• Disease
  • Diabetic
  • Diabetic Foot
  • David George Armstrong

    Prominent publications by David George Armstrong

    KOL Index score: 16797

    OBJECTIVE: The purpose of this study was to evaluate whether the new Society for Vascular Surgery (SVS) Wound, Ischemia, and foot Infection (WIfI) classification system correlates with important clinical outcomes for limb salvage and wound healing.

    METHODS: A total of 201 consecutive patients with threatened limbs treated from 2010 to 2011 in an academic medical center were analyzed. These patients were stratified into clinical stages 1 to 4 on the basis of the SVS WIfI classification. ...

    Also Ranks for: Major Amputation |  vascular surgery |  foot infection |  wound healing |  lower extremity
    KOL Index score: 16621

    BackgroundThe aim of this paper was to create an updated Australian guideline on footwear for people with diabetes.MethodsWe reviewed new footwear publications, (inter)national guidelines, and consensus expert opinion alongside the 2013 Australian footwear guideline to formulate updated recommendations.ResultWe recommend health professionals managing people with diabetes should: (1) Advise people with diabetes to wear footwear that fits, protects and accommodates the shape of their feet. ...

    Also Ranks for: People Diabetes |  foot ulceration |  health professionals |  international guidelines |  plantar pressure
    KOL Index score: 14800

    BACKGROUND: Footwear and offloading techniques are commonly used in clinical practice for preventing and healing of foot ulcers in persons with diabetes. The goal of this systematic review is to assess the medical scientific literature on this topic to better inform clinical practice about effective treatment.

    METHODS: We searched the medical scientific literature indexed in PubMed, EMBASE, CINAHL, and the Cochrane database for original research studies published since 1 May 2006 related ...

    Also Ranks for: Plantar Pressure |  foot ulcers |  offloading interventions |  controlled studies |  ulcer healing
    KOL Index score: 14258

    OBJECTIVE: We have previously demonstrated that high plantar pressures can predict foot ulceration in diabetic patients. The aim of the present study was to evaluate both the relationship between forefoot and rearfoot plantar pressure in diabetic patients with different degrees of peripheral neuropathy and their role in ulcer development.

    RESEARCH DESIGN AND METHODS: Diabetic patients of a 30-month prospective study were classified according to the neuropathy disability score: scores of ...

    Also Ranks for: Foot Ulceration |  diabetic neuropathy |  pressure ratio |  diabetes mellitus |  ulcer development
    KOL Index score: 13637

    OBJECTIVE: To report the incidence of diabetes-related lower-extremity complications in a cohort of patients enrolled in a diabetes disease management program.

    RESEARCH DESIGN AND METHODS: We evaluated screening results and clinical outcomes for the first 1,666 patients enrolled in a disease management program for a period of 24 months (50.3% men, aged 69.1 +/- 11.1 years).

    RESULTS: The incidence of ulceration, infection, amputation, and lower-extremity bypass was 68.4, 36.5, 5.9, and ...

    Also Ranks for: Mexican Americans |  incidence amputation |  nonhispanic whites |  diabetic foot syndrome |  ulceration infection
    KOL Index score: 12954

    BACKGROUND: Footwear and offloading techniques are commonly used in clinical practice for the prevention and treatment of foot ulcers in diabetes, but the evidence base to support this use is not well known. The goal of this review was to systematically assess the literature and to determine the available evidence on the use of footwear and offloading interventions for ulcer prevention, ulcer treatment, and plantar pressure reduction in the diabetic foot.

    METHODS: A search was made for ...

    Also Ranks for: Plantar Pressure |  foot ulcers |  offloading interventions |  ulcer prevention |  diabetes systematic review
    KOL Index score: 12630

    The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. This guideline is on the use of offloading interventions to promote the healing of foot ulcers in people with diabetes and updates the previous IWGDF guideline. We followed the GRADE methodology to devise clinical questions and critically important outcomes in the PICO format, to conduct a systematic review of the ...

    Also Ranks for: Foot Ulcers |  offloading treatment |  physicians systematic reviews |  topic practice patterns |  evidence systematic review
    KOL Index score: 12282

    Critical limb ischemia, first defined in 1982, was intended to delineate a subgroup of patients with a threatened lower extremity primarily because of chronic ischemia. It was the intent of the original authors that patients with diabetes be excluded or analyzed separately. The Fontaine and Rutherford Systems have been used to classify risk of amputation and likelihood of benefit from revascularization by subcategorizing patients into two groups: ischemic rest pain and tissue loss. Due ...

    Also Ranks for: Risk Stratification |  threatened limb |  lower extremity |  wound ischemia |  vascular surgery
    KOL Index score: 12138

    The outcome of management of diabetic foot ulcers is poor and there is uncertainty concerning optimal approaches to management. We have undertaken a systematic review to identify interventions for which there is evidence of effectiveness. A search was made for reports of the effectiveness of interventions assessed in terms of healing, ulcer area or amputation in controlled clinical studies published prior to December 2006. Methodological quality of selected studies was independently ...

    Also Ranks for: Chronic Ulcers |  interventions healing |  selected studies |  systematic review effectiveness |  methodological quality
    KOL Index score: 11611

    BACKGROUND: The purpose of this study was to determine the degree to which pressure on the plantar aspect of the forefoot is reduced following percutaneous lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot.

    METHODS: Ten diabetic patients who had a history of neuropathic plantar ulceration of the forefoot were enrolled in a laboratory gait trial. A repeated-measures design and a computer analysis of force-plate data were used to ...

