naa a22 4500 510740375 CHVBK 20180411083026.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s11845-012-0823-8 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0823-8 The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting [Elektronische Daten] [G. Nason, H. Strapp, C. Kiernan, K. Moore, J. Gibney, T. Feeley, B. Egan, S. Tierney] Background: Foot ulceration which may result in lower limb amputation is one of the most feared complications among patients with diabetes and the prevention of both ulceration and amputation is a major challenge facing the health service. Many studies have proposed dedicated diabetic foot teams as the future of diabetic foot care. Aims: We aimed to quantify the cost benefit and sustainability of a multi-disciplinary foot protection clinic (MDFPC) in an Irish university hospital setting. Methods: A dedicated bi-weekly consultant-led MDFPC including Vascular Surgery, Endocrinology, Orthopaedic Surgery, Podiatry, Orthotics and Tissue Viability was established in June 2008. Results: Between 2006 and 2010, a total of 221 lower limb procedures (major/minor amputations and debridement) were performed. The number of major amputations decreased from 12 during the control period (2years before the clinic) to 7 in the study period (2years after the clinic). After costing all activity associated with the clinic, there was an overall saving of €114,063 per year associated with the introduction of the MDFPC. Conclusion: This is the first study in an Irish context, and one of few international studies, to demonstrate that an aggressive-coordinated approach to diabetic foot care is both cost effective and clinically efficient in reducing the burden of foot-related complications in a diabetic population. Royal Academy of Medicine in Ireland, 2012 Cost nationallicence Foot protection clinic nationallicence Diabetes nationallicence Nason G. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Strapp H. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Kiernan C. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Moore K. Department of Endocrinology, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Gibney J. Department of Endocrinology, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Feeley T. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Egan B. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Tierney S. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 41-45 0021-1265 182:1<41 2013 182 11845 https://doi.org/10.1007/s11845-012-0823-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0823-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nason G. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Strapp H. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Kiernan C. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Moore K. Department of Endocrinology, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Gibney J. Department of Endocrinology, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Feeley T. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Egan B. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 700 1- Tierney S. Department of Vascular Surgery, Adelaide and Meath (incorporating the National Children's) Hospital, Tallaght, Dublin 24, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 41-45 0021-1265 182:1<41 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer