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Remote Temperature Monitoring of the Diabetic Foot: From Research to Practice
Gary M Rothenberg1, Jeffrey Page1, Rodney Stuck1
1is a Clinical Assistant Professor in the Department of Internal Medicine at the University of Michigan School of Medicine in Ann Arbor. He previously served as the Attending Podiatrist and Residency Director at the Miami VA Medical Center in Florida. is a Professor at the School of Podiatric Medicine at Midwestern University in Glendale, Arizona. At the time the article was written he was the Interim Chief and Residency Director of the Phoenix VA Medical Center. is Professor of Orthopaedic Surgery and Rehabilitation at Loyola University Medical Center and Hines VA Medical Center in Illinois. is a Rehabilitation/Wound Care Physical Therapist at the Salt Lake City VA Medical Center in Utah. is a Staff Podiatrist at the Coatesville VA Medical Center in Pennsylvania. is a Vascular Surgeon at the Long Beach VA Medical Center in California.
Remote temperature monitoring (RTM) offers an evidence-based telemedicine solution to prevent diabetic foot ulcers (DFUs) in veterans. This approach can shift care from treatment to prevention, improving outcomes and reducing costs.
Area of Science:
- Diabetic foot ulcer (DFU) research
- Telemedicine in healthcare
- Veteran health outcomes
Background:
- Diabetic foot ulcers (DFUs) are a severe complication for veterans, leading to high mortality and healthcare costs.
- Preventive care is crucial for veterans at risk of DFUs, and telemedicine offers a promising solution.
- Telemedicine, specifically remote temperature monitoring (RTM), can improve access to care for high-risk veterans.
Purpose of the Study:
- To review evidence supporting once-daily remote temperature monitoring (RTM) for improving veteran diabetic foot outcomes.
- To summarize a 2017 study on RTM by VA providers and present new comparative data.
- To report on recent VA implementation of RTM technology, highlighting lessons learned.
Main Methods:
- Literature review of evidence for RTM in DFU prevention.
- Analysis of a 2017 VA study, including unpublished data comparing VA and non-VA cohorts.
- Case study of recent RTM technology implementation within the VA system.
Main Results:
- Remote temperature monitoring (RTM) is an evidence-based telemedicine approach that improves access to care and diabetic foot outcomes.
- Comparative data suggests an opportunity for increased DFU prevention focus within the VA.
- Recent VA use of RTM technology provides practical insights and best practices.
Conclusions:
- A significant opportunity exists to transition diabetic foot care from treatment to prevention for veterans.
- Remote temperature monitoring (RTM) is an underutilized, evidence-based telemedicine solution for DFU prevention.
- Implementing RTM can catalyze a paradigm shift in veteran diabetic foot care, improving outcomes and reducing resource use.
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