    Also Ranks for: Achilles Tendon |  diabetic patients |  risk ulceration |  plantar aspect |  peak pressure
    KOL Index score: 11564

    BACKGROUND: Diabetic foot neuropathy (DFN) is one of the most important complications of diabetes mellitus; its early diagnosis and intervention can prevent foot ulcers and the need for amputation. Thermometry, measuring the temperature of the feet, is a promising emerging modality for diabetic foot ulcer prevention. However, patient compliance with at-home monitoring is concerning. Delivering messages to remind patients to perform thermometry and foot care might be helpful to guarantee ...

    Also Ranks for: Diabetic Foot |  study protocol |  randomized controlled trial |  2 diabetes |  cell phone
    KOL Index score: 11557

    AIMS: The outcome of foot ulcers is affected by wound depth, infection, ischaemia and glycaemic control. The aim of this study was to determine the effects of ulcer size, site, patient's age, sex and type and duration of diabetes on the outcome of diabetic foot ulcers.

    METHODS: Diabetic patients with new foot ulcers presenting during a 12-month period had demographics and ulcer characteristics recorded at presentation. Ulcers were followed-up until an outcome was noted.

    RESULTS: One ...

    Also Ranks for: Foot Ulcers |  ulcer size |  duration diabetes |  patients age |  outcome diabetic
    KOL Index score: 11263

    AIMS: Among people with diabetes, 10-25% will experience a foot ulcer. Research has shown that supplementation with arginine, glutamine and β-hydroxy-β-methylbutyrate may improve wound repair. This study tested whether such supplementation would improve healing of foot ulcers in persons with diabetes.

    METHODS: Along with standard of care, 270 subjects received, in a double-blinded fashion, (twice per day) either arginine, glutamine and β-hydroxy-β-methylbutyrate or a control drink for 16 ...

    Also Ranks for: Foot Ulcers |  arginine glutamine |  wound healing |  hydroxy β |  nutritional supplementation
    KOL Index score: 11132

    BACKGROUND: Diabetic foot infections are a common and serious problem, yet few randomised trials of adequate quality have compared the efficacy of the various antibiotic regimens available for their treatment. Our aim was to assess the efficacy and safety of ertapenem versus piperacillin/tazobactam for foot infections.

    METHODS: We did a randomised, double-blinded, multicentre trial in adults (n=586) with diabetes and a foot infection classified as moderate-to-severe and requiring ...

    Also Ranks for: Diabetic Foot Infections |  piperacillin tazobactam |  patients ertapenem |  antibiotic regimens |  bacteria gram


    David George Armstrong: Influence Statistics

    Sample of concepts for which David George Armstrong is among the top experts in the world.
    Concept World rank
    mri nomenclature #1
    army navy pla #1
    lowerextremity amputation #1
    burden foot disease #1
    wound area estimation #1
    prophylactic diabetic #1
    great toe ray #1
    ledu propensitymatched #1
    ahsc vlus #1
    skin temperature monitoring #1
    protective sensation lops #1
    fddfc #1
    tess time #1
    median wound #1
    wearables foot temperature #1
    proportion wound healing #1
    infection wound microbiology #1
    rearfoot ratio #1
    p005 closed standing #1
    lengthening achilles #1
    orthopedic equipment #1
    pivotal factors development #1
    protective sensation wound #1
    clinicians armamentarium problem #1
    closure conditions tsr #1
    offloading interventions healing #1
    dermal thermometry #1
    rcw shoe #1
    iot 17 groups #1
    physician dfis #1
    surgical management ankle #1
    healthcare diabetic foot #1
    cell proliferation epg #1
    npwt 16 weeks #1
    remission ulceration #1
    wounds contralateral foot #1
    exam periods #1
    comprehensive foot examination #1
    noncompliant patients treatment #1
    ahsc treatment #1
    patients mp npwt #1
    odds amputation level #1
    development interdisciplinary teams #1
    wound chronification #1
    effectiveness plantar pressure #1
    patients foot wound #1
    resection great toe #1
    shared patient organizations #1
    square centimeter midfoot #1
    interdisciplinary approach management #1

    Key People For Diabetic Foot

    Top KOLs in the world
    David George Armstrong
    diabetic foot wound healing diabetes mellitus
    Andrew J M Boulton
    diabetic foot diabetes mellitus corneal confocal microscopy
    Lawrence A Lavery
    diabetic foot wound healing diabetes mellitus
    J A P Apelqvist
    diabetic foot gestational diabetes wound healing
    Benjamin Alan Lipsky
    diabetic foot antibiotic therapy soft tissue
    Nicolaas C Schaper
    maastricht study type 2 diabetes diabetic foot

    David George Armstrong:Expert Impact

    Concepts for whichDavid George Armstronghas direct influence:Diabetic foot,  Diabetic foot ulcers,  Wound healing,  Foot ulcers,  Diabetic foot infections,  Diabetes mellitus,  Foot infections,  Plantar pressure.

    David George Armstrong:KOL impact

    Concepts related to the work of other authors for whichfor which David George Armstrong has influence:Diabetic foot,  Wound healing,  Diabetes mellitus,  Plantar pressure,  Type 2,  Staphylococcus aureus,  Major amputation.



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    Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles | Southwestern Academic Limb Salvage Alliance (SALSA), Los Angeles, California | Southwestern Academic Limb Salvage Alliance, Keck School of Medicine, Un