Differences in diabetic foot guidelines

NewsBot · Nov 26, 2018

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Differences between the international guideline and national guidelines for the management of diabetic foot disease.
Parker CN et al
Diabetes Metab Res Rev. 2018 Nov 23:e3101.

AIM:
No studies have investigated if national guidelines to manage diabetic foot disease differ from international guidelines. This study aimed to compare guidelines of Western Pacific nations with the International Working Group on the Diabetic Foot (IWGDF) guidance documents.

METHODS:
The 77 recommendations in five chapters of the 2015 IWGDF guidance documents were used as the international gold standard reference. The IWGDF national representative(s) from 12 Western Pacific nations were invited to submit their nation's diabetic foot guideline(s). Four investigators rated information in the national guidelines as 'similar', 'partially similar', 'not similar', or 'different' when compared with IWGDF recommendations. National representative(s) reviewed findings. Disagreements in ratings were discussed until consensus agreement achieved.

RESULTS:
Eight of twelve nations (67%) responded: Australia, China, New Zealand, Taiwan, and Thailand provided national guidelines; Singapore provided the Association of Southeast Asian Nations guidelines; and Hong Kong and Philippines advised no formal national Diabetic Foot guidelines existed. The six national guidelines included were 39% similar/partially similar, 58% not similar and 2% different compared with the IWGDF recommendations. Within individual IWGDF chapters, the six national guidelines were similar/partially similar with 53% of recommendations for the IWGDF prevention chapter, 42% for wound healing, 40% for infection, 40% for peripheral artery disease and 20% for offloading.

CONCLUSIONS:
National diabetic foot disease guidelines from a large and diverse region of the world showed limited similarity to recommendations made in the peak international guidelines. The differences between the recommendations may contribute to differences in national diabetic foot disease outcomes and burdens.
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NewsBot · Jul 30, 2020

Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition)
Aiping Wang
Burns Trauma. 2020 Jul 6

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.
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Differences in diabetic foot guidelines

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NewsBot The Admin that posts the news.

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Share This Page

Differences in diabetic foot guidelines

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Gender differences in infected diabetic foot ulcers

Predicting diabetic foot ulcer outcomes - differences with PVD

Gait differences between Charcot–Marie–Tooth disease type 1A (CMT1A) and diabetic neuropathy (DNP)

Ethnic differences in plantar pressures in diabetic patients with peripheral neuropathy

Gender Differences in Seeking Health Care in Pain Outcomes in Foot Patients

Sex Differences in Endurance Running

Age and gender differences in gait

Share This Page

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