Seminars in Vascular Surgery最新文献

英文中文

Institutional toe & flow programs: How and why the teams work 机构脚趾和流动程序：团队如何以及为什么工作

IF 3.3 3区医学 Q1 PERIPHERAL VASCULAR DISEASE

Seminars in Vascular Surgery

Pub Date : 2025-03-01 DOI: 10.1053/j.semvascsurg.2025.01.008

Ahmed A. Naiem, Ryan T. Callahan, Alexander M. Reyzelman, Michael S. Conte

Diabetic foot ulcers with or without concomitant chronic limb-threatening ischemia put patients at exceedingly high risk of limb loss and death. The toe & flow model is a multidisciplinary team-based model captained by a podiatrist or orthopedic foot and ankle specialist and a vascular specialist, which streamlines treatment for patients with diabetic foot ulcer and chronic limb-threatening ischemia. This model creates a functional ecosystem around it by integrating other medical professionals and community partners. It provides a high standard of care first via community education and engagement. It eliminates barriers to access between it and the community by establishing clear referral pathways. This model uses the best available evidence to create treatment pathways governing the patient trajectory through different stage of disease. Once acute treatment is provided, it aims to consolidate success and disease remission through aggressive surveillance and collaboration with the community. An important aspect of this model is that it collects and reports its outcomes and serves as an educational hub within its region. It ultimately aims to develop national policies and allocate resources to continue to improve. This review sheds light on successes associated with institutional toe & flow programs.

糖尿病足溃疡伴或不伴慢性肢体威胁缺血，使患者失去肢体和死亡的风险极高。脚趾头& &；Flow模型是一种多学科团队模型，由足科医生或骨科足踝专科医生和血管专科医生领导，简化了糖尿病足溃疡和慢性肢体缺血患者的治疗。这种模式通过整合其他医疗专业人员和社区合作伙伴，围绕它创建了一个功能生态系统。它首先通过社区教育和参与提供高标准的护理。它通过建立明确的转诊途径，消除了它与社区之间的访问障碍。该模型使用现有的最佳证据来创建通过不同疾病阶段控制患者轨迹的治疗途径。一旦提供了急性治疗，它的目标是通过积极的监测和与社区合作来巩固成功和疾病缓解。该模式的一个重要方面是它收集和报告其结果，并在其区域内充当教育中心。它的最终目标是制定国家政策和分配资源，以继续改善。这篇综述揭示了与制度脚趾相关的成功。流项目。

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