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- Increasing Prevalence and Associated Costs
- APMA and SVS Joint Statement
- Strategies to Build Effective Clinical Partnerships
- Identify and Engage Podiatric Physicians and Vascular Surgeons Interested in DFUs/Diabetic Foot Reconstruction
- Develop Guidelines and Referrals
- Establish an Inpatient Diabetic Foot Service
- Form a Comprehensive Wound Care Center
- Have Joint Community Outreach Events
- Establish Regional Partnerships
- Participate in National Conferences
- Strategies to Build Effective Academic Partnerships
- Conclusions
- References
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1
Sumpio BE, Armstrong DG, Lavery LA, et al: The role of interdisciplinary team approach in the management of the diabetic foot. J Vasc Surg 51: 1504, 2010.
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2
National Diabetes Statistics Report, 2014. Centers for Disease Control and Prevention Web site. Available at: http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf. Accessed on May 13, 2016.
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3
Rice JB, Desai U, Cummings AK, et al: Burden of diabetic foot ulcers for Medicare and private insurers. Diabetes Care 37: 651, 2014.
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4
Driver VR, Fabbi M, Lavery LA, et al: The costs of diabetic foot: the economic case for the limb salvage team. J Vasc Surg 52: 17S, 2010.
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5
Carls GS, Gibson TB, Driver VR, et al: The economic value of specialized lower-extremity medical care by podiatric physicians in the treatment of diabetic foot ulcers. JAPMA 101: 93, 2011.
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6
Kimmel HM, Robin AL: An evidence-based algorithm for treating venous leg ulcers utilizing Cochrane Database of Systematic Reviews. Wounds 25: 242, 2013.
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7
Kimmel H, Regler J: An evidence based approach to treating diabetic foot ulcerations in a veteran population. J Diabetic Foot Complications 3: 50, 2011.
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8
Wukich DK, Armstrong DG, Attinger CE, et al: Inpatient management of diabetic foot disorders: a clinical guide. Diabetes Care 36: 2862, 2013.
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9
Mills JL, Conte MS, Armstrong DG, et al: The Society for Vascular Surgery lower extremity threatened limb classification system: risk stratification based on wound, ischemia, and foot infection. J Vasc Surg 59: 220, 2014.
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10
Fitzgerald RH, Mills JL, Joseph W, et al: The diabetic rapid response acute foot team: 7 essential skills for targeted limb salvage. Eplasty 9: e15, 2009.
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11
Kim PJ, Evans KK, Steinberg JS, et al: Critical elements to building an effective wound care center. J Vasc Surg 57: 1703, 2013.
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12
Save a Leg, Save a Life Web site. Available at: http://www.thesalsal.org.
Building Effective Partnerships Between Vascular Surgeons and Podiatric Physicians in the Effective Management of Diabetic Foot Ulcers
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Both vascular surgeons and podiatric physicians care for patients with diabetic foot ulcerations (DFUs), one of today's most challenging health-care populations in the United States. The prevalence of DFUs has steadily increased, along with the rising costs associated with care. Because of the numerous comorbidities affecting these patients, it is necessary to take a multidisciplinary approach in the management of these patients. Such efforts, primarily led by podiatric physicians and vascular surgeons, have been shown to effectively decrease major limb loss. Establishing an interprofessional partnership between vascular surgery and podiatric medicine can lead to an improvement in the delivery of care and outcomes of this vulnerable patient population.
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