Diabetic foot disease: "The Times They are A Changin' "
Diabetic foot disease: "The Times They are A Changin' "
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DOI：
10.1002/dmrr.3249
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发表时间：
2020-03-01
影响因子：
8
通讯作者：
Schaper, Nicolaas C.
中科院分区：
文献类型：
--
作者：
Bus, Sicco A.;van Netten, Jaap J.;Schaper, Nicolaas C.
糖尿病足对患者和社会都有很大的影响，但仍然是糖尿病相关并发症中的“灰姑娘”。然而，最近在研究和指南制定方面的进展使人们对该问题的认识有所提高，并改善了临床结果。因此，现在是全球对这一日益普遍的问题的看法发生转变的时候了。在这期特刊中，我们介绍了7个最新的临床指南和10个由糖尿病足国际工作组开发的系统综述，以及17篇信息丰富和令人兴奋的相关论文。这些指南提供了关于溃疡分类、感染严重程度诊断和血管评估的新建议，以协助溃疡风险分层、诊断和跨学科交流。主要发展包括：为研究论文的方法评估提供指导;通过使用伤口产品和卸载治疗扩大溃疡治疗的证据基础;以及通过患者监测风险因素和鞋类方面的技术进步改进溃疡预防的建议。17篇受邀论文讨论了从干细胞研究到患者心理学的相关主题，并描述了糖尿病足护理的发展方向。虽然还有更多的东西要学，但本补充剂中提出的潜在途径的新知识，诊断，治疗和预防的进步应该有助于改善结果并减少糖尿病足疾病的巨大和不断增长的负担。
Diabetic foot disease greatly impacts both affected patients and society, but remains the "Cinderella" of diabetes-related complications. However, recent progress in research and guideline development have led to increased awareness of the problem and improved clinical outcomes. Thus, it is time for a shift in global perception of this increasingly prevalent problem. In this special issue, we present 7 up-to-date clinical guidelines and 10 systematic reviews developed by the International Working Group on the Diabetic Foot, together with 17 informative and stimulating related papers. These guidelines offer new recommendations on ulcer classification, diagnosis of infection severity, and vascular assessment, to assist in ulcer risk stratification, diagnosis and interdisciplinary communication. Key developments include providing guidance on methodological assessment of research papers; expanding the evidence base for ulcer treatment by the use of wound products and offloading treatment and suggestions for improving ulcer prevention through technological advances in patient monitoring of risk factors and footwear. The 17 invited papers discuss related topics ranging from stem cell research to patient psychology and describe the way forward in diabetic foot care. While there is much more to learn, the new knowledge of underlying pathways, advancements in diagnosis, treatment and prevention presented in this supplement should help improve outcomes and reduce the great and growing burden of diabetic foot disease.