{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T22:01:32Z","timestamp":1771020092701,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:00:00Z","timestamp":1712966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010 and post\u2010LPS launch were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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%\u20138.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.001), with outpatient procedures increasing over 5\u2010fold (3.3% pre\u2010LPS to 18.7% post\u2010LPS, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Hospital stay reduced from 10.1 to 8.5\u00a0days post\u2010LPS (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). The major to minor amputation ratio declined from 22.4% to 12.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The interdisciplinary LPS improved patient outcomes, marked by fewer major amputations and reduced hospital stays, suggesting the model's potential for broader application.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.12013","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T18:39:20Z","timestamp":1713033560000},"source":"Crossref","is-referenced-by-count":5,"title":["Evaluating the impact of an interdisciplinary integrated limb preservation service operating concurrently with a single\u2010specialty service"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1822-0438","authenticated-orcid":false,"given":"Sebouh","family":"Bazikian","sequence":"first","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa J.","family":"Pyun","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanke","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical and Health Economics Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences University of Southern California  Los Angeles California USA"},{"name":"Leonard D. Schaeffer Center for Health Policy and Economics University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Padula","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical and Health Economics Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences University of Southern California  Los Angeles California USA"},{"name":"Leonard D. Schaeffer Center for Health Policy and Economics University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanzim","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory A.","family":"Magee","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent L.","family":"Rowe","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy David Geffen School of Medicine University of California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1887-9175","authenticated-orcid":false,"given":"David G.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Endovascular Therapy Department of Surgery Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573399812666160523143354"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2015.04.007"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-2625"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211481"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.004"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis346"},{"key":"e_1_2_12_9_1","first-page":"e15","article-title":"The Diabetic Rapid Response Acute Foot Team: 7 Essential Skills for Targeted Limb Salvage","volume":"9","author":"Fitzgerald R. H.","year":"2009","journal-title":"Eplasty"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.244"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.7547\/17\u2010204"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001153"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2020.107837"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.01.012"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10\u20101213"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc\u20102020\u2010001328"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.3991"},{"key":"e_1_2_12_18_1","unstructured":"Raff E. andD. 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