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. 2024 Aug;13(8):3287-3291.
doi: 10.4103/jfmpc.jfmpc_292_24. Epub 2024 Jul 26.

Impact of multidisciplinary management via special clinic for the outcome of diabetic foot disease: A prospective observational study

Satya P Meena  1 , Mayank Badkur  1 , Mahendra Lodha  1 , Mahaveer S Rodha  1 , Ramkaran Chaudhary  1 , Naveen Sharma  1 , Prakash C Kala  2 , Ravi Gaur  3 , Sumit Bishnoi  1
Affiliations

Impact of multidisciplinary management via special clinic for the outcome of diabetic foot disease: A prospective observational study

Satya P Meena et al. J Family Med Prim Care. 2024 Aug.

Abstract

Introduction: Diabetic foot is a common complication of diabetes mellitus, affecting approximately 15-20% of individuals with diabetes. It is a comorbid condition that significantly impacts the routine life of patients. This study aimed to assess multidisciplinary management strategies and their impact on the outcomes of patients with diabetic foot.

Methods: A prospective observational study was conducted on 56 patients with diabetic foot. Outcome measures included the type of surgery, frequency of surgery, morbidity, mortality, patient satisfaction, return to work, and the number of patients using prostheses.

Results: The majority of the patients (87%) received surgical treatment. The most common type of surgery performed was debridement (55%), followed by minor amputations (toes amputation/forefoot amputation) (28%) and major amputations (below-knee (B/K) or above-knee (A/K)) (15%). More than 70% of patients had multiple surgeries. The mortality rate was low (7%), and 71% of surviving patients were satisfied with their treatment. Sixty-seven percent of patients had an early return to work. The number of patients using prostheses was also high (73% of major amputation cases).

Conclusion: Multidisciplinary management is the most effective approach for diabetic foot patients. These patients may experience less morbidity and an early return to work. A specialized care clinic for diabetic foot patients is essential to prevent treatment failure, loss of follow-up records, permanent limb loss, and economic burdens on society.

Keywords: Amputation; diabetic foot; morbidity; mortality; multidisciplinary management.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Image showing diabetic foot ulcers of the patients who had definitive surgery as (a) Toe amputation (b and c) B/K amputation (d) Debridement only
See this image and copyright information in PMC

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