Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags: ,

Amputation prevention

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 28th December 2007, 11:56 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 14,186
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 14
Thanked 606 Times in 488 Posts
Default Amputation prevention

Podiatry Arena members do not see these ads
Reduction in Diabetic Amputations Over 11 Years in a Defined U.K. Population
Benefits of multidisciplinary team work and continuous prospective audit

Singhan Krishnan, Fiona Nash, Neil Baker, Duncan Fowler and Gerry Rayman
Diabetes Care 31:99-101, 2008
Quote:
OBJECTIVE—To assess changes in diabetic lower-extremity amputation rates in a defined relatively static population over an 11-year period following the introduction of a multidisciplinary foot team.

RESEARCH DESIGN AND METHODS—All diabetic patients with foot problems admitted to Ipswich Hospital, a large district general hospital, were identified by twice-weekly surveillance of all relevant in-patient areas and outcomes including amputations recorded.

RESULTS—The incidence of major amputations fell 62%, from 7.4 to 2.8 per 100,000 of the general population. Total amputation rates also decreased (40.3%) but to a lesser extent due to a small increase in minor amputations. Expressed as incidence per 10,000 people with diabetes, total amputations fell 70%, from 53.2 to 16.0, and major amputations fell 82%, from 36.4 to 6.7.

CONCLUSIONS—Significant reductions in total and major amputation rates occurred over the 11-year period following improvements in foot care services including multidisciplinary team work.
Reply With Quote
Sponsored Links
  #2  
Old 8th October 2008, 12:45 PM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 14,186
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 14
Thanked 606 Times in 488 Posts
Default Re: Amputation prevention

Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period.
Larsson J, Eneroth M, Apelqvist J, Stenstrom A.
Acta Orthop. 2008 Oct;79(5):665-73
Quote:
Background and purpose With an ageing population and an increasing incidence of diabetes, reduction of the number of diabetes-related amputations becomes increasingly difficult to achieve and maintain. There is controversy in this respect regarding the degree of success. We started a multidisciplinary treatment program for diabetic foot ulcers in 1982, and have now assessed incidence rates of amputations from 1982 through 2001.

Methods In a defined population, gradually increasing from 199,000 to 234,000, all diabetes-related amputations of the lower extremity from toe to hip were recorded from January 1, 1982 to December 31, 2001, using several sources of information.

Results The incidence of major amputations decreased by 0.57 from 16 (11-22) to 6.8 (6.1-7.5) per 100,000 inhabitants between the first and last 4-year period. The most substantial decrease was seen in patients aged 80 years and older. The fraction of amputations with a final level at or below the ankle (n = 240) increased from 0.23 in the first 4-year period to 0.31, 0.49, 0.47, and 0.49 in the following 4-year periods. The overall fraction of re-amputation was 0.34 in the first 4- year period and 0.27, 0.21, 0.32, and 0.21 in the following 4-year periods. The fraction of amputations in diabetic patients that were channeled through the footcare team prior to amputation increased from 0.51 in the first 4- year period to 0.83, 0.86, 0.90, and 0.90 in the following 4-year periods.

Interpretation Our findings indicate that a substantial decrease in the incidence of major lower extremity amputations in diabetic patients has been achieved and maintained.
Thread Starter
Reply With Quote
  #3  
Old 8th October 2008, 01:15 PM
Admin2's Avatar
Admin2 Admin2 is offline
Administrator
 
About:
Join Date: May 2005
Location: Cyberspace
Posts: 4,031
Join Date: May 2005
Marketplace reputation 0% (0)
Thanks: 15
Thanked 140 Times in 124 Posts
Default Re: Amputation prevention

Related:
Other amputation related threads
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Falls prevention NewsBot Gerontology 9 12th October 2008 03:50 AM
The concept of high-to-low amputation ratio NewsBot Diabetic Foot & Wound Management 0 6th December 2006 12:49 PM
Wound healing complications associated with lower limb amputation NewsBot Diabetic Foot & Wound Management 0 29th September 2006 12:26 PM
Delay in surgical debridement increase risk for amputation NewsBot Diabetic Foot & Wound Management 0 5th July 2006 12:06 PM
Inadequate footwear tripled risk for amputation Admin Diabetic Foot & Wound Management 1 16th November 2004 09:24 PM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 01:30 AM.