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Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)
Author(s) -
Schaper Nicolaas C.,
Netten Jaap J.,
Apelqvist Jan,
Bus Sicco A.,
Hinchliffe Robert J.,
Lipsky Benjamin A.
Publication year - 2020
Publication title -
diabetes/metabolism research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.307
H-Index - 110
eISSN - 1520-7560
pISSN - 1520-7552
DOI - 10.1002/dmrr.3266
Subject(s) - diabetic foot , medicine , guideline , multidisciplinary approach , disease , foot (prosody) , diabetes mellitus , disease management , health care , intensive care medicine , physical therapy , diabetes management , medline , systematic review , alternative medicine , family medicine , type 2 diabetes , health management system , pathology , philosophy , sociology , economic growth , political science , economics , law , endocrinology , social science , linguistics
Diabetic foot disease results in a major global burden for patients and the health care system. The International Working Group on the Diabetic Foot (IWGDF) has been producing evidence‐based guidelines on the prevention and management of diabetic foot disease since 1999. In 2019, all IWGDF Guidelines have been updated based on systematic reviews of the literature and formulation of recommendations by multidisciplinary experts from all over the world. In this document, the IWGDF Practical Guidelines, we describe the basic principles of prevention, classification, and treatment of diabetic foot disease, based on the six IWGDF Guideline chapters. We also describe the organizational levels to successfully prevent and treat diabetic foot disease according to these principles and provide addenda to assist with foot screening. The information in these practical guidelines is aimed at the global community of health care professionals who are involved in the care of persons with diabetes. Many studies around the world support our belief that implementing these prevention and management principles is associated with a decrease in the frequency of diabetes‐related lower extremity amputations. We hope that these updated practical guidelines continue to serve as reference document to aid health care providers in reducing the global burden of diabetic foot disease.