{"id":625,"date":"2021-04-27T15:23:06","date_gmt":"2021-04-27T15:23:06","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=625"},"modified":"2021-04-27T15:23:06","modified_gmt":"2021-04-27T15:23:06","slug":"high-quality-primary-care-and-achievement-of-key-quality-targets-lowers-the-risk-of-amputations-in-people-with-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/27\/high-quality-primary-care-and-achievement-of-key-quality-targets-lowers-the-risk-of-amputations-in-people-with-type-2-diabetes\/","title":{"rendered":"High quality primary care and achievement of key quality targets lowers the risk of amputations in people with type 2 diabetes"},"content":{"rendered":"

Amputations are an important and largely preventable complication of type 2 diabetes mellitus that impact considerably on the life expectancy and quality of life of those affected. In England, more than 9000 diabetes-related amputations are performed each year, with decreasing rates but higher absolute numbers of major amputations, and the annual direct healthcare costs of diabetic foot ulceration and amputation are approximately \u00a31 billion.<\/p>\n

In an article published in\u00a0BMJ Open Diabetes Research & Care<\/a>, we investigated the associations between attainment of primary care quality clinical indicators, completion of National Diabetes Audit care processes, and non-traumatic lower limb amputations among people with type 2 diabetes. We observed that minor or major, as well as major-only, amputation rates were 26%\u201351%\u2009and 3%\u201351%, respectively, lower among those who met the HbA1c indicator and 14%\u201347%\u2009lower among those who met the cholesterol indicator for our primary outcome.<\/p>\n

Comprehensive primary care-based secondary prevention may offer considerable protection against diabetes-related amputation. This has important implications for diabetes management and medical decision-making for patients, as well as type 2 diabetes quality improvement programs.<\/p>\n

DOI:\u00a0http:\/\/dx.doi.org\/10.1136\/bmjdrc-2020-002069<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Amputations are an important and largely preventable complication of type 2 diabetes mellitus that impact considerably on the life expectancy and quality of life of those affected. In England, more than 9000 diabetes-related amputations are performed each year, with decreasing rates but higher absolute numbers of major amputations, and the annual direct healthcare costs of […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[131],"class_list":["post-625","post","type-post","status-publish","format-standard","hentry","category-health","tag-diabetes"],"yoast_head":"\nHigh quality primary care and achievement of key quality targets lowers the risk of amputations in people with type 2 diabetes - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/04\/27\/high-quality-primary-care-and-achievement-of-key-quality-targets-lowers-the-risk-of-amputations-in-people-with-type-2-diabetes\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"High quality primary care and achievement of key quality targets lowers the risk of amputations in people with type 2 diabetes - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"Amputations are an important and largely preventable complication of type 2 diabetes mellitus that impact considerably on the life expectancy and quality of life of those affected. 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