Impact of Diabetic Foot Multidisciplinary Unit on Incidence of Lower-Extremity Amputations by Diabetic Foot
Ortiz Zúñiga, Ángel Michael (Hospital Universitari Vall d'Hebron)
Samaniego, Jordi (Hospital Universitari Vall d'Hebron)
Biagetti, Betina (Hospital Universitari Vall d'Hebron)
Allegue, Nicolás (Hospital Universitari Vall d'Hebron)
Gené, Anna (Hospital Universitari Vall d'Hebron)
Sallent, Andrea (Hospital Universitari Vall d'Hebron)
Crespo, Almudena (Hospital Universitari Vall d'Hebron)
Serracanta, Jordi (Hospital Universitari Vall d'Hebron)
Torrents, Carme (Hospital Universitari Vall d'Hebron)
Issa, Daniela (Hospital Universitari Vall d'Hebron)
Rivas-Nicolls, Danilo (Hospital Universitari Vall d'Hebron)
Veintemillas, Maria Teresa (Hospital Universitari Vall d'Hebron)
Fernández-Hidalgo, Nuria (Universitat Autònoma de Barcelona)
Busquets, Rosa (Hospital Universitari Vall d'Hebron)
Royo, Josep (Hospital Universitari Vall d'Hebron)
Hernández, Cristina (Universitat Autònoma de Barcelona)

Data:	2023
Resum:	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 from 1 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Diabetes ; Diabetic complications ; Diabetic foot ulcer ; Lower-extremity amputations
Publicat a:	Journal of clinical medicine, Vol. 12 (august 2023) , ISSN 2077-0383

DOI: 10.3390/jcm12175608
PMID: 37685675

9 p, 920.4 KB

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