The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus

被引:303
作者
Bakker, K. [1 ]
Apelqvist, J. [2 ]
Lipsky, B. A. [3 ,4 ]
Van Netten, J. J. [5 ,6 ]
Schaper, N. C. [7 ,8 ]
机构
[1] IWGDF, Heemsteedse Dreef 90, NL-2102 KN Heemstede, Netherlands
[2] Malmo Univ Hosp, Dept Endocrinol, Malmo, Sweden
[3] Geneva Univ Hosp & Fac Med, Geneva, Switzerland
[4] Univ Oxford, Oxford, England
[5] Dept Surg, Almelo, Netherlands
[6] Dept Surg, Hengelo, Netherlands
[7] CARIM, MUMC, Div Endocrinol, Maastricht, Netherlands
[8] CAPHRI Inst, Maastricht, Netherlands
关键词
diabetic foot; foot ulcer; guidelines; guidance; IWGDF; implementation; PRACTICAL GUIDELINES; ULCERS;
D O I
10.1002/dmrr.2694
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Foot problems complicating diabetes are a source of major patient suffering and societal costs. Investing in evidence-based, internationally appropriate diabetic foot care guidance is likely among the most cost-effective forms of healthcare expenditure, provided it is goal-focused and properly implemented. The International Working Group on the Diabetic Foot (IWGDF) has been publishing and updating international Practical Guidelines since 1999. The 2015 updates are based on systematic reviews of the literature, and recommendations are formulated using the Grading of Recommendations Assessment Development and Evaluation system. As such, we changed the name from Practical Guidelines' to Guidance'. In this article we describe the development of the 2015 IWGDF Guidance documents on prevention and management of foot problems in diabetes. This Guidance consists of five documents, prepared by five working groups of international experts. These documents provide guidance related to foot complications in persons with diabetes on: prevention; footwear and offloading; peripheral artery disease; infections; and, wound healing interventions. Based on these five documents, the IWGDF Editorial Board produced a summary guidance for daily practice. The resultant of this process, after reviewed by the Editorial Board and by international IWGDF members of all documents, is an evidence-based global consensus on prevention and management of foot problems in diabetes. Plans are already under way to implement this Guidance. We believe that following the recommendations of the 2015 IWGDF Guidance will almost certainly result in improved management of foot problems in persons with diabetes and a subsequent worldwide reduction in the tragedies caused by these foot problems. Copyright (c) 2016 John Wiley & Sons, Ltd.
引用
收藏
页码:2 / 6
页数:5
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