A5085448555- Diabetic Foot Ulcer Assessment and Management
- Pressure Ulcer Prevention and Management
- Wound Healing and Treatments
- Diabetes Treatment and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Chronic Disease Management Strategies
- Diabetes Management and Research
- Bariatric Surgery and Outcomes
- Machine Learning in Healthcare
- Chronic Kidney Disease and Diabetes
- Health Systems, Economic Evaluations, Quality of Life
- Diagnosis and Treatment of Venous Diseases
- Dialysis and Renal Disease Management
- Skin Diseases and Diabetes
- Dental Health and Care Utilization
- Oral microbiology and periodontitis research
- Behavioral Health and Interventions
- Health Services Management and Policy
- Gestational Diabetes Research and Management
- Global Healthcare and Medical Tourism
- Obstructive Sleep Apnea Research
- Dysphagia Assessment and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Obesity and Health Practices
- International Relations and Foreign Policy
SingHealth
2013-2025
Mahsa University
2023
Creative Research Enterprises (United States)
2018
Health Economics and Outcomes Research (United Kingdom)
2011
Introduction To compare the clinical outcomes and healthcare utilization of patients enrolled in multidisciplinary Diabetic Foot Primary Tertiary (DEFINITE) Care program with a matched historical cohort estimate program’s long-term cost-effectiveness using simulation. Research design methods This study consisted two components: 1-year observational outcome evaluation simulation-based analysis (CEA). We conducted an to analyze 2798 diabetic foot ulcers (DFUs) between June 2020 2021 (DEFINITE...
Background Diabetic foot ulcers (DFUs) impose a substantial burden on healthcare systems worldwide, leading to diminished health-related quality of life (HRQoL) characterised by reduced productivity and limited mobility. Objectives The aim this cross-sectional longitudinal study was compare the HRQoL in patients with both healed non-healed over 12 months. Methods We recruited prospective cohort 257 from Foot Primary Tertiary (DEFINITE) Care program. assessed their using EuroQol Five-...
Background: Singapore stands among the countries with highest rates of diabetes-related lower extremity amputation (LEA) globally. Effective management diabetic foot ulcer (DFU) is crucial for preserving patients’ limb function and alleviating healthcare burden. Existing literature has demonstrated promising impact DFU care provided by multidisciplinary team (MDT) on salvage. Since 2020, Diabetic Foot in Primary Tertiary (DEFINITE) Care programme, a comprehensive initiative integrating...
Abstract This study evaluated the effectiveness of a multi‐disciplinary diabetic limb salvage programme in improving clinical outcomes and optimising healthcare utilisation 406 patients aged ≥80 years with foot ulcers (DFUs), compared to 2392 younger enrolled from June 2020 2021 against 1716 historical controls using one‐to‐one propensity score matching. Results showed that elderly had lower odds amputation‐free survival (odds ratio: 0.64, 95% CI: 0.47, 0.88) shorter cumulative length stay...
Background: Lower extremity amputation (LEA) is defined as the complete loss in transverse anatomical plane of any part lower limb. The objective this study to look at trend and mortality LEA performed diabetes patients from 2008 2013. Methods: All age 15 above with mellitus who had undergone LEAs (both major minor) Tan Tock Seng Hospital, Singapore 1 January 31 December 2013 were included. outcomes interest deaths all causes within 30 days year. Results: Major rate has increased 11.0 per...
Diabetic Foot in Primary and Tertiary (DEFINITE) Care is an inter-institutional multi-disciplinary team (MDT) health systems innovation programme at a healthcare cluster Singapore. We aim to achieve coordinated MDT care across primary tertiary for patients with diabetic foot ulcers (DFU), within our public - integrated network of seven polyclinics two acute hospitals (1700-bed 800-bed) total catchment population 2.2 million residents. Results from prospective DEFINITE referenced against...
The prognosis of diabetic kidney disease is poor because epidemiological data have shown that all-cause mortality increases with declining renal function. This study aims to estimate the annual rate stratified by chronic (CKD) stages and identify predictors mortality. Patients Stage 3–5 CKD (estimated glomerular filtration [eGFR] less than 60 mL/min per 1.73 m2) from National Healthcare Group Registry 1 January 2007 31 December were included in this study. patients followed up till 30...
Purpose The purpose of this paper is to evaluate the impact delivering healthy eating messages through an interactive health corner (HC) on improving dietary habits in participants. Design/methodology/approach Self-administered questionnaires were administered participants after education session. In total, 5,292 valid obtained, yielding a response rate 93.3 per cent. last three months pilot study, random sample 305 from 1,493 was chosen and followed up six later. Bivariate analysis used...
