ICS - Saving lives and limbs: Mauritius’ first systematic Peripheral Arterial Disease screening programme for people with Diabetes
Saving lives and limbs: Mauritius’ first systematic Peripheral Arterial Disease screening programme for people with Diabetes
This collection provides a full insight into this Impact Case Study, including the ICS that was submitted to REF2021, underpinning research, corroborating evidence and PR/media engagement.
Mauritius has the world’s 2nd highest Diabetes fatality rate. Lewis’s expertise in the early identification of Peripheral Arterial Disease (PAD) and experience establishing UK screening led to her appointment to establish Diabetic foot screening within a Mauritian national screening programme. As a result, 78 Nurses covering 149 centres have been trained, conducting 239,888 screenings between 2016 and 2019. Actions taken as a direct result of these PAD screenings will save at least 2,144 lives by 2029 and the success of the Mauritius screenings has led to requests for a similar programme from the government of Trinidad.
For this case study, underpinning research outputs are provided below.
References to the Underpinning Research:
- Davies, J.H., Richards, J., Conway, K., Kenkre, J.E., Lewis, J.E. and Williams, E.M. (2017) 'Primary care screening for peripheral arterial disease: a cross-sectional observational study', British Journal of General Practice, 67(655), pp.e103-e110. DOI: 10.3399/bjgp17X689137
- Lewis, JEA, Williams, P, Davies, J.H. Non-invasive assessment of peripheral arterial disease: Automated ankle brachial index measurement and pulse volume analysis compared to duplex scan (2016). SAGE Open Medicine, July 12, 2016. DOI: 10.1177/2050312116659088
- Lewis, J.E., Morris, K., Powell, T., Thomas, R.L. and Owens, D.R. (2020) 'Combining Diabetic foot and retinopathy screening: A step in the right direction?–a feasibility study', SAGE Open Medicine, 8, DOI: 10.1177/2050312120946244
- Jeffcoate, W., Gooday, C.,Harrington, A., Lewis, J, Cawley, S. and Young, R. (2020) The National Diabetes Foot Care Audit of England and Wales: achievements and challenges. The Diabetic Foot Journal 23(1): 70–3
- Davies, J.H., Lewis, J.E.A.and Williams, E.M. (2014) 'The utility of pulse volume waveforms in the identification of lower limb arterial insufficiency', EWMA Journal, 14 (2), pp. 21-25.
*Bold denotes Cardiff Met staff members named in the REF2021 ICS.
Links:
Webpage documenting this work can be accessed here: https://d-net.idf.org/en/index.php?option=com_newsletter&view=newsletter&id=231&tmpl=newsletter
Link to 2020 WHO article detailing cut in Diabetic foot amputations due to foot care clinics in Mauritius: https://www.afro.who.int/countries/mauritius/news/mauritian-clinics-help-cut-diabetic-foot-amputations
For articles or discussion about this ICS on Cardiff Met's webpages, please follow the below links:
https://www.cardiffmet.ac.uk/research/ref/Pages/REF-Impact-PAD-Screening-in-Mauritius.aspx
https://results2021.ref.ac.uk/impact/ceaae556-c97f-4817-8e53-a7227621afb1?page=1
https://www.cardiffmet.ac.uk/health/research/hrm/Pages/Podiatry.aspx
