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In 2013, the Lower Extremity Wound Pathway (LEWP) was one of two provincial pathways initiated in Saskatchewan to standardize patient care and remove surgical bottlenecks. The multidisciplinary pathway was led by vascular surgery and family medicine. The result of the pathway was a significant increase in wound referrals to vascular surgery, with a trend towards decreased major limb amputation. However, this led to increased demand in one tertiary hospital in Saskatoon, ultimately overwhelming local hospital resources and leading to the suspension of the pathway.
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Peti et al. (2023) studied this question.
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