Introduction: The risk of lower extremity amputations (LEAs) in diabetics is 20 times higher than non-diabetics. Clinical practice guidelines recommend that all should receive an annual foot examination to identify high-risk conditions. Despite this recommendation, there little evidence the literature show its effectiveness preventing LEA. This study aims evaluate diabetes screening primary care LEA and factors. Materials Methods: a retrospective cohort diabetic patients who visited National...
Present guidelines recommend a multidisciplinary team (MDT) approach to diabetic foot ulcer (DFU) care, but relevant data from Asia are lacking. We aim evaluate the clinical and economic outcomes of an MDT in lower extremity amputation prevention programme (LEAPP) for DFU care Asian population. performed case-control study 84 patients with between January 2017 October (retrospective control) vs 117 December July 2018 (prospective LEAPP cohort). Comparing retrospective cohort cohort, there...
Diabetic Foot in Primary and Tertiary (DEFINITE) Care is an inter-institutional, multidisciplinary team (MDT) program for patients with diabetic foot ulcers (DFU) within a healthcare cluster Singapore. This one of our subgroup analyses DEFINITE Care, assessing clinical outcomes lower extremity amputation prevention (LEAPP), clinic, non-LEAPP the program. From June 2020 to 2022, 2798 cohort completed minimum 12-month follow up. Of these patients, 20.6% were managed by LEAPP, whereas 79.4%...
We studied the epidemiological trends of enteric fevers (typhoid and paratyphoid fever) in Singapore from 1990 to 2009 carried out a review current prevention control measures.Epidemiological records all reported maintained by Communicable Diseases Division, Ministry Health were analysed.A total 2464 laboratory confirmed cases (1699 typhoid 765 paratyphoid) reported. Of these, 75% imported, mainly India Indonesia. There had been significant fall mean annual incidence rate indigenous 4.3 per...
Introduction: Chronic kidney disease (CKD) is a major public health problem where majority of patients are managed in the primary care. The risk factors advanced age, hypertension and diabetes mellitus, control paramount to prevent progression CKD. objective study describe epidemiology quality care with CKD stages 3 5 at National Healthcare Group Polyclinics (NHGP). Materials Methods: was carried out using data from (NHG) Renal Registry. Patients were included if they identified have based...
Abstract Background: The aims of the present study were to estimate rate progression from newly diagnosed impaired fasting glycemia (IFG) type 2 diabetes mellitus (T2DM) in Singapore and identify factors associated with T2DM individuals IFG. Methods: was a retrospective cohort IFG National Healthcare Group Diabetes Registry between 1 January 2006 31 December 2007 estimated T2DM. Univariate survival analysis, followed by multivariate performed interactions tested final model. Results: Over...
The mean annual direct medical cost of type 2 diabetes mellitus (T2DM) in Singapore has been found to be SGD 2034 using the prevalence-based approach, but lifetime T2DM remains largely unknown. aim present study was determine attributable and provide estimates potential savings if can prevented or delayed.The incidence-based approach used for cost-of-illness analysis. Yearly expenses were obtained from a regional health system database estimate patients. Then, non-T2DM subjects predicted...
One of the laboratory tests recommended by American Diabetes Association (ADA) to screen for diabetes mellitus (DM) is HbA1c, and it particularly suitable segments population that cannot or are unwilling fast a screening test. The aim this study was determine whether HbA1c would be useful tool DM in real-world setting if ADA guidelines repeat testing confirm diagnosis strictly adhered to.A retrospective database performed extracting demographic data from chronic disease registry collects on...
Accurate identification of individuals at risk developing chronic kidney disease (CKD) may improve clinical care. Nelson et al. developed prediction equations to estimate the incident eGFR less than 60 mL/min/1.73 m2 in diabetic and non-diabetes patients using data from 34 multinational cohorts. We aim validate equation our local multi-ethnic cohort develop further models.
Summary This study assessed the cost‐effectiveness of continuous positive airway pressure treatment for obstructive sleep apnea in Singapore from a health system perspective. The analysis evaluated 5‐year care pathway using Markov model, considering per‐patient costs treatment, cost savings and attributed conditions, effectiveness measured disability‐adjusted life years with discount rate 3% weighted adherence 74.1% studies. Per‐patient were large public hospital Singapore. Efficacy obtained...
Adherence to treatment plans is crucial for patients with diabetic foot ulcers (DFUs) achieve positive outcomes. With limited understanding of nonadherence and its impacts on care outcomes, this study aimed explore the reasons factors associated in an integrated limb salvage (DLS) programme evaluate effects This included 2798 DFU who were enrolled DLS across multiple institutions central northern Singapore from 2020 2021. Reasons obtained via telephone interviews. Factors identified using...