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Use of a Foot-Induced Digitally Controlled Resistance Device for Functional Magnetic Resonance Imaging Evaluation in Patients with Foot Paresis

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Resource use within a multidisciplinary foot team clinic.

Huiling Liew^1,2, Maureen Bates¹, Prashanth Vas¹

¹Diabetic Foot Clinic, King's College Hospital, UK.

Journal of Wound Care

|February 12, 2022

Summary

Multidisciplinary foot team clinics require significant clinical and administrative resources to maintain low amputation rates. Understanding resource use is crucial for effective clinic and pathway planning.

Keywords:

Charcot amputation diabetes diabetic foot clinic ischaemia multidisciplinary osteomyelitis resource use ulcer wound wound care wound healing

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Area of Science:

Podiatry
Diabetology
Vascular Surgery
Orthopaedics

Background:

Multidisciplinary foot team (MDFT) clinics are established to reduce amputation risk in high-risk patients.
However, the specific resource requirements for these clinics are not well understood.

Purpose of the Study:

This study aimed to evaluate the resource utilization of an established MDFT clinic for new patient attendances.
The objective was to quantify the clinical and administrative resources needed to manage patients presenting with complex foot conditions.

Main Methods:

A retrospective analysis was conducted on new referrals to an MDFT clinic over a six-month period.
Data collected included patient demographics, clinical presentations, resource use (specialist referrals, investigations, procedures), and clinical outcomes.
Electronic health records were utilized for data extraction.

Main Results:

The study analyzed 240 new patients, with a mean age of 64 years; 63% were male, and 72% had type 2 diabetes.
Common presentations included ulcers (62%), Charcot foot (19%), and foot ischemia (17%).
A significant majority (79%) required specialist input, with diabetology (45%) and vascular services (23%) being most common. Investigations like vascular duplex (38%) and MRI (16%) were frequently employed.

Conclusions:

Effective MDFT clinics necessitate substantial clinical and administrative resources to facilitate prompt investigations and revascularization.
Continuous appraisal of resource use is essential for optimizing clinic operations and patient pathway planning to sustain reduced amputation rates.