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Building a scalable diabetic limb preservation program: four steps to success

Over the past generation, limb preservation programs and diabetic foot services have begun to proliferate within academic health science centers as well as within health-care systems in general. We describe four key components for a successful program that, developed sequentially with temporal overl...

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Detalles Bibliográficos
Autores principales: Khan, Tanzim, Shin, Laura, Woelfel, Stephanie, Rowe, Vincent, Wilson, Brittany L., Armstrong, David G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912709/
https://www.ncbi.nlm.nih.gov/pubmed/29696071
http://dx.doi.org/10.1080/2000625X.2018.1452513
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author Khan, Tanzim
Shin, Laura
Woelfel, Stephanie
Rowe, Vincent
Wilson, Brittany L.
Armstrong, David G.
author_facet Khan, Tanzim
Shin, Laura
Woelfel, Stephanie
Rowe, Vincent
Wilson, Brittany L.
Armstrong, David G.
author_sort Khan, Tanzim
collection PubMed
description Over the past generation, limb preservation programs and diabetic foot services have begun to proliferate within academic health science centers as well as within health-care systems in general. We describe four key components for a successful program that, developed sequentially with temporal overlap, can allow the program to scale. The first component includes establishment of a ‘hot foot line’ for urgent emergency department/inpatient referral. The second includes development of a wound-healing clinic to address outpatient care through to remission. The third component focuses on the diabetic foot in remission to maximize ulcer-free days following healing. The fourth and final component focuses on implementation of local and widespread screening clinics to identify and triage patients into appropriate therapeutic and surveillance programs for healing, remission, and primary prevention. Along with developing each of these components, we describe discrete methods to quantify success.
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spelling pubmed-59127092018-04-25 Building a scalable diabetic limb preservation program: four steps to success Khan, Tanzim Shin, Laura Woelfel, Stephanie Rowe, Vincent Wilson, Brittany L. Armstrong, David G. Diabet Foot Ankle Trend Article Over the past generation, limb preservation programs and diabetic foot services have begun to proliferate within academic health science centers as well as within health-care systems in general. We describe four key components for a successful program that, developed sequentially with temporal overlap, can allow the program to scale. The first component includes establishment of a ‘hot foot line’ for urgent emergency department/inpatient referral. The second includes development of a wound-healing clinic to address outpatient care through to remission. The third component focuses on the diabetic foot in remission to maximize ulcer-free days following healing. The fourth and final component focuses on implementation of local and widespread screening clinics to identify and triage patients into appropriate therapeutic and surveillance programs for healing, remission, and primary prevention. Along with developing each of these components, we describe discrete methods to quantify success. Taylor & Francis 2018-03-22 /pmc/articles/PMC5912709/ /pubmed/29696071 http://dx.doi.org/10.1080/2000625X.2018.1452513 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Trend Article
Khan, Tanzim
Shin, Laura
Woelfel, Stephanie
Rowe, Vincent
Wilson, Brittany L.
Armstrong, David G.
Building a scalable diabetic limb preservation program: four steps to success
title Building a scalable diabetic limb preservation program: four steps to success
title_full Building a scalable diabetic limb preservation program: four steps to success
title_fullStr Building a scalable diabetic limb preservation program: four steps to success
title_full_unstemmed Building a scalable diabetic limb preservation program: four steps to success
title_short Building a scalable diabetic limb preservation program: four steps to success
title_sort building a scalable diabetic limb preservation program: four steps to success
topic Trend Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912709/
https://www.ncbi.nlm.nih.gov/pubmed/29696071
http://dx.doi.org/10.1080/2000625X.2018.1452513
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