Diabetes preventive care and non-traumatic lower extremity amputation rates

Moreland ME, Kilbourne AM, Engelhardt JB, Jain R, Gao J, Macpherson DS, Sonel AF, Xing G. Diabetes preventive care and non-traumatic lower extremity amputation rates. Journal For Healthcare Quality. 2004 Sep 1; 26(5):12-7.

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Abstract:

Clinical performance monitoring data on processes of care from a 3-year period were used to assess whether preventive foot care was associated with improved health outcomes in diabetes mellitus patients. Preventive foot care as well as sensory and pedal-pulse examinations were associated with reduced rates of Lower extremity amputation. It is believed that an administrative focus, resource direction, and improvement in process monitoring will lead to better patient outcomes. External review measures can be used by administrators and cLinicians to determine trends in quality of care and patient outcomes andto provide feedback on prevention efforts.