{"id":9632,"date":"2026-01-09T14:53:36","date_gmt":"2026-01-09T14:53:36","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=9632"},"modified":"2026-01-09T14:53:37","modified_gmt":"2026-01-09T14:53:37","slug":"root-cause-analysis-of-non-traumatic-major-amputation-in-diabetes-in-a-district-general-hospital-are-we-missing-opportunities-to-improve-care-2024","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/01\/09\/root-cause-analysis-of-non-traumatic-major-amputation-in-diabetes-in-a-district-general-hospital-are-we-missing-opportunities-to-improve-care-2024\/","title":{"rendered":"Root cause analysis of non-traumatic major amputation in diabetes in a district general hospital: Are we missing opportunities to improve care? (2024)"},"content":{"rendered":"\n<p><strong>Type of publication:<\/strong><\/p>\n\n\n\n<p>Conference abstract<\/p>\n\n\n\n<p><strong>Author(s):<\/strong><\/p>\n\n\n\n<p>*Beard N.B.; *Basavaraju N.B.; *Al-Samaraaie E.A.; *Cane C.C.; *Moulik P.M.<\/p>\n\n\n\n<p><strong>Citation:<\/strong><\/p>\n\n\n\n<p>Diabetic Medicine. Conference: Diabetes UK Professional Conference 2024. London . 41(Supplement 1) (no pagination), 2024. Date of Publication: 01 Apr 2024.<\/p>\n\n\n\n<p><strong>Abstract:<\/strong><\/p>\n\n\n\n<p>Background: There is concern that Shropshire and Telford have significantly higher minor and major diabetic foot amputations. Method(s): Data on all 48 major non-traumatic lower limb amputation in diabetes were collected between April 2022 and March 2023. Indicators of care and pathways to amputation were studied. Result(s): 38 (80%) patients were between 50 and 80, 9 (18%) over 80 and 1 (2%) was less than 50 years age. 26 (54%) had below knee and 22 (46%) above knee amputation. 22 (45%) had documented diabetes foot check in the preceding year, 39 (80%) had high risk feet, 28 (58%) previous foot ulcers and 19 (40%) previous minor amputation. 23 (48%) had been seen by the foot protection team in the 8 weeks prior to amputation and 26 (54%) did not have an urgent referral to the muldisciplinary (MDT) foot clinic. 39 (80%) had neuropathy, 38 (80%) had peripheral arterial disease and 10% had Charcot's. SINBAD score was unavailable for 19 (40%) as not seen in MDT clinic, the score was 1, 2, 3, 4, 5 and 6 in 2%, 10%, 8%, 33%, 4% and 2%, respectively, in the rest. Pre-amputation x-rays were available in 54%, antibiotics given in 69%, debridement done in 33% and offloading provided in 60%. 23% had lower limb arterial bypass, 21% had angioplasty and 8% theatre-based debridement. Conclusion(s): Opportunities for improving foot care exist and could prevent or reduce major amputations as majority were in known high risk feet but did not receive NICE recommended care. A significant number of patients were admitted directly for amputation without having the benefit of amputation prevention interventions.<\/p>\n\n\n\n<p><strong>DOI:&nbsp;<\/strong>10.1111\/dme.15296<\/p>\n\n\n\n<p><a href=\"https:\/\/libkey.io\/libraries\/1791\/articles\/612692063\/full-text-file\">Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Beard N.B.; *Basavaraju N.B.; *Al-Samaraaie E.A.; *Cane C.C.; *Moulik P.M. Citation: Diabetic Medicine. Conference: Diabetes UK Professional Conference 2024. London . 41(Supplement 1) (no pagination), 2024. Date of Publication: 01 Apr 2024. Abstract: Background:<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2026\/01\/09\/root-cause-analysis-of-non-traumatic-major-amputation-in-diabetes-in-a-district-general-hospital-are-we-missing-opportunities-to-improve-care-2024\/\">Read more <span class=\"screen-reader-text\">Root cause analysis of non-traumatic major amputation in diabetes in a district general hospital: Are we missing opportunities to improve care? (2024)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1050,869,989],"class_list":["post-9632","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1050","tag-diabetic-foot","tag-endocrinology-and-diabetes"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9632","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=9632"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9632\/revisions"}],"predecessor-version":[{"id":9633,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/9632\/revisions\/9633"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=9632"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=9632"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=9632"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}