Cost of diabetic foot in France, Spain, Italy, Germany and United Kingdom: A systematic review

Tchero, Huidi; Kangambega, P.; Lin, Lucien; Mukisi-Mukaza, Martin; Brunet-Houdard, Solenne; Briatte, Christine; Retali, Gerald Reparate; Rüsch, Emmanuel

doi:10.1016/j.ando.2017.11.005

Cited by 63 publications

(38 citation statements)

References 24 publications

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“…Recent systematic reviews point to high and increasing costs for diabetic foot disease in many countries, though the levels of cost vary considerably . These differences are likely to arise not only from study and population heterogeneity, but also from variation in patterns of care and cost structures.…”

Section: Discussionmentioning

confidence: 99%

The cost of diabetic foot ulcers and amputations to the National Health Service in England

et al. 2019

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Aim To estimate the healthcare costs of diabetic foot disease in England. Methods Patient‐level data sets at a national and local level, and evidence from clinical studies, were used to estimate the annual cost of health care for foot ulceration and amputation in people with diabetes in England in 2014–2015. Results The cost of health care for ulceration and amputation in diabetes in 2014–2015 is estimated at between £837 million and £962 million; 0.8% to 0.9% of the National Health Service (NHS) budget for England. More than 90% of expenditure was related to ulceration, and 60% was for care in community, outpatient and primary settings. For inpatients, multiple regression analysis suggested that ulceration was associated with a length of stay 8.04 days longer (95% confidence interval 7.65 to 8.42) than that for diabetes admissions without ulceration. Conclusions Diabetic foot care accounts for a substantial proportion of healthcare expenditure in England, more than the combined cost of breast, prostate and lung cancers. Much of this expenditure arises through prolonged and severe ulceration. If the NHS were to reduce the prevalence of diabetic foot ulcers in England by one‐third, the gross annual saving would be more than £250 million. Diabetic foot ulceration is a large and growing problem globally, and it is likely that there is potential to improve outcomes and reduce expenditure in many countries.

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Section: Discussionmentioning

confidence: 99%

The cost of diabetic foot ulcers and amputations to the National Health Service in England

et al. 2019

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“…The severe impact a wound or a lymphedema can have on the quality of life of those affected is under-recognized [76,77,78,79,80,81,82]. Furthermore, findings from some cost analyses carried out in the developed world show a strikingly high cost burden [83,84], and this also needs to be assessed in resource-limited settings. There has been a recent study investigating the cost of wound care for cutaneous leishmaniasis in Afghanistan comparing different methods [85].…”

Section: Wound and Lymphedema Management–cross-cutting Treatmentmentioning

confidence: 99%

Integrated Management of Skin NTDs—Lessons Learned from Existing Practice and Field Research

Yotsu

2018

TropicalMed

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Integration of neglected tropical diseases (NTDs) into the public health agenda has been a priority in global health for the last decade. Because a number of these diseases share not only the geographical distribution, but also a common feature which is skin involvement, bringing together a sub-group of ‘skin NTDs’ is one way forward to promote further integration among NTDs. With these diseases, which include leprosy, Buruli ulcer, yaws, mycetoma, lymphatic filariasis, and leishmaniasis, patients may be left with life-long deformities and disabilities when diagnosis and treatment are delayed. Stigma is another serious consequence of skin NTDs as it places a large barrier on the economic activities and social life of a patient. As a result, this creates a vicious cycle and obstructs a key goal of society, the elimination of poverty. Enhancement in surveillance systems as well as the further development of diagnostic methods, improvement in treatment and management, and identification of preventative measures for skin NTDs are therefore urgently needed. This article summarizes the existing practices and field research on skin NTDs and identifies potential synergies that could be achieved by adopting this integrated approach.

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“…The IDF has reported that at least half of the population affected is undiagnosed, especially in low-income countries. The complications associated with DM (including macrovascular problems, retinopathy, nephropathy, and diabetic foot) have a severe impact on the patient's quality of life and are the single largest factor underlying the consumption of healthcare resources (Duan et al, 2019;Tchero et al, 2018). In most cases, these complications are associated with a poor evolution of the disease, often due to an inadequate lifestyle and therefore it is of vital importance for patients to develop effective self-care behaviour (Schwab et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Diabetes Education Program based on Tailored interventions and Theory of Planned Behaviour: Cluster randomized controlled trial protocol

Caro‐Bautista

Villa-Estrada

Gómez‐González

et al. 2020

Journal of Advanced Nursing

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Aim To measure the Effectiveness of a Diabetes Education Program for people with T2DM, based on Tailored interventions and the Theory of Planned Behaviour. Design Cluster randomized controlled clinical trial. Methods This multicentre study will be carried out at 30 primary healthcare centres, where 436 persons with Type 2 Diabetes Mellitus (T2DM), aged between 18–75 years, will be recruited. The experimental educational program to be applied is modelled using components obtained from a systematic review and prior qualitative analysis. In addition, a taxonomy of nursing practice is used to standardize the program, based on the Theory of Planned Behaviour as a conceptual model. The intervention will be carried out by community nurses, using ADAPP‐Ti®, an application developed with FileMaker Pro v.18. The control group will receive usual care and data will be collected at 6, 12, and 18 months, for both groups. The primary outcome considered will be glycosylated haemoglobin and cardiovascular factors, while the secondary ones will be tobacco consumption, body mass index, barriers to self‐care, health‐related quality of life, and lifestyle modification. The protocol was approved by the Ethics Committee of the Province of Malaga (Spain) in November 2014. Discussion The degree of metabolic control in T2DM is not always associated with healthy lifestyles and significant levels of medication are often prescribed to achieve clinical objectives. An intervention focused on needs, based on the best available evidence and a solid conceptual framework, might successfully consolidate appropriate self‐care behaviour in this population. Impact The study will result in the publication of an educational program featuring well‐defined interventions and activities that will enable clinicians to tailor health care to the individual's needs and to combat treatment inertia in attending this population.

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Cost of diabetic foot in France, Spain, Italy, Germany and United Kingdom: A systematic review

Cited by 63 publications

References 24 publications

The cost of diabetic foot ulcers and amputations to the National Health Service in England

The cost of diabetic foot ulcers and amputations to the National Health Service in England

Integrated Management of Skin NTDs—Lessons Learned from Existing Practice and Field Research

Effectiveness of a Diabetes Education Program based on Tailored interventions and Theory of Planned Behaviour: Cluster randomized controlled trial protocol

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