yes yes no 113 0 AOBJHO+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 116 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-10-07 04:01:00 CEST RepresentationInformation: 320152.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-10-06 09:45:58 CEST Size: 942536 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 244 FreeObjects: 3 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Subjects and Methods Destination: subsection.2.1 Item: Title: Statistical Analysis Destination: subsection.2.2 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: References Destination: section.5 Info: Title: Impact of Diabetic Foot Multidisciplinary Unit on Incidence of Lower-Extremity Amputations by Diabetic Foot Author: Ángel Ortiz-Zúñiga, Jordi Samaniego, Betina Biagetti, Nicolás Allegue, Anna Gené, Andrea Sallent, Almudena Crespo, Jordi Serracanta, Carme Torrents, Daniela Issa, Danilo Rivas, Maria Teresa Veintemillas, Núria Fernández-Hidalgo, Rosa Busquets, Josep Royo and Cristina Hernández Subject: Background: One of the most devastating complications of diabetes is diabetes-related foot disease (DFD), which is a priority for public health systems. The 2016 2020 Catalonia Health Plan aimed to reduce the incidence of total and major lower-extremity amputations (LEAs) due to DFD by 10% in the population aged 45 74 years. The aim of the present study was to compare the incidence of LEA-DFD 5 years before and after the creation of the Diabetic Foot Multidisciplinary Unit at our Hospital. Methods: We prospectively collected all cases of LEA-DFD performed at Vall d’Hebron University Hospital from 1 January 2016 to 31 December 2020. Cases of LEA-DFD performed from1 January 2011 to 31 December 2015 were retrospectively reviewed. The incidence of LEA-DFD between these periods was compared. Results: A total of 457 LEAs due to DFD were performed in 316 patients. We observed a reduction of 27.9% [CI: 23.7 32.1%] in the incidence of total LEA in the 2016 2020 period in comparison with the period 2011 2016 (0.8 0.1 vs. 1.1 0.3 per 10.000 inhabitants/year, p < 0.001), as well as a reduction of 49.3% [CI: 44.6 53.9%] in the incidence of major LEA-DFD (0.15 0.1 vs. 0.30 0.1 per 10.000 inhabitants/year, p < 0.001). Conclusions: The implementation of a Diabetic Foot Multidisciplinary Unit resulted in a significant reduction in the rate of amputations due to DFD in the population with diabetes in North Barcelona. 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