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Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
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Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who are...

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Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
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Disparities in amputations in minorities.

Kristin M Lefebvre1, Lawrence A Lavery

  • 1Institute for Physical Therapy Education, One University Place, Widener University, 111 Cottee Hall, Chester, PA 19013, USA. kmlefebvre@mail.widener.edu

Clinical Orthopaedics and Related Research
|March 9, 2011
PubMed
Summary

Racial disparities in amputation frequency and level exist, even without diabetes. Future research should focus on preventive screening for high-risk patients to reduce amputation rates in minority populations.

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Area of Science:

  • Medical research
  • Public health
  • Health equity

Background:

  • Health disparities significantly impact healthcare costs, quality, and access.
  • Addressing disparities in amputation is a critical national health priority.
  • Current data highlights existing disparities in amputation rates among minority groups.

Purpose of the Study:

  • To review current data on amputation disparities in minority populations.
  • To outline future objectives for eliminating these health disparities.
  • To inform strategies for reducing amputation rates in underserved communities.

Main Methods:

  • Systematic literature search of PubMed, Cinahl, OVID/Medline, Embase, and Cochrane databases.
  • Search terms included "disparities and amputation," "race and amputation," and "diabetes and amputation."
  • Studies were limited to human subjects and the English language.

Main Results:

  • Significant disparities in both the frequency and level of amputations are evident in minority populations.
  • These disparities persist regardless of a diabetes diagnosis.
  • A clear need for enhanced preventive screening strategies in high-risk populations has been identified.

Conclusions:

  • Further research is essential to understand and address amputation disparities.
  • Increased funding, large-scale data collection, and physician education are crucial.
  • Implementing targeted preventive screening programs can help mitigate these disparities.