New care model aims to save limbs for rural diabetes patients
NCT ID NCT05203471
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new way of coordinating care for rural patients with diabetic foot ulcers, who are at higher risk of major leg amputation. The model connects rural clinics with specialists to ensure patients receive timely, guideline-based treatment. Researchers compared outcomes for 131 patients receiving this integrated care to historical data, focusing on reducing above-ankle amputations. The goal was to gather evidence for a larger statewide trial.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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131 people
The number who actually took part.
- Started
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Feb 2023
- Finished
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Jun 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 89 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Healthcare worker inclusion criteria: * Willing to provide informed consent * Willing to comply with study procedures * Rural providers (primary care physicians at the UW Health Belleville Family Medicine Clinic, diabetes and wound care specialists at Sauk Prairie Healthcare Diabetes and Wound Care Clinic) and schedulers placing referrals. * Employed at a participating clinic * For rural providers, confirm understanding that they will retain clinical discretion to deviate from the integrated care model if they think it would best serve the patient. * Available for the duration of the study * Patient inclusion criteria: * Able and willing to provide informed consent. * Willing to comply with study procedures and be available for the duration of the study. * 18 years of age and older. * Patient with either type 1 or type 2 diabetes at a participating rural clinic. * Develops diabetic foot ulcer during enrollment period. Exclusion Criteria: * Healthcare worker exclusion criteria: * Insufficient overlap in work schedules between rural providers and scheduler based on clinic manager determination. * Patient exclusion criteria: * receiving palliative care such that referral to urban centers for aggressive limb salvage would be inappropriate, as assessed by patient rural provider * insurance does not cover referral to the University of Wisconsin's specialty clinics * Not suitable for study participation due to other reasons at the discretion of the investigators.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University of Wisconsin-Madison
Madison, Wisconsin, 53705, United States
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Other studies related to the condition(s) this trial covers.
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