The Foot & Ankle Weekly
Feb. 24, 2015

Home-based walking program boosts mobility but does not alter rate of falls
Lower Extremity Review
While walking is a popular form of exercise among the elderly that improves mobility, a home-based walking program does not curb the risk of falling, according to an Australian study. Researchers from multiple institutions in New South Wales recruited 386 people aged 65 years and older from the Sydney area and randomized them to two groups.More

How to work with patients to improve high-deductible collections
There's no question: High deductibles change the landscape in which physician practices provide care. Though the challenges are vast when it comes to educating patients, training employees and updating policies to keep collections strong in the era of consumer-directed care, a recent article from Medical Economics offers several strategies to ease the strain.More

Doctors say data fees are blocking health reform
As they move to exchange patient information with hospitals and other healthcare partners, doctors are suffering sticker shock: The vendors of the healthcare software want thousands of dollars to unlock the data so they can be shared. It may take an act of Congress to provide relief. More

Managing obesity starts with patient engagement
HealthLeaders Media
"Disrespect" shown by some healthcare providers "may discourage future visits or delay essential care that could lead to weight loss or the detection of diseases associated with obesity," a researcher says. With more than one-third of Americans suffering from obesity, clinicians are struggling to find the key to help these patients get and stay healthy. But a new report suggests that cultural changes in healthcare and properly educating clinicians about obesity might be the secret weapon to engaging these patients. More

Advances in stem cell therapy can improve outcomes for patients with chronic diabetic foot ulcers
According to data presented at the 73rd Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS), advances in stem cell therapy can significantly improve outcomes for patients with chronic diabetic foot ulcers. Use of stem cells to treat foot problems like diabetic ulcers may speed up the healing process, preventing infection and hospitalization during recovery.More

Insoles, added toe orthoses can improve RA, OA metatarsalgia outcomes
Polypropylene terephthalate and custom silicone toe orthoses improved outcomes in forefoot involvement in rheumatoid arthritis and osteoarthritis patients, especially if treatment began with insoles and combined with toe orthoses at a later time. Researchers recruited 13 patients with rheumatoid arthritis (RA) and 11 with osteoarthritis (OA) and metatarsalgia from the outpatient clinic at Piero Palagi Hospital in Florence, Italy, between September to November 2012 and the study continued through May 2013.More

Outcomes of neuroischemic wounds treated by a multidisciplinary amputation prevention service
Annals of Vascular Surgery
Multidisciplinary amputation prevention teams decrease the frequency of major amputations by increasing the use of revascularization procedures and minor amputations. The outcomes of wound healing, wound recurrence, and ambulatory status are assumed to be improved but are not routinely reported. This study investigates the mid-term outcomes of neuroischemic wounds treated by our multidisciplinary team.More