Consensus Recommendations On Advancing The Standard Of Care For Treating Neuropathic Foot Ulcers In Patients With Diabetes

被引:0
作者
Snyder, Robert J. [1 ,2 ]
Kirsner, Robert S. [3 ,4 ]
Warriner, Robert A., III [5 ,6 ]
Lavery, Lawrence A.
Hanft, Jason R. [7 ,8 ]
Sheehan, Peter [9 ]
机构
[1] Univ Hosp, Wound Healing Ctr, Tamarac, FL USA
[2] Temple Univ, Sch Podiatr Med, Philadelphia, PA 19122 USA
[3] Univ Miami, Hosp Wound CURE Ctr, Miami, FL USA
[4] Univ Miami, Miller Sch Med, Dept Dermatol, Coral Gables, FL 33124 USA
[5] Diversified Clin Serv, Jacksonville, FL USA
[6] HCA Conroe Reg Med Ctr, SE Texas Ctr Wound Care & Hyperbar Med, Conroe, TX USA
[7] S Miami Hosp, Miami, FL USA
[8] Foot & Ankle Inst S Florida, Miami, FL USA
[9] Sanford Hlth USD Med Ctr, Sioux Falls, SD USA
来源
WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE | 2010年
关键词
advanced therapy; amputation; diabetic foot ulcer; debridement; hyperbaric oxygen therapy; infection control; living skin equivalents; offloading; strain rate; wound bed preparation; wound classification systems; GLOBAL BURDEN; HEALTH-CARE; RISK; PREVALENCE; OSTEOMYELITIS; DEBRIDEMENT; MANAGEMENT; AMPUTATION; INFECTION; MEDICINE;
D O I
暂无
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Neuropathic foot ulcers are a common and serious complication of diabetes mellitus The presence of an unhealed diabetic foot ulcer (DFU) increases the risk of infection, amputation and death Low rates of DFU healing remain a challenge Recognizing these issues, a consensus panel recently was convened to review the evidence and practicalities for the evaluation and treatment of patients with neuropathic DFUs This consensus panel seeks to provide clinicians with the clinical markers. evidence and recommendations that, used in conjunction with orderly decision-making and good clinical judgment, will advance the standard of care for the treatment of neuropathic DFUs
引用
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页码:3 / 22
页数:20
相关论文
共 50 条
[1]  
Apelqvist J, 2000, DIABETES-METAB RES, V16, pS75, DOI 10.1002/1520-7560(200009/10)16:1+<::AID-DMRR139>3.0.CO
[2]  
2-8
[3]   Validation of a diabetic wound classification system - The contribution of depth, infection, and ischemia to risk of amputation [J].
Armstrong, DG ;
Lavery, LA ;
Harkless, LB .
DIABETES CARE, 1998, 21 (05) :855-859
[4]   Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds - A randomized controlled trial [J].
Armstrong, DG ;
Lavery, LA ;
Wu, S ;
Boulton, AJM .
DIABETES CARE, 2005, 28 (03) :551-554
[5]   Activity patterns of patients with diabetic foot ulceration - Patients with active ulceration may not adhere to a standard pressure off-loading regimen [J].
Armstrong, DG ;
Lavery, LA ;
Kimbriel, HR ;
Nixon, BP ;
Boulton, AJM .
DIABETES CARE, 2003, 26 (09) :2595-2597
[6]  
ARMSTRONG DG, 2007, US ENDOCRINE REV SPR, P60
[7]   The global burden of diabetic foot disease [J].
Boulton, AJM ;
Vileikyte, L ;
Ragnarson-Tennvall, G ;
Apelqvist, J .
LANCET, 2005, 366 (9498) :1719-1724
[8]   Neuropathic diabetic foot ulcers [J].
Boulton, AJM ;
Kirsner, RS ;
Vileikyte, L .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (01) :48-55
[9]   The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration [J].
Caselli, A ;
Pham, H ;
Giurini, JM ;
Armstrong, DG ;
Veves, A .
DIABETES CARE, 2002, 25 (06) :1066-1071
[10]   Best-practice algorithms for the use of a bilayered living cell therapy (Apligraf®) in the treatment of lower-extremity ulcers [J].
Cavorsi, J ;
Vicari, F ;
Wirthlin, DJ ;
Ennis, W ;
Kirsner, R ;
O'Connell, SM ;
Steinberg, J ;
Falanga, V .
WOUND REPAIR AND REGENERATION, 2006, 14 (02) :102-109