Unidades de pie diabético en España: conociendo la realidad mediante el uso de un cuestionario

Time Trends in the Incidence of Long-Term Mortality in T2DM Patients Who Have Undergone a Lower Extremity Amputation. Results of a Descriptive and Retrospective Cohort Study

“…Besides the characteristics of the health systems, studies conducted in several countries have found that different systems of diabetic care affect the incidence of LEA [21,37,38,39,40,41]. In Germany, the number of major amputations decreased by 19.0% from 2007 to 2011, and the ratio of major amputation/inpatients with diabetes (x 1000) also decreased from 8.44 to 5.75.…”

“…Regarding diabetic care, Spain offers a health coverage system with well-developed care, free at point of delivery. All diabetic expenses are fully covered by the NHS, with no out of pocket payments [20,21]. T2DM diabetes patients are mostly treated in a primary care setting, with varying participation from specialists, depending on available human resources, as well as local or regional policies [20,21].…”

“…All diabetic expenses are fully covered by the NHS, with no out of pocket payments [20,21]. T2DM diabetes patients are mostly treated in a primary care setting, with varying participation from specialists, depending on available human resources, as well as local or regional policies [20,21]. In most regions, including Madrid, primary diabetes prevention plans are integrated into programs to prevent cardiovascular disease and obesity, and plans for healthy nutrition and habits.…”

“…In most regions, including Madrid, primary diabetes prevention plans are integrated into programs to prevent cardiovascular disease and obesity, and plans for healthy nutrition and habits. Early detection activities and diabetes education programs are also implemented [20,21]. However, the number of diabetic foot units in Spanish hospitals is still low and Rubio et al reported that they only cover the foot care of one out of every four patients with diabetes [21].…”

“…Early detection activities and diabetes education programs are also implemented [20,21]. However, the number of diabetic foot units in Spanish hospitals is still low and Rubio et al reported that they only cover the foot care of one out of every four patients with diabetes [21]. Actually, the NHS does not recognize the right to diagnosis and treatment of foot pathologies by podiatrists and leaves the population the only alternative, for those who can afford it, to be treated in the private sector [20,21].…”