Podiatrist care and outcomes for patients with diabetes and foot ulcer

Teresa B. Gibson, Vickie R. Driver, James S. Wrobel, James R. Christina, Erin Bagalman, Roy Defrancis, Matthew G. Garoufalis, Ginger S. Carls, Justin Gatwood

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We examined whether outcomes of care (amputation and hospitalisation) among patients with diabetes and foot ulcer differ between those who received pre-ulcer care from podiatrists and those who did not. Adult patients with diabetes and a diagnosis of a diabetic foot ulcer were found in the MarketScan Databases, 2005-2008. Multivariate Cox proportional hazard models estimated the hazard of amputation and hospitalisation. Logistic regression estimated the likelihood of these events. Propensity score weighting and regression adjustment were used to adjust for potentially different characteristics of patients who did and did not receive podiatric care. The sample included 27 545 patients aged greater than 65+ years (Medicare-eligible patients with employer-sponsored supplemental insurance) and 20 208 patients aged lesser than 65 years (non Medicare-eligible commercially insured patients). Care by podiatrists in the year prior to a diabetic foot ulcer was associated with a lower hazard of lower extremity amputation, major amputation and hospitalisations in both non Medicare-eligible commercially insured and Medicare-eligible patient populations. Systematic differences between patients with diabetes and foot ulcer, receiving and not receiving care from podiatrists were also observed; specifically, patients with diabetes receiving care from podiatrists tend to be older and sicker.

Original languageEnglish (US)
Pages (from-to)641-648
Number of pages8
JournalInternational Wound Journal
Volume11
Issue number6
DOIs
StatePublished - Dec 1 2014

Fingerprint

Foot Ulcer
Patient Care
Medicare
Amputation
Diabetic Foot
Hospitalization
Propensity Score
Insurance
Proportional Hazards Models
Ulcer
Lower Extremity
Logistic Models
Databases

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

Cite this

Gibson, T. B., Driver, V. R., Wrobel, J. S., Christina, J. R., Bagalman, E., Defrancis, R., ... Gatwood, J. (2014). Podiatrist care and outcomes for patients with diabetes and foot ulcer. International Wound Journal, 11(6), 641-648. https://doi.org/10.1111/iwj.12021

Podiatrist care and outcomes for patients with diabetes and foot ulcer. / Gibson, Teresa B.; Driver, Vickie R.; Wrobel, James S.; Christina, James R.; Bagalman, Erin; Defrancis, Roy; Garoufalis, Matthew G.; Carls, Ginger S.; Gatwood, Justin.

In: International Wound Journal, Vol. 11, No. 6, 01.12.2014, p. 641-648.

Research output: Contribution to journalArticle

Gibson, TB, Driver, VR, Wrobel, JS, Christina, JR, Bagalman, E, Defrancis, R, Garoufalis, MG, Carls, GS & Gatwood, J 2014, 'Podiatrist care and outcomes for patients with diabetes and foot ulcer', International Wound Journal, vol. 11, no. 6, pp. 641-648. https://doi.org/10.1111/iwj.12021
Gibson TB, Driver VR, Wrobel JS, Christina JR, Bagalman E, Defrancis R et al. Podiatrist care and outcomes for patients with diabetes and foot ulcer. International Wound Journal. 2014 Dec 1;11(6):641-648. https://doi.org/10.1111/iwj.12021
Gibson, Teresa B. ; Driver, Vickie R. ; Wrobel, James S. ; Christina, James R. ; Bagalman, Erin ; Defrancis, Roy ; Garoufalis, Matthew G. ; Carls, Ginger S. ; Gatwood, Justin. / Podiatrist care and outcomes for patients with diabetes and foot ulcer. In: International Wound Journal. 2014 ; Vol. 11, No. 6. pp. 641-648.
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