Evidence-based Management of PAD & the Diabetic Foot

被引:148
作者
Brownrigg, J. R. W. [1 ]
Apelqvist, J. [2 ]
Bakker, K. [3 ]
Schaper, N. C. [4 ]
Hinchliffe, R. J. [1 ]
机构
[1] St Georges Healthcare NHS Trust, St Georges Vasc Inst, London, England
[2] Malmo Univ Hosp, Dept Endocrinol, Malmo, Sweden
[3] IWGDF, Heemstede, Netherlands
[4] MUMC CARIM & CAPHRI Inst, Div Endocrinol, Maastricht, Netherlands
关键词
Diabetic foot ulceration; Diabetes; Peripheral arterial disease; PERIPHERAL ARTERIAL-DISEASE; QUALITY-OF-LIFE; CLASSIFICATION-SYSTEM; OCCLUSIVE DISEASE; PROGRESS REPORT; ULCER PATIENTS; RISK-FACTORS; ALL-CAUSE; MORTALITY; ANGIOPLASTY;
D O I
10.1016/j.ejvs.2013.02.014
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
Diabetic foot ulceration (DFU) is associated with high morbidity and mortality, and represents the leading cause of hospitalization in patients with diabetes. Peripheral arterial disease (PAD), present in half of patients with DFU, is an independent predictor of limb loss and can be difficult to diagnose in a diabetic population. This review focuses on the evidence for therapeutic strategies in the management of patients with DFU. We highlight the importance of timely referral of patients presenting with a new foot ulcer to a multidisciplinary team, which includes vascular surgeons and interventional radiologists. (C) 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:673 / 681
页数:9
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