Outcomes from a multidisciplinary diabetes foot disease (DFD) service

Shandana Noor; Sara George; Elizabeth Carrig; Marilyn McDonagh; Adeel Zafar; Antonella Milos; Mohammad Bin Mahfooz; Anne Marie Hannon; Eoin Noctor; Audrey Melvin

doi:10.1530/endoabs.115.P50

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Endocrine Abstracts (2026) 115 P50 | DOI: 10.1530/endoabs.115.P50

IES2025 Research, Audit and Quality Improvement Projects Physical Posters (55 abstracts)

Outcomes from a multidisciplinary diabetes foot disease (DFD) service

Shandana Noor ¹ , Sara George ¹ , Elizabeth Carrig ¹ , Marilyn McDonagh ¹ , Adeel Zafar ² , Antonella Milos ³ , Mohammad Bin Mahfooz ¹ , Anne Marie Hannon ¹ , Eoin Noctor ¹ & Audrey Melvin ¹

Author affiliations

¹Department of Endocrinology; ²Department of Vascular surgery; ³Department of Infectious Disease, University Hospital Limerick, Ireland

Multidisciplinary team (MDT) approaches reduce the amputation rates among individuals with DFD. A MDT clinic was formally introduced in January 2025 in University Hospital Limerick. Criteria for the MDT clinic included patients requiring input from two or more of the following services, endocrinology, vascular surgery or infectious diseases (ID). Those not fulfilling this criteria underwent usual care. We report the outcomes of our diabetes foot MDT for those with the complex care needs. A total 22 diabetes patients were assessed by the MDT over 5 months. Those using the service had an average age (SD) of 70.5 ±15.57 years and 68.18% were male. At the time of review median HBA1c of 65 mmol/mol (range 37-85) among the cohort. All patients were reviewed by podiatry and endocrinology teams, with vascular surgery, vascular nurse specialist and ID assessing 81%, 50% and 31.8% respectively. MDT interventions were as follows; 50% were managed conservatively, 36% received antibiotic therapy, 13% required nail avulsion surgery, Only 1 patient needed urgent admission from MDT clinic. Outcomes were as follows; 40% required follow up within MDT service, 27% followed in the acute podiatry clinic, 13% in the vascular clinic and 20% of the patients followed with community podiatry. The 30-day admission rate for this cohort was 13%, the amputation rate was 13% and mortality was recorded at 0%. Further data collection is required to determine the number of patients “alive and ulcer free” at 12 weeks to enable comparison to the NHS national diabetes foot audit.