DIABETIC FOOT DISORDERS

A CLINICAL PRACTICE GUIDELINE (2006 revision)

Robert G. Frykberg, Thomas Zgonis, David G Armstrong, Vickie R. Driver, John M. Giurini, Steven R. Kravitz, Adam S. Landsman, Lawrence A. Lavery, J. Christopher Moore, John M. Schuberth, Dane K. Wukich, Charles Andersen, John V. Vanore

Research output: Contribution to journalArticle

414 Citations (Scopus)

Abstract

The prevalence of diabetes mellitus is growing at epidemic proportions in the United States and worldwide. Most alarming is the steady increase in type 2 diabetes, especially among young and obese people. An estimated 7% of the US population has diabetes, and because of the increased longevity of this population, diabetes-associated complications are expected to rise in prevalence. Foot ulcerations, infections, Charcot neuroarthropathy, and peripheral arterial disease frequently result in gangrene and lower limb amputation. Consequently, foot disorders are leading causes of hospitalization for persons with diabetes and account for billion-dollar expenditures annually in the US. Although not all foot complications can be prevented, dramatic reductions in frequency have been achieved by taking a multidisciplinary approach to patient management. Using this concept, the authors present a clinical practice guideline for diabetic foot disorders based on currently available evidence, committee consensus, and current clinical practice. The pathophysiology and treatment of diabetic foot ulcers, infections, and the diabetic Charcot foot are reviewed. While these guidelines cannot and should not dictate the care of all affected patients, they provide evidence-based guidance for general patterns of practice. If these concepts are embraced and incorporated into patient management protocols, a major reduction in diabetic limb amputations is certainly an attainable goal.

Original languageEnglish (US)
JournalJournal of Foot and Ankle Surgery
Volume45
Issue number5 SUPPL.
DOIs
StatePublished - Sep 2006
Externally publishedYes

Fingerprint

Diabetic Foot
Practice Guidelines
Foot
Amputation
Gangrene
Peripheral Arterial Disease
Diabetes Complications
Health Expenditures
Infection
General Practice
Type 2 Diabetes Mellitus
Population
Lower Extremity
Diabetes Mellitus
Hospitalization
Extremities
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Frykberg, R. G., Zgonis, T., Armstrong, D. G., Driver, V. R., Giurini, J. M., Kravitz, S. R., ... Vanore, J. V. (2006). DIABETIC FOOT DISORDERS: A CLINICAL PRACTICE GUIDELINE (2006 revision). Journal of Foot and Ankle Surgery, 45(5 SUPPL.). https://doi.org/10.1016/S1067-2516(07)60001-5

DIABETIC FOOT DISORDERS : A CLINICAL PRACTICE GUIDELINE (2006 revision). / Frykberg, Robert G.; Zgonis, Thomas; Armstrong, David G; Driver, Vickie R.; Giurini, John M.; Kravitz, Steven R.; Landsman, Adam S.; Lavery, Lawrence A.; Moore, J. Christopher; Schuberth, John M.; Wukich, Dane K.; Andersen, Charles; Vanore, John V.

In: Journal of Foot and Ankle Surgery, Vol. 45, No. 5 SUPPL., 09.2006.

Research output: Contribution to journalArticle

Frykberg, RG, Zgonis, T, Armstrong, DG, Driver, VR, Giurini, JM, Kravitz, SR, Landsman, AS, Lavery, LA, Moore, JC, Schuberth, JM, Wukich, DK, Andersen, C & Vanore, JV 2006, 'DIABETIC FOOT DISORDERS: A CLINICAL PRACTICE GUIDELINE (2006 revision)', Journal of Foot and Ankle Surgery, vol. 45, no. 5 SUPPL.. https://doi.org/10.1016/S1067-2516(07)60001-5
Frykberg, Robert G. ; Zgonis, Thomas ; Armstrong, David G ; Driver, Vickie R. ; Giurini, John M. ; Kravitz, Steven R. ; Landsman, Adam S. ; Lavery, Lawrence A. ; Moore, J. Christopher ; Schuberth, John M. ; Wukich, Dane K. ; Andersen, Charles ; Vanore, John V. / DIABETIC FOOT DISORDERS : A CLINICAL PRACTICE GUIDELINE (2006 revision). In: Journal of Foot and Ankle Surgery. 2006 ; Vol. 45, No. 5 SUPPL.
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