Facility-Level Variation in Major Leg Amputation Among Patients With Newly Diagnosed Diabetic Foot Ulcer
This cohort study of veterans with newly diagnosed DFU found significant facility-level variation in major leg amputation rates within 1 year of DFU diagnosis. Facility-level variation in 1-year mortality rates was much smaller, suggesting variation in leg amputation was likely to stem from variation in DFU-specific care. The VHA should strive to minimize the odds of major leg amputation and interfacility variation.
Authors
- Michael Ohl (ORCID: https://orcid.org/0000-0001-7277-787X)
- Mary Vaughan‐Sarrazin (ORCID: https://orcid.org/0000-0001-8717-1061)
- Hiroyuki Suzuki (ORCID: https://orcid.org/0000-0002-5953-3704)
- Daniel J. Livorsi (ORCID: https://orcid.org/0000-0001-8523-214X)
- Kimberly D. McCoy (ORCID: https://orcid.org/0000-0002-2013-0393)
- Meghan B. Brennan (ORCID: https://orcid.org/0000-0002-2316-4150)
- Jeffrey M. Robbins (ORCID: https://orcid.org/0009-0009-5688-4355)
- Bradley Mecham
Institutions
- University of Iowa (US)
- University of Wisconsin–Madison (US)
- Office of Patient Care Services (US)
- Iowa City VA Health Care System (US)
- William S. Middleton Memorial Veterans Hospital (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-04-23
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.6781
- Citations
- 1
- Primary Topic
- Diabetic Foot Ulcer Assessment and Management
- Type
- article
- Field-Weighted Citation Impact
- 1.29