ArticleJournal of diabetes and its complications2020
Evaluation of a comprehensive diabetic foot ulcer care quality model.
Article in Journal of diabetes and its complications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- High Prescription Rate of Medications With Rifampin Drug-drug Interactions in Patients With Diabetic Foot Osteomyelitis: Should Rifabutin Be Included in Clinical Trials for Adjunctive Therapy?Open forum infectious diseases · 2024Trial
- Evaluation of outcomes in patients with diabetic foot ulcers based on initial assessment at admission.Pakistan journal of medical sciences · 2026Article
- A randomized controlled trial of patient navigators for post-hospital discharge diabetic foot ulcer care: the Comprehensive Assistance and Resources for Effective Diabetic Foot Navigation (CARE-D-Foot-Nav) study protocol.medRxiv : the preprint server for health sciences · 2025Article
- Impact of multidisciplinary nursing interventions and blood glucose control on diabetic foot ulcer healing, patient emotions, and satisfaction.World journal of psychiatry · 2025Article
- Spatial associations between measures of public transportation and diabetic foot ulcer outcomes in the state of Georgia: 2016-2019.BMJ open diabetes research & care · 2024Article
- Outpatient Parenteral Antibiotic Therapy for Diabetic Foot Osteomyelitis in an Uninsured and Underinsured Cohort.Infectious diseases in clinical practice (Baltimore, Md.) · 2023Article
- Using the National Institute on Minority Health and Health Disparities framework to better understand disparities in major amputations.Seminars in vascular surgery · 2023Review
- Cost-effectiveness of guideline-based care provision for patients with diabetes-related foot ulcers: A modelled analysis using discrete event simulation.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Outpatient clinic attendance and outcomes among patients hospitalized with diabetic foot ulcers.Journal of diabetes and its complications · 2022Article
- Barriers to diabetic foot care in a disadvantaged population: A qualitative assessment.Journal of diabetes and its complications · 2020Article
- How Diabetic Foot Ulcer Patients Can Self-Treat Wound Care: An Integrative Literature Review.SAGE open nursingReview
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
aimsDiabetes-related amputations are typically preceded by a diabetic foot ulcer (DFU) but models to assess the quality of care are lacking. We investigated a model to measure inpatient and outpatient quality.
methodsCohort study among adults hospitalized with a DFU to a safety-net hospital during 2016. We measured adherence to DFU-related quality metrics based on guidelines during and 12 months following hospitalization. Inpatient metrics included ankle-brachial index measurement during or 6 months prior to hospitalization, receiving diabetes education and a wound offloading device prior to discharge. Outpatient metrics included wound care ≤30 days of discharge, in addition to hemoglobin A1c (HbA1c) ≤8%, tobacco cessation, and retention in care (≥2 clinic visits ≥90 days apart) 12 months following discharge.
results323 patients were included. Regarding inpatient metrics, 8% had an ankle brachial index measurement, 37% received diabetes education, and 20% received offloading prior to discharge. Regarding outpatient metrics, 33% received wound care ≤30 days of discharge. Twelve months following discharge, 34% achieved a HbA1c ≤8%, 13% quit tobacco, and 52% were retained in care. Twelve-month amputation-free survival was 71%.
conclusionsOur model demonstrated large gaps in DFU guideline-adherent care. Implementing measures to close these gaps could prevent amputations.
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