Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital

Version 1 : Received: 25 April 2023 / Approved: 26 April 2023 / Online: 26 April 2023 (02:45:21 CEST)
Version 2 : Received: 23 May 2023 / Approved: 25 May 2023 / Online: 25 May 2023 (02:56:11 CEST)
Version 3 : Received: 26 September 2023 / Approved: 27 September 2023 / Online: 27 September 2023 (08:18:15 CEST)

How to cite: Pérez-Montes, A.; Ricou Ríos, L.; Pons Calsapeu, A.; López Seguí, F.; Riera, C.; Sirvent, M.; Reynaga, E.; Viadé, J.; Malagon, P.; Soldevila, B.; Perez, R.; Casademunt, E.; Bonet, G.; Puig Domingo, M.; Estrada, O.; Alonso, N. Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital. Preprints 2023, 2023040930. https://doi.org/10.20944/preprints202304.0930.v2 Pérez-Montes, A.; Ricou Ríos, L.; Pons Calsapeu, A.; López Seguí, F.; Riera, C.; Sirvent, M.; Reynaga, E.; Viadé, J.; Malagon, P.; Soldevila, B.; Perez, R.; Casademunt, E.; Bonet, G.; Puig Domingo, M.; Estrada, O.; Alonso, N. Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital. Preprints 2023, 2023040930. https://doi.org/10.20944/preprints202304.0930.v2

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MDPI and ACS Style

Pérez-Montes, A.; Ricou Ríos, L.; Pons Calsapeu, A.; López Seguí, F.; Riera, C.; Sirvent, M.; Reynaga, E.; Viadé, J.; Malagon, P.; Soldevila, B.; Perez, R.; Casademunt, E.; Bonet, G.; Puig Domingo, M.; Estrada, O.; Alonso, N. Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital. Preprints 2023, 2023040930. https://doi.org/10.20944/preprints202304.0930.v2

APA Style

Pérez-Montes, A., Ricou Ríos, L., Pons Calsapeu, A., López Seguí, F., Riera, C., Sirvent, M., Reynaga, E., Viadé, J., Malagon, P., Soldevila, B., Perez, R., Casademunt, E., Bonet, G., Puig Domingo, M., Estrada, O., & Alonso, N. (2023). Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital. Preprints. https://doi.org/10.20944/preprints202304.0930.v2

Chicago/Turabian Style

Pérez-Montes, A., Oriol Estrada and Núria Alonso. 2023 "Economic Impact of the Implementation of a Multidisciplinary Diabetic Foot Clinic in a Tertiary Hospital" Preprints. https://doi.org/10.20944/preprints202304.0930.v2

Abstract

Aims: Multidisciplinary diabetic foot clinics have been shown to be an effective therapeutic model for reducing major amputations and mortality rates. The aim of this article is to assess the economic impact of the implementation of a multidisciplinary diabetic foot clinic in a hospital in Barcelona, Spain. Methods: Observational cost-benefit study of all subjects with diabetes admitted with the diagnosis of a major amputation due to diabetic foot from 2010 to 2020. Direct and indirect costs were compared before and after the introduction of the multidisciplinary diabetic foot clinic. Results: The individual cost per patient with diabetic foot was €14,768 before the implementation of the unit. After the implementation of the clinic, the expected cost was reduced to €5,985 due to a 40% reduction in the probability of hospitalization. Overall, the implementation of the clinic resulted in cost savings per patient valued at €8,783, of which, €7,165 are related to hospital benefits. Conclusion: The results of this analysis contributes to the evidence suggesting that multidisciplinary diabetic foot clinics are cost-effective, by demonstrating that they have a positive impact on patient health while also reducing the utilization of healthcare resources.

Keywords

Multidisciplinary pain clinic; Diabetic foot; Amputation; Foot ulcer; Diabetes Mellitus; Economic evaluation; Cost Benefit Analysis

Subject

Medicine and Pharmacology, Endocrinology and Metabolism

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comments (1)

Comment 1

Received: 25 May 2023
Commenter: Francesc López Seguí
Commenter's Conflict of Interests: Author

Comment: - The abstract has been condened for breverty.
- The capitalization of words linke "Diabetes Mellitus" has been corrected.
- The methods sections has been restructured for improved organization.
- A more inclusive and person-centered language has been adopted by referring to patients as "patient with diabetic foot".

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