Multidisciplinary approach to scheduling surgery for diabetic foot: a case report

Wang, Guangyu; Leiyong, Wang; Wang, Yu; Xu, Xuying

doi:10.1186/s12891-019-2522-3

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Multiscientific cooperation in treating diabetes has generated an international consensus (42). Being able to treat a patient with diabetic foot complications using various and multiple specialties together could greatly improve therapeutic efficiencies, while also improving a patient's medical experience (41,43).…”

Section: Discussionmentioning

confidence: 99%

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Liu¹,

Chu²,

Zhao³

et al. 2021

Ann Transl Med

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Background: Patients with diabetic foot complications are associated with high rates of morbidity, disability, and mortality. Through findings of qualitative interviews with patients with this disease, we aimed to explore the barriers they encountered, provide evidence to improve the efficacy of medical services, discuss prevention and treatment strategies for future policymakers, and attract widespread attention from the Chinese society.Methods: Patients with diabetic foot complications were recruited from three tertiary hospitals in China between July to September 2020. Patients were included who had a clinical diagnosis of diabetic foot complications, were 18 years or older, spoke Chinese as their first language, and were willing to share treatment experiences. An interview guide was used during the in-person semi-structured interviews that lasted 20 to 50 minutes and were audio-recorded. Transcripts were analyzed for qualitative themes.Results: Forty-one patients (range, 38-79 years; 12 men, 29 women) were recruited. Data analysis indicated five thematic dimensions on barriers encountered by patients with diabetic foot complications: hospital visits, doctor-patient communication, mental burden, economic burden, and social support.Conclusions: Patients with diabetic foot complications face serious financial, mental, and social burdens in China. Future studies can use the five dimensions to help solve the existing problems and improve treatment outcomes of this patient population.

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Section: Discussionmentioning

confidence: 99%

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Liu¹,

Chu²,

Zhao³

et al. 2021

Ann Transl Med

View full text Add to dashboard Cite

show abstract

Research hotspots and trends in nursing for diabetic foot ulcers: A bibliometric analysis from 2013 to 2023

Li,

Chen,

Wang

et al. 2024

Heliyon

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Temporal and regional trends in Canada for the epidemiology and management of diabetic foot ulcers

Park,

Ma,

Jia

et al. 2024

J Wound Care

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Objective: Diabetic foot ulcers (DFUs) are a common downstream consequence of diabetes and pose significant concern to the health of affected individuals. There are currently limited data available that detail the epidemiology and inpatient burden of DFUs in Canada. This study aims to provide updated data on the epidemiological and economic burden of DFUs in Canada between 2015 and 2019. Method: Using the Canadian Institute for Health Information Patient Cost Estimator the authors estimated, as the primary outcome, the number of DFU inpatient cases in Canada, the associated financial burden of these admissions on the Canadian healthcare system, physician compensation, and average patient length of hospitalisation. This analysis covered 12 Canadian jurisdictions and was stratified by age, sex, province and geographical region. The secondary outcome was to highlight temporal trends in the public health burden of DFUs by computing the average annual percentage change (AAPC; the weighted average of several annual percentage changes over multiple years) using Joinpoint (Surveillance Research Program National Cancer Institute, US) regression analysis. Results: The total number of cases, average length of hospitalisation and physician costs across Canada were highest for patients over ≥60 years of age. By region, the total number of cases and standardised physician costs were highest in Central Canada, followed by Western Canada, and subsequently Eastern and Northern Canada. In 2019, there were >1800 patients with DFUs admitted to Canadian acute care hospitals. Despite having the lowest number of inpatient admissions, Northern Canada had the highest associated inpatient costs, followed by Central, then Western and, lastly, Eastern Canada. Overall, mean inpatient costs remained stable over time across all age groups (AAPC 0.61; 95% confidence interval: –1.87–3.15), with an average cost of >$10,000 CAD per case. Average physician cost across all jurisdictions was approximately $1000 CAD per case, with the mean hospitalisation time being nine days. Conclusion: The findings of this study emphasise the dynamic nature of the economic and epidemiological DFU burden in Canada, underscoring the need for targeted interventions, multidisciplinary care and evidence-based resource allocation for the optimal management of diabetes and DFUs.

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Multidisciplinary approach to scheduling surgery for diabetic foot: a case report

Cited by 3 publications

References 10 publications

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Research hotspots and trends in nursing for diabetic foot ulcers: A bibliometric analysis from 2013 to 2023

Temporal and regional trends in Canada for the epidemiology and management of diabetic foot ulcers

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