The system of care for the diabetic foot: Objectives, outcomes, and opportunities

Neal R. Barshes, Meena Sigireddi, James S. Wrobel, Archana Mahankali, Jeffrey M. Robbins, Panos Kougias, David G Armstrong

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Most cases of lower extremity limb loss in the United States occur among people with diabetes who have a diabetic foot ulcer (DFU). These DFUs and the associated limb loss that may occur lead to excess healthcare costs and have a large negative impact on mobility, psychosocial well-being, and quality of life. The strategies for DFU prevention and management are evolving, but the implementation of these prevention and management strategies remains challenging. Barriers to implementation include poor access to primary medical care; patient beliefs and lack of adherence to medical advice; delays in DFU recognition; limited healthcare resources and practice heterogeneity of specialists. Herein, we review the contemporary outcomes of DFU prevention and management to provide a framework for prioritizing quality improvement efforts within a resource-limited healthcare environment.

Original languageEnglish (US)
JournalDiabetic Foot and Ankle
Volume4
DOIs
StatePublished - Oct 10 2013

Fingerprint

Diabetic Foot
Lower Extremity
Delivery of Health Care
Quality Improvement
Health Care Costs
Primary Health Care
Extremities
Quality of Life

Keywords

  • Delivery of healthcare
  • Diabetes
  • Diabetic neuropathy
  • Foot ulcer
  • Peripheral vascular disease
  • Physician's practice patterns

ASJC Scopus subject areas

  • Podiatry
  • Internal Medicine

Cite this

The system of care for the diabetic foot : Objectives, outcomes, and opportunities. / Barshes, Neal R.; Sigireddi, Meena; Wrobel, James S.; Mahankali, Archana; Robbins, Jeffrey M.; Kougias, Panos; Armstrong, David G.

In: Diabetic Foot and Ankle, Vol. 4, 10.10.2013.

Research output: Contribution to journalArticle

Barshes NR, Sigireddi M, Wrobel JS, Mahankali A, Robbins JM, Kougias P et al. The system of care for the diabetic foot: Objectives, outcomes, and opportunities. Diabetic Foot and Ankle. 2013 Oct 10;4. https://doi.org/10.3402/dfa.v4i0.21847
Barshes, Neal R. ; Sigireddi, Meena ; Wrobel, James S. ; Mahankali, Archana ; Robbins, Jeffrey M. ; Kougias, Panos ; Armstrong, David G. / The system of care for the diabetic foot : Objectives, outcomes, and opportunities. In: Diabetic Foot and Ankle. 2013 ; Vol. 4.
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