Outcomes of Neuroischemic Wounds Treated by a Multidisciplinary Amputation Prevention Service

Vartanian, Shant M.; Robinson, Kristin; Ofili, Kene; Eichler, Charles M.; Hiramoto, Jade S.; Reyzelman, Alex; Conte, Michael S.

doi:10.1016/j.avsg.2014.10.030

Cited by 59 publications

(69 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On completion of the search strategy 2260 articles were screened, with 12 articles [15][16][17][18][19][20][21][22][23][24][25][26] being included in the final synthesis ( Figure 1).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The utilisation of vascular limb salvage services in the assessment and management of chronic limb‐threatening ischaemia and diabetic foot ulceration: A systematic review

Nickinson

Houghton

Bridgwood

et al. 2020

Diabetes Metabolism Res

View full text Add to dashboard Cite

Specialist vascular limb salvage services have gained prominence as a new model of care to help overcome barriers which exist in the management of patients with chronic limb-threatening ischaemia (CLTI) and/or diabetic foot ulceration (DFU). This systematic review aims to explore the nature of reported services, investigate their outcome in the management of CLTI/DFU, and assess the scope and quality of the evidence base to help make recommendations for future practice and research. A systematic search of MEDLINE, Embase, The Cochrane Library, Scopus and CINAHL, from 1st January 1995 to 18th January 2019, was performed. Specialist vascular limb salvage services were defined as those services conforming to the definition of "centres of excellence" within the 2019 Global Vascular Guidelines. A study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42019123325). In total, 2260 articles were screened, with 12 articles (describing 11 services) included in a narrative synthesis. All services ran akin to the "toe-and-flow" model, with a number of services having additional core input from diabetology, microbiology, allied health professionals and/or internal/vascular medicine. Methodological weaknesses were identified within the design of the included articles and only one was deemed of high quality. The inception of services was associated with improved rates of major amputation; however, no significant changes in minor amputation or mortality rates were identified. Further research should adopt more a standardised study design and outcomes measures in order to improve the quality of evidence within the literature.

show abstract

“…On completion of the search strategy 2260 articles were screened, with 12 articles [15][16][17][18][19][20][21][22][23][24][25][26] being included in the final synthesis ( Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Only one article 26 was deemed of "high" quality. Five articles 15,17,22,23,25 were "moderate" quality with five articles 16,18,20,21,24 deemed of "low"…”

Section: Study Qualitymentioning

confidence: 99%

The utilisation of vascular limb salvage services in the assessment and management of chronic limb‐threatening ischaemia and diabetic foot ulceration: A systematic review

Nickinson

Houghton

Bridgwood

et al. 2020

Diabetes Metabolism Res

View full text Add to dashboard Cite

show abstract

“…I C-LD In patients with PAD, prompt diagnosis and treatment of foot infection are recommended to avoid amputation (178,179,(181)(182)(183). IIa C-LD In patients with PAD and signs of foot infection, prompt referral to an interdisciplinary care team (Table 8) can be beneficial (178,184,185). IIa C-EO It is reasonable to counsel patients with PAD without diabetes mellitus about self-foot examination and healthy foot behaviors.…”

Section: Cormentioning

confidence: 99%

2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary

Gerhard‐Herman¹,

Gornik²,

Barrett³

et al. 2017

Vasc Med

178

View full text Add to dashboard Cite

Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry and other entities may apply; see Appendix 1 for recusal information. 2 Functioning as the lay volunteer/ patient representative. 3 ACC/AHA Representative. 4 Vascular and Endovascular Surgery Society Representative. 5 Society for Cardiovascular Angiography and Interventions Representative. 6 ACC/AHA Task Force on Clinical Practice Guidelines Liaison. 7 Inter-Society Consensus for the Management of Peripheral Arterial Disease Representative. 8 Society for Vascular Medicine Representative; 9 Society of Interventional Radiology Representative. 10 Society for Clinical Vascular Surgery Representative. 11 Society for Vascular Surgery Representative.

show abstract

“…Multidisciplinary care for patients with ischemic wounds increases amputation-free survival as compared to standard wound care, 24 and the multidisciplinary limb salvage team approach heals neuroischemic wounds and decreases readmissions that are frequent in this patient population. 25 Thus, a successful wound care center is a truly multidisciplinary endeavor.…”

Section: Provider Staffing and The Multidisciplinary And Interdisciplmentioning

confidence: 99%

Partnerships Between Podiatrists and Vascular Surgeons in Building Effective Wound Care Centers

Chandra

Glebova

Salvo

et al. 2017

Journal of the American Podiatric Medical Association

View full text Add to dashboard Cite

This practice memo, a collaborative effort between the Young Physicians' Program of the American Podiatric Medical Association (APMA) and the Young Surgeons Committee of the Society for Vascular Surgery (SVS), is intended to aid podiatrists and vascular surgeons in the early years of their respective careers, especially those involved in the care of patients with chronic wounds. During these formative years, learning how to successfully establish an inter-professional partnership is crucial in order to provide the best possible care to this important patient population.

show abstract

Outcomes of Neuroischemic Wounds Treated by a Multidisciplinary Amputation Prevention Service

Cited by 59 publications

References 18 publications

The utilisation of vascular limb salvage services in the assessment and management of chronic limb‐threatening ischaemia and diabetic foot ulceration: A systematic review

The utilisation of vascular limb salvage services in the assessment and management of chronic limb‐threatening ischaemia and diabetic foot ulceration: A systematic review

2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: Executive Summary

Partnerships Between Podiatrists and Vascular Surgeons in Building Effective Wound Care Centers

Contact Info

Product

Resources

About