ArticleDiabetic medicine : a journal of the British Diabetic Association2018
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.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05613907 (Can a Dedicated Chronic Limb-threatening Ischaemia), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Can a Dedicated Chronic Limb-threatening Ischaemia (CLTI) Clinic Improve Patient Self
Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 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
- Diabetes-Related Foot Disease as the Principal Reason for Hospital Admission: 5 Years of Data From a Major Tertiary Hospital in Aotearoa New Zealand.Journal of foot and ankle research · 2026Article
- Article
- Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice.Journal of diabetes · 2026Review
- Advanced strategies for the management of patients with diabetic foot ulcers: a comprehensive review.The Korean journal of internal medicine · 2026Review
- Nationwide study of income-based disparities in diabetic limb preservation in South Korea.Scientific reports · 2025Article
- Diabetes-Related Foot Disease in South Asians Living in Western Countries: Burden, Outcomes, and Gaps in the Literature-A Scoping Review Protocol.International wound journal · 2025Article
- Correlation study on the risk of cardiovascular adverse events in diabetic foot patients based on machine learning - a retrospective cohort study.Frontiers in endocrinology · 2025Article
- Exploring the Pathways of Diabetes Foot Complications Treatment and Investigating Experiences From Frontline Health Care Professionals: Protocol for a Mixed Methods Study.JMIR research protocols · 2024Article
- Expert opinion on screening, diagnosis and management of diabetic peripheral neuropathy: a multidisciplinary approach.Frontiers in endocrinology · 2024Review
- Vascular service provision during the COVID-19 pandemic worsened major amputation rates in socially deprived diabetic populations.Frontiers in endocrinology · 2024Article
- The surgical care of diabetic feet: a survey about clinics, acute care, and the surgical specialists involved.Annals of the Royal College of Surgeons of England · 2023Article
- Article
- Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care.International wound journal · 2023Article
- Outcomes after minor lower limb amputation for peripheral arterial disease and diabetes: population-based cohort study.The British journal of surgery · 2023Article
- Article
- What are the current diabetic foot assessment methods in private podiatry practices in Flanders, Belgium: an exploratory mixed method study.Journal of foot and ankle research · 2023Article
- Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers.Diabetes care · 2023Review
- Prevalence and risk factors of lower extremity disease in high risk groups in Malawi: a stratified cross-sectional study.BMJ open · 2022Article
- Individualised screening of diabetic foot: creation of a prediction model based on penalised regression and assessment of theoretical efficacy.Diabetologia · 2022Article
Corrections and comments
- Commented on by
- Erratum issuedCorrigendum.2018
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo investigate the relationship between high diabetes-related lower limb amputation incidence and foot care services in the South-West region of England.
methodsThe 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 in other regions with data provided by Yorkshire and Humber Public Health Observatory Hospital Episode Statistics. Recommendations were made to improve service provision. In 2015 changes in service provision and amputation incidence were reviewed.
resultsInitial reviews in 2013 showed that the 3-year diabetes-related major amputation incidence correlated inversely with adequate delivery of diabetes foot care services (P=0.0024, adjusted R
conclusionsMajor diabetes-related lower limb amputation incidence is significantly inversely correlated with foot care services provision. Introduction of more effective service provision resulted in significant reductions in major amputation incidence within 2 years. Failure to improve unsatisfactory service provision resulted in continued high amputation incidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.