The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country
المؤلفون المشاركون
Lowe, Julia
Sibbald, R. Gary
Taha, Nashwah Y.
Lebovic, Gerald
Rambaran, Madan
Martin, Carlos
Bhoj, Indira
Ostrow, Brian
المصدر
International Journal of Endocrinology
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-05-19
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
Type 2 diabetes is the fourth leading cause of death in Guyana, South America.
A complex, interprofessional, quality improvement intervention to improve foot and diabetes care was rolled out in two phases.
Methods & Findings.
Phase 1: Establishment of an Interprofessional Diabetic Foot Center (DFC) of Excellence to improve foot care and reduce diabetes-related amputations at the national referral hospital.
Phase 2: Regionalization to cover 90% of the Guyanese population and expansion to include improved management of diabetes and hypertension.
Fourteen key opinion leaders were educated and 340 health care professionals from 97 facilities trained.
Eight centers for the evaluation and treatment of foot ulcers were established and 7567 people with diabetes evaluated.
3452 participants had foot screening and 48% were deemed high risk; 10% of these had undocumented foot ulcers.
There was a 68% reduction in rate of major amputations (P<0.0001); below knee amputations were decreased by 80%, while above knee amputations were unchanged.
An increased association of diabetes with women (F/M = 2.09) and increased risk of major amputation in men [odds ratio 2.16 (95% CI 1.83, 2.56)] were documented.
Conclusions.
This intervention improved foot care with reduction in major amputations sustained over 5 years.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lowe, Julia& Sibbald, R. Gary& Taha, Nashwah Y.& Lebovic, Gerald& Rambaran, Madan& Martin, Carlos…[et al.]. 2015. The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country. International Journal of Endocrinology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1065881
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lowe, Julia…[et al.]. The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country. International Journal of Endocrinology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1065881
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lowe, Julia& Sibbald, R. Gary& Taha, Nashwah Y.& Lebovic, Gerald& Rambaran, Madan& Martin, Carlos…[et al.]. The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country. International Journal of Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1065881
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1065881
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر