Tag: Sicco A Bus

Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer

David G. Armstrong, Mark A. Swerdlow, Alexandria A. Armstrong, Michael S. Conte, William V. Padula & Sicco A. Bus
Diabetic lower extremity complications remain enormously burdensome. Most notably, DFU and LEA appear to be more than just a marker of poor health. They are independent risk factors associated with premature death. While advances continue to improve outcomes of care for people with DFU and amputation, efforts should be directed at primary prevention as well as those for patients in diabetic foot ulcer remission to maximize ulcer-free, hospital-free and activity-rich days … read more


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Custom-made footwear designed for indoor use increases short-term and long-term adherence

in people with diabetes at high ulcer risk
To explore changes in footwear adherence following provision of custom-made indoor footwear in people with diabetes at high risk for plantar foot ulceration and in possession of regular custom-made footwear … Adherence indoors and outdoors was assessed objectively as percentage of steps custom-made footwear was worn, at baseline (in regular custom-made footwear), and at 1 and 12 months after providing custom-made indoor footwear (in both indoor and regular footwear). Primary group: participants with low (<80%) baseline indoor adherence; secondary group: participants with high (≥80%) baseline indoor adherence. Peak plantar pressures of the indoor footwear were compared with … read more