Multidisciplinary foot Clinic Reduces Diabetic Lower Limb Amputation but Cannot Prevent it Completely: 13 Year Experience at a Vascular Tertiary Centre Volume 2 - Issue 4

J Padee¹, UP Ranasinghe², RS Jayatilake², M Sullivan³, A Egun¹ and S Rajbhandari¹*

• ¹Department of vascular surgery, UK
• ²Deptartment of Diabetes, Lancashire Teaching Hospital, United Kingdom
• ³Department of Clinical Audit, Lancashire Teaching Hospital, United Kingdom

Received: October 25, 2019   Published: November 12, 2019

Corresponding author: S Rajbhandari, Department of vascular surgery, United Kingdom

DOI: 10.32474/ADO.2019.02.000141

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Abstract

Objectives: Assess the effect on lower limb major amputation rate following the introduction of the multi-disciplinary foot clinic in a defined relatively static population in the North West of England.

Methods: Data surrounding all lower limb amputations in diabetic patients between 1997 and 2010 were retrospectively collected and analysed.

Results: Results demonstrated significant increase in minor amputations but numerical reduction in major amputations. There was significant change in ratio of minor to major amputation. When annual fluctuation was averaged out over 5-year period, the annual major amputation per 100,000 patients reduced from 6.6 to 5.1 with increase in minor amputations from 2.0 to 5.9.

Discussion: A reductions in major amputations rate with increase in minor amputations occurred over the 13-year period following implementation of the Multi-Disciplinary Foot Clinic. This suggests that a patient centered and multi-disciplinary approach to the care of these high-risk patients can improve outcomes and lead to limb preservation over time.

Abstract| Introduction| Background| Research Design and Methodology| Results| Discussion| Conclusion| References|