Lower-Limb Preservation Strategy

Lower-limb amputation is a serious complication of non-healing wounds as a result of vascular disease and/or diabetes. Vascular disease and diabetes account for a significant number of non-traumatic lower-limb amputations in Ontario, of which up to 85% are estimated to be preventable. Successful implementation of organized lower-limb preservation efforts has shown tremendous reduction in amputation rates, saving millions in health care dollars, and most critically, providing appropriate limb-saving care to patients and communities.

CorHealth has developed a Lower-Limb Preservation Strategy (LLPS) with the following high-level goals:

  1. To reduce avoidable, non-traumatic major lower-limb amputations in Ontario
  2. To improve equitable access to high-quality best-practice early screening, cardiovascular risk factor modification and integrated lower-limb wound care

Guiding the development of this work is an Advisory Committee, chaired by Dr. Ahmed Kayssi (Vascular Surgeon, University of Toronto), made up of interprofessional lower-limb preservation experts and patient and family advisors with lived experience from across the province.

The outcomes of this work include:

  1. Ontario Framework for Lower-Limb Preservation
  2. Care Pathways
  3. Change Package (working document)
  4. Patient Toolkit (working document)
  5. Demonstration Program Engagement Approach

Funding policy and measurement and reporting recommendations are workstreams that are currently under development and will be added following their completion.

Please feel welcome to reach out to the CorHealth Ontario Service Desk at oh-corh_service@ontariohealth.ca for more information.