{"doi":"10.1002/jfa2.12013","title":"Evaluating the impact of an interdisciplinary integrated limb preservation service operating concurrently with a single‐specialty service","abstract":"BACKGROUND: This study examined the efficacy of an interdisciplinary limb preservation service (LPS) in improving surgical outcomes for diabetic foot ulcer (DFU) patients compared to traditional care. METHODS: Data from January 1, 2017 to September 30, 2020 were retrospectively reviewed. An interdisciplinary LPS clinic began on August 1, 2018, coexisting with a preexisting single specialty service. Primary outcomes were major/minor amputation rates and ratios and hospital length of stay. Surgical endpoints pre- and post-LPS launch were compared. RESULTS: Among 976 procedures for 731 unique DFU patients, most were male (80.4%) and Hispanic (89.3%). Patient demographics were consistent before and after LPS initiation. Major amputation rates decreased by 45.5% (15.4%-8.4%, p = 0.001), with outpatient procedures increasing over 5-fold (3.3% pre-LPS to 18.7% post-LPS, p < 0.001). Hospital stay reduced from 10.1 to 8.5 days post-LPS (p < 0.001). The major to minor amputation ratio declined from 22.4% to 12.7%. CONCLUSIONS: The interdisciplinary LPS improved patient outcomes, marked by fewer major amputations and reduced hospital stays, suggesting the model's potential for broader application.","journal":"Journal of Foot and Ankle Research","year":2024,"id":463929,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9125,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1071261,"name":"Alyssa J. Pyun","orcid":null,"position":1,"is_corresponding":false},{"id":1294254,"name":"Hanke Zheng","orcid":"0000-0002-4992-121X","position":2,"is_corresponding":false},{"id":58652,"name":"William V. Padula","orcid":null,"position":3,"is_corresponding":false},{"id":1294255,"name":"Tanzim Khan","orcid":"0000-0001-7481-9615","position":4,"is_corresponding":false},{"id":781481,"name":"Kenneth R. Ziegler","orcid":"0000-0003-4568-8817","position":5,"is_corresponding":false},{"id":290440,"name":"Laura Shin","orcid":null,"position":6,"is_corresponding":false},{"id":630961,"name":"Gregory A. Magee","orcid":"0000-0001-9008-6642","position":7,"is_corresponding":false},{"id":428124,"name":"Vincent L. Rowe","orcid":"0000-0002-5894-2477","position":8,"is_corresponding":false},{"id":289127,"name":"David G. Armstrong","orcid":"0000-0003-1887-9175","position":9,"is_corresponding":false},{"id":1093564,"name":"Sebouh Bazikian","orcid":"0009-0008-1822-0438","position":0,"is_corresponding":true}],"reference_count":19,"raw_metadata":null,"created_at":"2026-07-19T02:04:33.257852Z","pmid":"38613833","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}