Potential Economic Benefits of Lower-Extremity Amputation Prevention Strategies in Diabetes

@article{Ollendorf1998PotentialEB,
  title={Potential Economic Benefits of Lower-Extremity Amputation Prevention Strategies in Diabetes},
  author={Daniel A. Ollendorf and James G. Kotsanos and William J Wishner and Mark Friedman and Tamara Cooper and Marisa A. Bittoni and Gerry Oster},
  journal={Diabetes Care},
  year={1998},
  volume={21},
  pages={1240 - 1245}
}
OBJECTIVE To estimate the potential economic benefits of selected strategies from published literature—educational interventions, multidisciplinary clinics, and insurance coverage for therapeutic shoes—to reduce the incidence of lower-extremity amputation among individuals with diabetes. RESEARCH DESIGN AND METHODS We developed a model to estimate the expected incidence and associated costs of lower-extremity amputation in a hypothetical cohort of 10,000 people with diabetes. Prevention… 
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144 Citations
Background Citations
41
Methods Citations
2
Results Citations
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144 Citations

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Citation Type

Health-economic consequences of diabetic foot lesions.
TLDR
Prevention of foot ulcers and amputations by various methods, including patient education, proper footwear, and foot care, in patients at risk is cost effective or even cost saving.
The costs of diabetic foot: the economic case for the limb salvage team.
The Diabetic Foot. Costs, health economic aspects, prevention and quality of life.
The overall aims were to investigate the economic consequences of foot complications in diabetic patients, to measure the influence of diabetic foot complications on health-related quality of life…
The costs of diabetic foot: the economic case for the limb salvage team.
TLDR
Increasing evidence suggests that the costs of implementing diabetic foot teams can be offset in the long term by improved access to care and reductions in foot complications and amputation rates.
Disease management for the diabetic foot: effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations.
The cost of illness attributable to diabetic foot and cost-effectiveness of secondary prevention in Peru
TLDR
Diabetic foot complications are highly costly and largely preventable in Peru, and the implementation of a standard care strategy would lead to net savings and avert deaths over a one-year period.
The Economics of Limb Salvage in Diabetes
TLDR
Not surprisingly, prevention and evidenced-based treatments are the most cost-effective way of reducing the use of medical resources and improving and prolonging productive lifestyles.
Negative-pressure wound therapy and diabetic foot amputations: a retrospective study of payer claims data.
TLDR
Patients with diabetic foot ulcers in the Medicare sample treated with NPWT had a lower incidence of amputations than those undergoing traditional wound therapy; this finding was evident in wounds of varying depth in both populations studied.
Critical Appraisal of Foot and Ankle Amputations in Diabetes
TLDR
In the present review and clinical appraisal, indications for determination of the level of amputation, the possible consequences of a specific amputation on stance, deambulation, necessity of using a specific footwear or prosthesis, technical problems and complications are discussed.
Trends and determinants of costs associated with the inpatient care of diabetic foot ulcers.
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References

SHOWING 1-10 OF 36 REFERENCES
The Epidemiology of Lower Extremity Amputations in Diabetic Individuals
TLDR
The purposes of this study were to identify diabetic persons at high risk of amputation for targeting preventive programs as well as to establish a baseline for monitoring trends over time.
Diabetes mellitus. Prevention of amputation.
  • L. Sanders
  • Medicine
    Journal of the American Podiatric Medical Association
  • 1994
TLDR
Three specific goals for prevention of amputation are identified: identification of at risk individuals needing prevention and the specific factors placing them at risk; protection of the foot against the adverse effects of external forces (pressure, friction, and shear); and reduction of the incidence of diabetic foot ulcers through educational programs.
Risk factors for amputation in patients with diabetes mellitus. A case-control study.
TLDR
Modification of certain risk factors by patients and health professionals may reduce the risk for amputation and thus decrease the human and dollar costs that accompany limb loss in this prevalent chronic disease.
The prevalence and incidence of lower extremity amputation in a diabetic population.
TLDR
Several factors offer potential for modification for the prevention of amputations but require further study, including blood pressure, glycosylated hemoglobin, and smoking.
Decreasing Incidence of Major Amputation in Diabetic Patients: a Consequence of a Multidisciplinary Foot Care Team Approach?
TLDR
A substantial long‐term decreases in the incidence of major amputations was seen as well as a decrease in the total incidence of amputations in diabetic patients, indicating that a multidisciplinary approach plays an important role to reduce and maintain a low incidence of majors.
Pathways to Diabetic Limb Amputation: Basis for Prevention
TLDR
Defining causal pathways that predispose to diabetic limb amputation suggests practical interventions that may be effective in preventing diabetic limb loss.
Reduction of Lower Extremity Clinical Abnormalities in Patients with Non-Insulin-Dependent Diabetes Mellitus
TLDR
The intervention in this study was designed to reduce the prevalence of risk factors for lower extremity amputations in patients with noninsulin-dependent diabetes and involved the three major elements of a prevention program: the patient, health care providers, and the health care system.
Prevention of amputation by diabetic education.
Cost of treating advanced leg ischemia. Bypass graft vs primary amputation.
TLDR
There is no cost-benefit in primary amputation when compared with arterial reconstruction, and cost should not be used to deny a patient the opportunity for limb salvage.
The costs of surgery for limb-threatening ischemia.
TLDR
The clinical courses of 106 patients with limb-threatening ischemia were traced for as long as 5 years to determine the cost of their care and it was found that proposed treatment protocols be evaluated not only for their effectiveness but also for their cost-effectiveness.
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