ArticleCardiovascular diabetology2013
Structured health care for subjects with diabetic foot ulcers results in a reduction of major amputation rates.
Article in Cardiovascular diabetology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers.Journal of vascular surgery · 2020Pooled it
- Effect of Cold Atmospheric Plasma Therapy vs Standard Therapy Placebo on Wound Healing in Patients With Diabetic Foot Ulcers: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Screening for Diabetic Peripheral Neuropathy: Subjective Versus Objective Measures.The international journal of lower extremity wounds · 2026Article
- The organization of diabetic foot care in a regional public health service: baseline data from the diabetic foot valley Tuscany project.Acta diabetologica · 2026Article
- Analysis of clinical characteristics in patients with diabetic foot ulcers undergoing amputation and establishment of a nomogram prediction model.Scientific reports · 2024Article
- Predictors of amputation in patients with diabetic foot ulcers: a multi-centre retrospective cohort study.Endocrine · 2024Article
- Prognostic Value of Wagner Grade and Platelet Level in Diabetics with Infected Foot Ulcers After Antibiotic Therapy.Infection and drug resistance · 2023Article
- Impact of red cell distribution width and red cell distribution width/albumin ratio on all-cause mortality in patients with type 2 diabetes and foot ulcers: a retrospective cohort study.Cardiovascular diabetology · 2022Article
- Development of Predictive Nomograms for Clinical Use to Quantify the Risk of Amputation in Patients with Diabetic Foot Ulcer.Journal of diabetes research · 2021Article
- Japanese Clinical Practice Guideline for Diabetes 2019.Journal of diabetes investigation · 2020Article
- Japanese Clinical Practice Guideline for Diabetes 2019.Diabetology international · 2020Review
- Wound Center Without Walls: The New Model of Providing Care During the COVID-19 Pandemic.Wounds : a compendium of clinical research and practice · 2020Article
- Diabetic Polyneuropathy - Advances in Diagnosis and Intervention Strategies.European endocrinology · 2020Review
- [Challenges of aging skin: Care and therapy using the example of venous ulcers].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2016Article
- Risk Factors for Foot Amputation in Patients Hospitalized for Diabetic Foot Infection.Journal of diabetes research · 2016Article
- Measurement of current perception thresholds using the Neurometer(®) - applicability in diabetic neuropathy.Clujul medical (1957) · 2015Review
- Diabetic foot complications in a secondary foot hospital: A clinical audit.The Australasian medical journal · 2015Article
- Improving major amputation rates in the multicomplex diabetic foot patient: focus on the severity of peripheral arterial disease.Therapeutic advances in endocrinology and metabolism · 2013Article
- Article
- A Critical Evaluation of Existing Diabetic Foot Screening Guidelines.The review of diabetic studies : RDSArticle
Corrections and comments
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Authors and funding
14 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe tested the effects of structured health care for the diabetic foot in one region in Germany aiming to reduce the number of major amputations. RESEARCH DESIGN AND
methodsIn a prospective study we investigated patients with diabetic foot in a structured system of outpatient, in-patient and rehabilitative treatment. Subjects were recruited between January 1st, 2000 and December 31, 2007. All participants underwent a two-year follow-up. The modified University of Texas Wound Classification System (UT) was the basis for documentation and data analysis. We evaluated numbers of major amputations, rates of ulcer healing and mortality. In order to compare the effect of the structured health care program with usual care in patients with diabetic foot we evaluated the same parameters at another regional hospital without interdisciplinary care of diabetic foot (controls).
results684 patients with diabetic foot and 508 controls were investigated. At discharge from hospital 28.3% (structured health care program, SHC) vs. 23.0% (controls) of all ulcers had healed completely. 51.5% (SHC) vs. 49.8% (controls) were in UT grade 1.Major amputations were performed in 32 subjects of the structured health care program group (4.7%) vs. 110 (21.7%) in controls (p<0.0001). Mortality during hospitalization was 2.5% (SHC) vs. 9.4% in controls (p<0.001).
conclusionsWith the structured health care program we achieved a significant reduction of major amputation rates by more than 75% as compared to standard care.
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