The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting.

Hdl Handle:
http://hdl.handle.net/10147/252217
Title:
The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting.
Authors:
Nason, G J; Strapp, H; Kiernan, C; Moore, K; Gibney, J; Feeley, T M; Egan, B; Tierney, S
Affiliation:
Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland, nasong@tcd.ie.
Citation:
The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting. 2012:notIr J Med Sci
Publisher:
Irish journal of medical science
Journal:
Irish journal of medical science
Issue Date:
21-Apr-2012
URI:
http://hdl.handle.net/10147/252217
DOI:
10.1007/s11845-012-0823-8
PubMed ID:
22528251
Abstract:
BACKGROUND: Foot ulceration which may result in lower limb amputation is one of the most feared complications among patients with diabetes and the prevention of both ulceration and amputation is a major challenge facing the health service. Many studies have proposed dedicated diabetic foot teams as the future of diabetic foot care. AIMS: We aimed to quantify the cost benefit and sustainability of a multi-disciplinary foot protection clinic (MDFPC) in an Irish university hospital setting. METHODS: A dedicated bi-weekly consultant-led MDFPC including Vascular Surgery, Endocrinology, Orthopaedic Surgery, Podiatry, Orthotics and Tissue Viability was established in June 2008. RESULTS: Between 2006 and 2010, a total of 221 lower limb procedures (major/minor amputations and debridement) were performed. The number of major amputations decreased from 12 during the control period (2 years before the clinic) to 7 in the study period (2 years after the clinic). After costing all activity associated with the clinic, there was an overall saving of <euro>114,063 per year associated with the introduction of the MDFPC. CONCLUSION: This is the first study in an Irish context, and one of few international studies, to demonstrate that an aggressive-coordinated approach to diabetic foot care is both cost effective and clinically efficient in reducing the burden of foot-related complications in a diabetic population.
Item Type:
Article
Language:
en
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorNason, G Jen_GB
dc.contributor.authorStrapp, Hen_GB
dc.contributor.authorKiernan, Cen_GB
dc.contributor.authorMoore, Ken_GB
dc.contributor.authorGibney, Jen_GB
dc.contributor.authorFeeley, T Men_GB
dc.contributor.authorEgan, Ben_GB
dc.contributor.authorTierney, Sen_GB
dc.date.accessioned2012-11-15T12:07:39Z-
dc.date.available2012-11-15T12:07:39Z-
dc.date.issued2012-04-21-
dc.identifier.citationThe cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting. 2012:notIr J Med Scien_GB
dc.identifier.issn1863-4362-
dc.identifier.pmid22528251-
dc.identifier.doi10.1007/s11845-012-0823-8-
dc.identifier.urihttp://hdl.handle.net/10147/252217-
dc.description.abstractBACKGROUND: Foot ulceration which may result in lower limb amputation is one of the most feared complications among patients with diabetes and the prevention of both ulceration and amputation is a major challenge facing the health service. Many studies have proposed dedicated diabetic foot teams as the future of diabetic foot care. AIMS: We aimed to quantify the cost benefit and sustainability of a multi-disciplinary foot protection clinic (MDFPC) in an Irish university hospital setting. METHODS: A dedicated bi-weekly consultant-led MDFPC including Vascular Surgery, Endocrinology, Orthopaedic Surgery, Podiatry, Orthotics and Tissue Viability was established in June 2008. RESULTS: Between 2006 and 2010, a total of 221 lower limb procedures (major/minor amputations and debridement) were performed. The number of major amputations decreased from 12 during the control period (2 years before the clinic) to 7 in the study period (2 years after the clinic). After costing all activity associated with the clinic, there was an overall saving of <euro>114,063 per year associated with the introduction of the MDFPC. CONCLUSION: This is the first study in an Irish context, and one of few international studies, to demonstrate that an aggressive-coordinated approach to diabetic foot care is both cost effective and clinically efficient in reducing the burden of foot-related complications in a diabetic population.en_GB
dc.languageENG-
dc.language.isoenen
dc.publisherIrish journal of medical scienceen_GB
dc.rightsArchived with thanks to Irish journal of medical scienceen_GB
dc.titleThe cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland, nasong@tcd.ie.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinsteren

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