Reducing Amputations in People with Diabetes (RAPID): Evaluation of a New Care Pathway

International Journal of Environmental Research and Public Health
Sandra MacRuryDavid Macfarlane

Abstract

People with diabetes are at increased risk of foot ulcers, which, if left untreated, can lead to infection, gangrene, and subsequent amputation. Management by a multidisciplinary diabetes foot team has been shown to reduce amputation rates; however, accessing specialist treatment is made particularly difficult when living in remote and rural locations, such as many individuals cared for within NHS Highland. The RAPID project was made up of two phases: firstly, to evaluate the technical feasibility of a new integrated care pathway using innovative technology, and secondly, to establish process enhancement of the pathway to justify a larger-scale study. Omni-HubTM enabled a face-to-face consultation by the community podiatrist to be enhanced by virtual consultation with members of the multidisciplinary foot team, including specialist diabetes podiatrists and a diabetes consultant. The technical feasibility study provided recommended changes focused around adaptations to the equipment used and the best means to gain successful connectivity. The process enhancement study demonstrated positive outcomes in the process with positive effects both in the service received by patients and experiences of healthcare professionals involved. ...Continue Reading

References

Nov 18, 2005·Lancet·Andrew J M BoultonJan Apelqvist
Mar 21, 2008·QJM : Monthly Journal of the Association of Physicians·M P KhanolkarJ W Stephens
Aug 28, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·C J SchofieldG P Leese
Apr 2, 2015·Journal of Medical Internet Research·Sabine E Wildevuur, Lianne W L Simonse

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Citations

Oct 21, 2019·Current Infectious Disease Reports·Caitlin E Coombes, Megan E Gregory
Nov 11, 2021·Journal of Wound Care·Leanne AtkinKate Williams

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

Crossfire
Diabetes
RAPID
VSee
SCI
Jabber

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