Prevention and management of foot problems in diabetes: A Summary Guidance for Daily Practice 2015, based on the IWGDF guidance documents
Prevention and management of foot problems in diabetes: A Summary Guidance for Daily Practice 2015, based on the IWGDF guidance documents
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DOI：
10.1016/j.diabres.2016.12.007
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发表时间：
2017-02-01
影响因子：
5.1
通讯作者：
Bakker, K.
中科院分区：
文献类型：
--
作者：
Schaper, N. C.;Van Netten, J. J.;Bakker, K.
糖尿病并发的足部问题是主要患者痛苦和社会成本的来源。为了预防或至少减少糖尿病足部问题的不良影响，国际糖尿病足工作组（IWGDF; www. IWGDF。org）成立于1996年，由几乎所有涉及糖尿病和足部问题患者护理的学科的专家组成。IWGDF的一项重要产出是自1999年以来不断更新的国际共识指南。迄今为止，这些出版物已被翻译成26种语言，在全球发行了10万多册。《日常实践指南摘要》为每天与糖尿病患者打交道的临床医生总结了预防和管理糖尿病患者足部问题的要点。这份指南是一个漫长而仔细的过程的结果，该过程始于2013年由49名国际专家组成的五个工作组的组成。这些专家进行了七项有针对性的系统评价，以提供证据支持IWGDF指南的五个章节：预防;鞋类和卸载;外周动脉疾病的诊断，预后和管理;足部感染的诊断和管理;促进愈合的干预措施。我们的文献综述总共发现了近80，000项研究。在对标题和摘要进行审查后，不同工作组的评审员仅选择了符合最低质量标准的研究，并最终获得了429篇文章进行完整的质量分析。GRADE系统用于将研究中的证据转化为日常临床实践的建议。对每项建议的评级考虑到证据的力度和质量。2015年IWGDF指南共提出了77项关于预防和管理糖尿病足部问题的建议。这些建议由编委会浓缩成本“总结指南”。鼓励和帮助临床医生遵循2015年IWGDF指南的循证建议，特别是“总结指南”中概述的原则，可能会导致全球糖尿病患者足部问题的减少和更好的结局，帮助降低与这一重大健康问题相关的发病率和死亡率。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Foot problems complicating diabetes are a source of major patient suffering and societal costs. To prevent, or at least reduce, the adverse effects of foot problems in diabetes, the International Working Group on the Diabetic Foot (IWGDF; www. iwgdf. org) was founded in 1996, consisting of experts from almost all the disciplines involved in the care of patients with diabetes and foot problems. An important output of the IWGDF is the international consensus guidance, continuously updated since 1999. To date, the publications have been translated into 26 languages, and more than 100,000 copies have been distributed globally.The "Summary Guidance for Daily Practice" summarises the essentials of prevention and management of foot problems in persons with diabetes for clinicians who work with these patients on a daily basis. This guidance is the result of a long and careful process that started with the empaneling in 2013 of five working groups consisting of 49 international experts. These experts performed seven targeted systematic reviews to provide the evidence supporting the five chapters of the IWGDF Guidance on prevention; footwear and offloading; diagnosis, prognosis and management of peripheral artery disease; diagnosis and management of foot infections; interventions to enhance healing. In total almost 80,000 studies were detected by our literature review. After review of the title and abstract the reviewers of the different working groups selected only studies that fulfilled a minimal set of quality criteria and ended up with 429 articles for complete quality analysis. The GRADE system was used to translate the evidence from the studies into recommendations for daily clinical practice. The rating of each recommendation takes into account both the strength and the quality of the evidence. The IWGDF Guidance 2015 makes a total of 77 recommendations on prevention and management of foot problems in diabetes. These recommendations were condensed by the editorial board into this "Summary Guidance".Encouraging and aiding clinicians to follow the evidence-based recommendations of the IWGDF Guidance 2015, and in particular the principles outlined in the "Summary Guidance", will likely result in a worldwide reduction in, and better outcomes of, foot problems in persons with diabetes, helping to reduce the morbidity and mortality associated with this major health problem. (C) 2016 Elsevier Ireland Ltd. All rights reserved.