Diabetes complications

Understanding Patient Preferences Regarding Limb Salvage for Diabetic Foot Ulcers: A Discrete Choice Experiment

Diabetes CarePublished Discrete choice experiment

Authors' conclusion

Postrecovery mobility is a critical factor for veterans with DFUs, outweighing concerns about amputation level and future surgical risks. It should be a focus of shared decision-making. The study is limited by its single-site setting and study population. Broader research is needed. Understanding patient preferences through DCE can inform more patient-centered approaches to DFU management, potentially improving outcomes and satisfaction.

Study context

Population
Military veterans with diabetes at the Baltimore Veterans Affairs Medical Center; mean age 69 years, 61% Black, 94% male, 53% prior foot complication10 choice sets
Participants
98 veterans
Outcome
Preferences regarding limb salvage for diabetic foot ulcers (DFUs): relative importance and utility of postrecovery mobility, amputation level and future surgery risk
Methodological detailssingle-site, multinomial logit model
  • Single-site
  • Multinomial logit model

Main finding

As reported in the abstract

Relative importance of attributes

Postrecovery mobility (most important attribute)

53%

Amputation level

30%

Future surgery risk

18%

Original publication

Understanding Patient Preferences Regarding Limb Salvage for Diabetic Foot Ulcers: A Discrete Choice Experiment. Diabetes Care. Published 3 July 2025. doi:10.2337/dc25-0478

Composed by AI from the published abstract and checked against it. How Briefs are made →

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