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dc.contributor.authorNason, G J
dc.contributor.authorStrapp, H
dc.contributor.authorKiernan, C
dc.contributor.authorMoore, K
dc.contributor.authorGibney, J
dc.contributor.authorFeeley, T M
dc.contributor.authorEgan, B
dc.contributor.authorTierney, S
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 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.
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
html.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.


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