The Guyana Diabetes and Foot Care Project: A Complex Quality Improvement Intervention to Decrease Diabetes-Related Major Lower Extremity Amputations and Improve Diabetes Care in a Lower-Middle-Income Country
نویسندگان
چکیده
1 Division of Endocrinology, University of Toronto, Toronto, Ontario, Canada, 2 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada, 3 Applied Health Research Centre (AHRC), St. Michael's Hospital University of Toronto, Toronto, Ontario, Canada, 4 Georgetown Public Hospital Corporation, Ministry of Health Guyana, Georgetown, Guyana, 5 Guyana Diabetes and Foot Care Project, Georgetown Public Hospital Corporation, Georgetown, Guyana, 6 Department of Surgery, University of Toronto, Toronto, Ontario, Canada
منابع مشابه
The Guyana Diabetes and Foot Care Project: Improved Diabetic Foot Evaluation Reduces Amputation Rates by Two-Thirds in a Lower Middle Income Country
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 nat...
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Diabetes among Eastern Mediterranean (EM) population above age of 20 years is around 10.5% and is ranked among the leading causes of blindness, renal failure and lower limb amputation. While 50% of EM people with diabetes will die of cardiovascular diseases. This means that in our region, there are pandemic trends in prevalence of diabetes and associated complications. Globally, people with dia...
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Background: Foot ulcers (FU) are a significant complication of diabetes mellitus (DM) and a preceding factor leading to lower extremity amputation. The aim of this study was to evaluate the management of diabetic foot ulcer (DFU) in Babol, north of Iran. Methods: Five hundred twenty cases of diabetic foot ulcer that were hospitalized in two main teaching hospitals of Babol University of Medica...
متن کاملEffectiveness of a comprehensive diabetes lower-extremity amputation prevention program in a predominantly low-income African-American population.
OBJECTIVE To compare patient outcomes 1 year before and 1 year after enrollment in a comprehensive diabetes lower-extremity amputation prevention program. RESEARCH DESIGN AND METHODS Outcome data were obtained on 197 patients enrolled in the Louisiana State University Health Sciences Center Diabetes Foot Program, which provides foot care to a predominantly low-income African-American populati...
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OBJECTIVE Lower-extremity amputation is a common complication among patients with diabetes throughout the world. However, few data exist on the actual impact of the recent moves to improve the management of diabetic foot ulcers to reduce the incidence of lower-extremity amputations. The aim was to determine the incidence of lower-extremity amputations among diabetic patients from 1991 to 2000 i...
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