Diabetic foot disorders: A clinical practice guideline

R. G. Frykberg, David G Armstrong, J. Giurini, A. Edwards, M. Kravette, S. Kravitz, C. Ross, J. Stavosky, R. Stuck, J. Vanore

Research output: Contribution to journalArticle

176 Citations (Scopus)

Abstract

Foot ulcerations, infections, and Charcot neuropathic osteoarthropathy are three serious foot complications of diabetes mellitus that can too frequently lead to gangrene and lower limb amputation. Consequently, foot disorders are one of the leading causes of hospitalization for persons with diabetes and can account for expenditures in the billions of dollars annually in the U.S. alone. Although not all foot complications can be prevented, dramatic reductions in their frequency have been obtained through the implementation of a multidisciplinary team approach to patient management. Using this concept, the authors present a Clinical Practice Guideline for diabetic foot disorders based on currently available evidence. The underlying pathophysiology and treatment of diabetic foot ulcers, infections, and the diabetic Charcot foot are thoroughly reviewed. Although these guidelines cannot and should not dictate the standard of care for all affected patients, they are intended to provide evidence-based guidance for general patterns of practice. The goal of a major reduction in diabetic limb amputations is certainly possible if these concepts are embraced and incorporated into patient management protocols.

Original languageEnglish (US)
JournalJournal of Foot and Ankle Surgery
Issue numberSUPPL.
StatePublished - 2000
Externally publishedYes

Fingerprint

Diabetic Foot
Practice Guidelines
Foot
Amputation
Gangrene
Diabetes Complications
Standard of Care
Health Expenditures
Infection
General Practice
Lower Extremity
Hospitalization
Extremities
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Frykberg, R. G., Armstrong, D. G., Giurini, J., Edwards, A., Kravette, M., Kravitz, S., ... Vanore, J. (2000). Diabetic foot disorders: A clinical practice guideline. Journal of Foot and Ankle Surgery, (SUPPL.).

Diabetic foot disorders : A clinical practice guideline. / Frykberg, R. G.; Armstrong, David G; Giurini, J.; Edwards, A.; Kravette, M.; Kravitz, S.; Ross, C.; Stavosky, J.; Stuck, R.; Vanore, J.

In: Journal of Foot and Ankle Surgery, No. SUPPL., 2000.

Research output: Contribution to journalArticle

Frykberg, RG, Armstrong, DG, Giurini, J, Edwards, A, Kravette, M, Kravitz, S, Ross, C, Stavosky, J, Stuck, R & Vanore, J 2000, 'Diabetic foot disorders: A clinical practice guideline', Journal of Foot and Ankle Surgery, no. SUPPL..
Frykberg RG, Armstrong DG, Giurini J, Edwards A, Kravette M, Kravitz S et al. Diabetic foot disorders: A clinical practice guideline. Journal of Foot and Ankle Surgery. 2000;(SUPPL.).
Frykberg, R. G. ; Armstrong, David G ; Giurini, J. ; Edwards, A. ; Kravette, M. ; Kravitz, S. ; Ross, C. ; Stavosky, J. ; Stuck, R. ; Vanore, J. / Diabetic foot disorders : A clinical practice guideline. In: Journal of Foot and Ankle Surgery. 2000 ; No. SUPPL.
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