1. Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition)
- Author
-
Guoping Chu, Wengbo Yang, Wenjuan Wang, Hao Zhang, Yin Hu, Aiping Wang, Houfa Geng, Boey Johnson, Jin’an Chen, Wei Wang, Guozhong Lv, Xingbo Cheng, Dalong Zhu, Yiqiu Jiang, Jianchao Gui, Yue-dong Chen, Ji Hu, Yihui Li, Meng Lu, Lin Jiang, Xianghua Ma, Wei Feng, and Rendong Zheng
- Subjects
medicine.medical_specialty ,Diabetic foot osteomyelitis ,medicine.medical_treatment ,Biomedical Engineering ,Dermatology ,Disease ,030204 cardiovascular system & hematology ,Guideline ,Diabetic complication ,Critical Care and Intensive Care Medicine ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,Multidisciplinary approach ,law ,Diabetes mellitus ,Peripheral arterial disease ,Diabetic foot infection ,Immunology and Allergy ,Medicine ,030212 general & internal medicine ,Intensive care medicine ,Transcutaneous oxygen pressure ,Rehabilitation ,business.industry ,Foot and ankle surgery ,Vascular surgery ,Recommendation ,medicine.disease ,Diabetic foot ,Diabetic peripheral neuropathy ,Diabetic foot disease ,Ankle-brachial index ,Emergency Medicine ,Randomized controlled trials ,Surgery ,business - Abstract
In recent years, as living standards have continued to improve, the number of diabetes patients in China, along with the incidence of complications associated with the disease, has been increasing. Among these complications, diabetic foot disease is one of the main causes of disability and death in diabetic patients. Due to the differences in economy, culture, religion and level of medical care available across different regions, preventive and treatment methods and curative results for diabetic foot vary greatly. In multidisciplinary models built around diabetic foot, the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology. In 2019, under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society, the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition) was established with the participation of scholars from the specialist areas of endocrinology, burn injury, vascular surgery, orthopedics, foot and ankle surgery and cardiology. Drawing lessons from diabetic foot guidelines from other countries, this guide analyses clinical practices for diabetic foot, queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China. This paper begins with assessments and diagnoses of diabetic foot, then describes treatments for diabetic foot in detail, and ends with protections for high-risk feet and the prevention of ulcers. This manuscript covers the disciplines of internal medicine, surgical, nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.Registry number: IPGRP-2020cn124
- Published
- 2020