TY - JOUR T1 - Multidisciplinary teams effect on major amputations in patients with diabetes JF - BMJ Evidence-Based Medicine JO - BMJ EBM SP - 202 LP - 203 DO - 10.1136/bmjebm-2020-111342 VL - 26 IS - 4 AU - Carl Heneghan AU - Kamal R Mahtani Y1 - 2021/08/01 UR - http://ebm.bmj.com/content/26/4/202.abstract N2 - Patients with diabetic foot ulcers are at high risk of lower leg amputations, which have a considerable impact on their quality of life. Identifying strategies to reduce this risk are a priority. Growing evidence suggests that supporting these patients through multidisciplinary teams (MDTs) may reduce the risk of amputations. A new systematic review gives insights into how these teams should be composed.The global prevalence of diabetes and its associated complications has risen substantially, with 153 million people affected in 1980, rising to 347 million in 2008.1 The macrovascular complications associated with diabetes, including cardiovascular disease (CVD), stroke and peripheral arterial disease (PAD), cause substantial morbidity and mortality. PAD may lead to non-healing injuries including ulcers, persistent infection, gangrene and act as a significant risk factor for lower-leg amputation. The incidence of non-traumatic amputations is at least 15 times greater in those with diabetes.2 Annually, approximately 1%–4% of patients with diabetes develop a foot ulcer (about 15% will have at least one-foot ulcer in their … ER -