Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services: peer review of the South-West of England.

ABSTRACT:

Aims

To investigate the relationship between high diabetes-related lower limb amputation incidence and foot care services in the South-West region of England.

Methods

The introduction of 10 key elements of foot care service provision in one area of the South-West resulted in stabilization of foot ulcer incidence and sustained reduction in amputation incidence from 2007. Services introduced included administrative support, standardized general practice foot screening, improved community podiatry staffing, hospital multidisciplinary foot clinics, effective care pathways, availability of an orthotist and audit. Peer reviews of the region's diabetes foot care services were undertaken to assess delivery of these service provisions and compare this with major amputation incidence

SUBMITTER: Paisey RB 

PROVIDER: S-EPMC5765400 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature