Status:
COMPLETED
Crossing the Divide: Piloting Integrated Care to Reduce Amputations Among Rural Patients With Diabetic Foot Ulcers
Lead Sponsor:
University of Wisconsin, Madison
Collaborating Sponsors:
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Conditions:
Diabetic Foot
Diabetic Ulcer of Left Foot
Eligibility:
All Genders
18-89 years
Phase:
NA
Brief Summary
This project directly addresses the escalating national rate of major (above-ankle) amputations due to diabetic foot ulcers; it focuses on rural patients, who face 37% higher odds of major amputation ...
Eligibility Criteria
Inclusion
- Healthcare worker inclusion criteria:
- Willing to provide informed consent
- Willing to comply with study procedures
- Rural providers (primary care physicians at the UW Health Belleville Family Medicine Clinic, diabetes and wound care specialists at Sauk Prairie Healthcare Diabetes and Wound Care Clinic) and schedulers placing referrals.
- Employed at a participating clinic
- For rural providers, confirm understanding that they will retain clinical discretion to deviate from the integrated care model if they think it would best serve the patient.
- Available for the duration of the study
- Patient inclusion criteria:
- Able and willing to provide informed consent.
- Willing to comply with study procedures and be available for the duration of the study.
- 18 years of age and older.
- Patient with either type 1 or type 2 diabetes at a participating rural clinic.
- Develops diabetic foot ulcer during enrollment period.
Exclusion
- Healthcare worker exclusion criteria:
- Insufficient overlap in work schedules between rural providers and scheduler based on clinic manager determination.
- Patient exclusion criteria:
- receiving palliative care such that referral to urban centers for aggressive limb salvage would be inappropriate, as assessed by patient rural provider
- insurance does not cover referral to the University of Wisconsin's specialty clinics
- Not suitable for study participation due to other reasons at the discretion of the investigators.
Key Trial Info
Start Date :
February 16 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 25 2025
Estimated Enrollment :
114 Patients enrolled
Trial Details
Trial ID
NCT05203471
Start Date
February 16 2023
End Date
June 25 2025
Last Update
July 3 2025
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
University of Wisconsin-Madison
Madison, Wisconsin, United States, 53705