Diabetes preventive care and non-traumatic lower extremity amputation rates.
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.
VA Pittsburgh Healthcare System, PA, USA.
Michael E
ME
Moreland
Amy M
AM
Kilbourne
Joseph B
JB
Engelhardt
Rajiv
R
Jain
Jian
J
Gao
David S
DS
Macpherson
Ali F
AF
Sonel
Guibo
G
Xing
D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D017719:Diabetic Foot / Q000517:prevention & control* / Q000601:surgery; D019317:Evidence-Based Medicine; D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D006987:Hypesthesia; D010043:Outcome and Process Assessment, Health Care; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D017749:Total Quality Management / Q000379:methods*; D014481:United States / Q000453:epidemiology; D014493:United States Department of Veterans Affairs