Limits...
Audit of diabetic foot care services--a timely initiative.

Paisey R - Diabet. Med. (2015)

View Article: PubMed Central - PubMed

Affiliation: Diabetes and Endocrinology Department, South Devon NHS Healthcare Trust, Torbay, UK.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Regular national audits, initially of oncology treatments, then of cardiovascular disease and stroke in England, have been successful in improving standards of care and in identifying areas where services should be enhanced –... Despite this, the nationally audited retinal screening programme has achieved remarkable success in the early identification and treatment of sight-threatening retinopathy... This effectiveness in reducing diabetes-related blindness has been founded on comprehensive co-operation of general practices, retinal screening teams, ophthalmology departments and co-ordinated information technology... The transformation of this pilot study into a national audit would therefore do well to derive recommendations for administrative support to ensure accurate data collection and full follow-up (17% of patients were lost to follow-up even in this research project) The successful national audits in oncology, cardiovascular diseases and diabetic retinopathy all require reliable administrative and information technology support and so should diabetes foot care audits... The most challenging of these to assess and monitor is the last and there should be a requirement for hand-held Doppler assessment of foot pulses by a trained participant in all foot clinics ,... These pilot study follow-up results are consistent with previous findings that certain features of diabetic foot disease at presentation to the specialist team do predict an adverse outcome... Firstly, an audit based solely on hospital diabetes clinics will bias results to more severe cases... Where a community foot protection team is effective many diabetic foot ulcers will be healed or stabilized as chronic problems in older patients with other more significant comorbidities... Finally, there is a strong case that future accreditation to run a diabetic foot service should be conditional on participation in the audit... This is an integral part of the success of established national audits... There can then be hope that the ‘diabetic foot emergency’ can be accorded the same priority as acute coronary syndrome and stroke.

Show MeSH
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4307643&req=5


Audit of diabetic foot care services--a timely initiative.

Paisey R - Diabet. Med. (2015)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4307643&req=5

View Article: PubMed Central - PubMed

Affiliation: Diabetes and Endocrinology Department, South Devon NHS Healthcare Trust, Torbay, UK.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Regular national audits, initially of oncology treatments, then of cardiovascular disease and stroke in England, have been successful in improving standards of care and in identifying areas where services should be enhanced –... Despite this, the nationally audited retinal screening programme has achieved remarkable success in the early identification and treatment of sight-threatening retinopathy... This effectiveness in reducing diabetes-related blindness has been founded on comprehensive co-operation of general practices, retinal screening teams, ophthalmology departments and co-ordinated information technology... The transformation of this pilot study into a national audit would therefore do well to derive recommendations for administrative support to ensure accurate data collection and full follow-up (17% of patients were lost to follow-up even in this research project) The successful national audits in oncology, cardiovascular diseases and diabetic retinopathy all require reliable administrative and information technology support and so should diabetes foot care audits... The most challenging of these to assess and monitor is the last and there should be a requirement for hand-held Doppler assessment of foot pulses by a trained participant in all foot clinics ,... These pilot study follow-up results are consistent with previous findings that certain features of diabetic foot disease at presentation to the specialist team do predict an adverse outcome... Firstly, an audit based solely on hospital diabetes clinics will bias results to more severe cases... Where a community foot protection team is effective many diabetic foot ulcers will be healed or stabilized as chronic problems in older patients with other more significant comorbidities... Finally, there is a strong case that future accreditation to run a diabetic foot service should be conditional on participation in the audit... This is an integral part of the success of established national audits... There can then be hope that the ‘diabetic foot emergency’ can be accorded the same priority as acute coronary syndrome and stroke.

Show MeSH