Current challenges and opportunities in the prevention and management of diabetic foot ulcers

William J. Jeffcoate, Loretta Vileikyte, Edward J. Boyko, David G Armstrong, Andrew J.M. Boulton

Research output: Contribution to journalReview article

24 Citations (Scopus)

Abstract

Diabetic foot ulcers remain amajor health care problem. They are common, result in considerable suffering, frequently recur, and are associated with highmortality, as well as considerable health care costs. While national and international guidance exists, the evidence base for much of routine clinical care is thin. It follows that many aspects of the structure and delivery of care are susceptible to the beliefs and opinion of individuals. It is probable that this contributes to the geographic variation in outcome that has been documented in a number of countries. This article considers these issues in depth and emphasizes the urgent need to improve the design and conduct of clinical trials in this field, as well as to undertake systematic comparison of the results of routine care in different health economies. There is strong suggestive evidence to indicate that appropriate changes in the relevant care pathways can result in a prompt improvement in clinical outcomes.

Original languageEnglish (US)
Pages (from-to)645-652
Number of pages8
JournalDiabetes Care
Volume41
Issue number4
DOIs
StatePublished - Apr 1 2018
Externally publishedYes

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Diabetic Foot
Psychological Stress
Health Care Costs
Clinical Trials
Delivery of Health Care
Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Current challenges and opportunities in the prevention and management of diabetic foot ulcers. / Jeffcoate, William J.; Vileikyte, Loretta; Boyko, Edward J.; Armstrong, David G; Boulton, Andrew J.M.

In: Diabetes Care, Vol. 41, No. 4, 01.04.2018, p. 645-652.

Research output: Contribution to journalReview article

Jeffcoate, William J. ; Vileikyte, Loretta ; Boyko, Edward J. ; Armstrong, David G ; Boulton, Andrew J.M. / Current challenges and opportunities in the prevention and management of diabetic foot ulcers. In: Diabetes Care. 2018 ; Vol. 41, No. 4. pp. 645-652.
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