Diabetic foot ulcer is a costly and serious complication of diabetes mellitus and is the major cause of non-traumatic limb amputations worldwide. Its development is primarily the result of diabetic neuropathy and/or peripheral arterial disease with accompanied bone abnormalities and is complicated by invasive infection. The management of this clinical condition focuses on identification of the "at-risk" foot, treatment of the ulcerated foot, and prevention of further complications. As diabetic foot ulcer represents the sum of multiple etiologies, its treatment requires a multidisciplinary team, which can result in a significant reduction in the incidence of ulcers, infections and amputations. The team should include a diabetologist, a podiatrist, an orthoptist, an educator and a plaster technician, in close collaboration with a vascular surgeon, an orthopedic/podiatric surgeon and a dermatologist. It is recommended that a diabetologist be the multidisciplinary team leader, as diabetic foot ulcer is a complication of diabetes and chronic hyperglycemia represents the main cause for its development. The appropriate composition of professionals involved in the team is institution-dependent and may vary worldwide, depending on the diabetic population. The concept of establishing a diabetic foot care team is recommended by all National and International Diabetes Scientific Societies and Associations.

Nigi, L., Fondelli, C., de Donato, G., Palasciano, G., Setacci, C., Dotta, F. (2018). Fighting diabetic foot ulcers—The diabetologist: A king maker of the fight. SEMINARS IN VASCULAR SURGERY, 31(2-4), 49-55 [10.1053/j.semvascsurg.2018.12.003].

Fighting diabetic foot ulcers—The diabetologist: A king maker of the fight

Nigi L.;Fondelli C.;de Donato G.;Palasciano G.;Setacci C.;Dotta F.
2018-01-01

Abstract

Diabetic foot ulcer is a costly and serious complication of diabetes mellitus and is the major cause of non-traumatic limb amputations worldwide. Its development is primarily the result of diabetic neuropathy and/or peripheral arterial disease with accompanied bone abnormalities and is complicated by invasive infection. The management of this clinical condition focuses on identification of the "at-risk" foot, treatment of the ulcerated foot, and prevention of further complications. As diabetic foot ulcer represents the sum of multiple etiologies, its treatment requires a multidisciplinary team, which can result in a significant reduction in the incidence of ulcers, infections and amputations. The team should include a diabetologist, a podiatrist, an orthoptist, an educator and a plaster technician, in close collaboration with a vascular surgeon, an orthopedic/podiatric surgeon and a dermatologist. It is recommended that a diabetologist be the multidisciplinary team leader, as diabetic foot ulcer is a complication of diabetes and chronic hyperglycemia represents the main cause for its development. The appropriate composition of professionals involved in the team is institution-dependent and may vary worldwide, depending on the diabetic population. The concept of establishing a diabetic foot care team is recommended by all National and International Diabetes Scientific Societies and Associations.
2018
Nigi, L., Fondelli, C., de Donato, G., Palasciano, G., Setacci, C., Dotta, F. (2018). Fighting diabetic foot ulcers—The diabetologist: A king maker of the fight. SEMINARS IN VASCULAR SURGERY, 31(2-4), 49-55 [10.1053/j.semvascsurg.2018.12.003].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1081930