JAPMA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sowell, R. D.
Right arrow Articles by Normington, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sowell, R. D.
Right arrow Articles by Normington, J. M.

Journal of the American Podiatric Medical Association, Vol 89, Issue 6 312-317, Copyright © 1999 by American Podiatric Medical Association

JOURNAL ARTICLE

Effect of podiatric medical care on rates of lower-extremity amputation in a Medicare population

RD Sowell, WB Mangel, CJ Kilczewski and JM Normington

The purpose of this study was to determine whether Medicare patients at risk for lower-extremity amputation due to complications from diabetes, peripheral vascular disease, and/or gangrene who receive the services classified under Level II code M0101 of the Health Care Financing Administration's Common Procedure Coding System (cutting or removal of corns, calluses, and/or trimming of nails, application of skin creams and other hygienic and preventive maintenance care) have lower rates of lower-extremity amputation than those who do not receive such services. Analysis of the data suggests that those at-risk beneficiaries who received these services were nearly four times less likely to experience lower-extremity amputation than those who did not receive such services. The study has both methodologic limitations (the study considers only one variable, receipt or nonreceipt of certain types of podiatric medical care, while other variables may affect rates of lower-extremity amputation) and technological limitations (attempts to link the 2 years of per case Medicare Part B data were unsuccessful, limiting the length of the study to 1 year). Further research on this topic is encouraged.


This article has been cited by other articles:


Home page
 The Diabetes EducatorHome page
N. C. Martinez and T. Tripp-Reimer
Diabetes Nurse Educators' Prioritized Elder Foot Care Behaviors
The Diabetes Educator, November 1, 2005; 31(6): 858 - 868.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
J. Plank, W. Haas, I. Rakovac, E. Gorzer, R. Sommer, A. Siebenhofer, and T. R. Pieber
Evaluation of the Impact of Chiropodist Care in the Secondary Prevention of Foot Ulcerations in Diabetic Subjects
Diabetes Care, June 1, 2003; 26(6): 1691 - 1695.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the American Podiatric Medical Association.