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. 2020 Mar:36 Suppl 1:e3266.
doi: 10.1002/dmrr.3266.

Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)

Nicolaas C Schaper  1 , Jaap J van Netten  2   3   4 , Jan Apelqvist  5 , Sicco A Bus  2 , Robert J Hinchliffe  6 , Benjamin A Lipsky  7   8 ; IWGDF Editorial Board
Affiliations

Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)

Nicolaas C Schaper et al. Diabetes Metab Res Rev. 2020 Mar.

Abstract

Diabetic foot disease results in a major global burden for patients and the health care system. The International Working Group on the Diabetic Foot (IWGDF) has been producing evidence-based guidelines on the prevention and management of diabetic foot disease since 1999. In 2019, all IWGDF Guidelines have been updated based on systematic reviews of the literature and formulation of recommendations by multidisciplinary experts from all over the world. In this document, the IWGDF Practical Guidelines, we describe the basic principles of prevention, classification, and treatment of diabetic foot disease, based on the six IWGDF Guideline chapters. We also describe the organizational levels to successfully prevent and treat diabetic foot disease according to these principles and provide addenda to assist with foot screening. The information in these practical guidelines is aimed at the global community of health care professionals who are involved in the care of persons with diabetes. Many studies around the world support our belief that implementing these prevention and management principles is associated with a decrease in the frequency of diabetes-related lower extremity amputations. We hope that these updated practical guidelines continue to serve as reference document to aid health care providers in reducing the global burden of diabetic foot disease.

Keywords: IWGDF; daily practice; diabetic foot; education; foot ulcer; footwear; guidance; guidelines; implementation; infection; interdisciplinary treatment; offloading; peripheral artery disease.

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References

REFERENCES

    1. Bus SA, Lavery LA, Monteiro-Soares M, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(S1):e3269.
    1. Bus SA, Armstrong DG, Gooday C, et al. Guidelines on offloading foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(S1):e3274.
    1. Hinchliffe RJ, Forsythe R, Apelqvist J, et al. Guidelines on diagnosis, prognosis and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(S1):e3276.
    1. Lipsky BA, Senneville, Abbas ZG, et al. Guidelines on the diagnosis and treatment of foot infection in persons with diabetes (IWGDF 2019 update). . Diabetes Metab Res Rev. 2020;36(S1):e3280.
    1. Rayman G, Vas P, Dhatariya K, et al. Guidelines on use of interventions to enhance healing of chronic foot ulcers in diabetes (IWGDF 2019 update).. Diabetes Metab Res Rev. 2020;36(S1):e3283.

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