[Interpretation of 2019 International Working Group on Diabetic Foot Guidelines on the Prevention and Management of Diabetic Foot Disease]

Overview

Journal Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Specialty General Surgery

Date 2020 Jan 16

PMID 31939228

Citations 4

Authors

Lei Gao

Jiangning Wang

Yefeng Yin

Affiliations

Soon will be listed here.

Abstract

The 8th World International Symposium on the Diabetic Foot (ISDF) Conference which was sponsored by the International Working Group on Diabetic Foot (IWGDF) was held in the Hague between May 22nd and May 25th, 2019. The conference issued the 2019 IWGDF guidelines on the prevention and management of diabetic foot disease. The update to the 2015 edition of the guidelines involves the following 6 chapters: prevention of foot ulcers in patients with diabetes; offloading foot ulcers in patients with diabetes; diagnosis, prognosis, and management of peripheral arterial disease in patients with a foot ulcer and diabetes; diagnosis and treatment of foot infection in patients with diabetes; interventions to enhance healing of foot ulcers in patients with diabetes; classification of diabetic foot ulcers. This guideline has been changed more than the previous edition. In this paper, the guidelines will be interpreted to provide cutting-edge information for domestic diabetic foot researchers.

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References

Coffey L, Mahon C, Gallagher P . Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta-synthesis. Int Wound J. 2018; 16(1):183-210. PMC: 7949356. DOI: 10.1111/iwj.13010. View

Uckay I, Jornayvaz F, Lebowitz D, Gastaldi G, Gariani K, Lipsky B . An Overview on Diabetic Foot Infections, including Issues Related to Associated Pain, Hyperglycemia and Limb Ischemia. Curr Pharm Des. 2018; 24(12):1243-1254. DOI: 10.2174/1381612824666180302145754. View

Armstrong D, Boulton A, Bus S . Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017; 376(24):2367-2375. DOI: 10.1056/NEJMra1615439. View

Ndosi M, Wright-Hughes A, Brown S, Backhouse M, Lipsky B, Bhogal M . Prognosis of the infected diabetic foot ulcer: a 12-month prospective observational study. Diabet Med. 2017; 35(1):78-88. PMC: 5765512. DOI: 10.1111/dme.13537. View

Fish R, Kutter E, Wheat G, Blasdel B, Kutateladze M, Kuhl S . Compassionate Use of Bacteriophage Therapy for Foot Ulcer Treatment as an Effective Step for Moving Toward Clinical Trials. Methods Mol Biol. 2017; 1693:159-170. DOI: 10.1007/978-1-4939-7395-8_14. View

Gao L, Wang S, Wang L, Wang J . [Application of skin stretching device in repair of diabetic foot wound]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018; 32(5):591-595. PMC: 8430016. DOI: 10.7507/1002-1892.201801104. View

Randhawa M, Reed G, Grafmiller K, Gornik H, Shishehbor M . Prevalence of Tibial Artery and Pedal Arch Patency by Angiography in Patients With Critical Limb Ischemia and Noncompressible Ankle Brachial Index. Circ Cardiovasc Interv. 2017; 10(5). DOI: 10.1161/CIRCINTERVENTIONS.116.004605. View

Morozova V, Kozlova Y, Ganichev D, Tikunova N . Bacteriophage Treatment of Infected Diabetic Foot Ulcers. Methods Mol Biol. 2017; 1693:151-158. DOI: 10.1007/978-1-4939-7395-8_13. View

Rigato M, Pizzol D, Tiago A, Putoto G, Avogaro A, Fadini G . Characteristics, prevalence, and outcomes of diabetic foot ulcers in Africa. A systemic review and meta-analysis. Diabetes Res Clin Pract. 2018; 142:63-73. DOI: 10.1016/j.diabres.2018.05.016. View

10.

Ali S, Ozdemir B, Hinchliffe R . Critical Appraisal of the Quality of Evidence Addressing the Diagnosis, Prognosis, and Management of Peripheral Artery Disease in Patients With Diabetic Foot Ulceration. Eur J Vasc Endovasc Surg. 2018; 56(3):401-408. DOI: 10.1016/j.ejvs.2018.05.009. View

11.

Bus S, Van Netten J, Lavery L, Monteiro-Soares M, Rasmussen A, Jubiz Y . IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes. Diabetes Metab Res Rev. 2015; 32 Suppl 1:16-24. DOI: 10.1002/dmrr.2696. View

12.

Lipsky B, Aragon-Sanchez J, Diggle M, Embil J, Kono S, Lavery L . IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes. Diabetes Metab Res Rev. 2015; 32 Suppl 1:45-74. DOI: 10.1002/dmrr.2699. View

13.

Jeffcoate W, Vileikyte L, Boyko E, Armstrong D, Boulton A . Current Challenges and Opportunities in the Prevention and Management of Diabetic Foot Ulcers. Diabetes Care. 2018; 41(4):645-652. DOI: 10.2337/dc17-1836. View

14.

Weaver M, Hicks C, Canner J, Sherman R, Hines K, Mathioudakis N . The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system predicts wound healing better than direct angiosome perfusion in diabetic foot wounds. J Vasc Surg. 2018; 68(5):1473-1481. DOI: 10.1016/j.jvs.2018.01.060. View

15.

Wang J, Gao L . [New progress in the treatment of chronic wound of diabetic foot]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018; 32(7):832-837. PMC: 8435952. DOI: 10.7507/1002-1892.201806058. View

16.

Bus S . The Role of Pressure Offloading on Diabetic Foot Ulcer Healing and Prevention of Recurrence. Plast Reconstr Surg. 2016; 138(3 Suppl):179S-187S. DOI: 10.1097/PRS.0000000000002686. View

17.

Jeon B, Choi H, Kang J, Tak M, Park E . Comparison of five systems of classification of diabetic foot ulcers and predictive factors for amputation. Int Wound J. 2016; 14(3):537-545. PMC: 7949506. DOI: 10.1111/iwj.12642. View

18.

Battiston B, Ciclamini D, Tang J . Compound or Specially Designed Flaps in the Lower Extremities. Clin Plast Surg. 2017; 44(2):287-297. DOI: 10.1016/j.cps.2016.11.006. View

19.

Mills Sr J, Conte M, Armstrong D, Pomposelli F, Schanzer A, Sidawy A . The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI). J Vasc Surg. 2013; 59(1):220-34.e1-2. DOI: 10.1016/j.jvs.2013.08.003. View

20.

Zha M, Cai J, Chen H . A Bibliometric Analysis of Global Research Production Pertaining to Diabetic Foot Ulcers in the Past Ten Years. J Foot Ankle Surg. 2019; 58(2):253-259. DOI: 10.1053/j.jfas.2018.08.052. View