Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Aug 11;9(3):54.
doi: 10.3390/medsci9030054.

Towards User-Oriented Recommendations for Local Therapy of Leg and Foot Ulcers-An Update of a S3-German Guideline

Marion Burckhardt  1 , Brigitte Nink-Grebe  2 , Andreas Maier-Hasselmann  3
Affiliations

Towards User-Oriented Recommendations for Local Therapy of Leg and Foot Ulcers-An Update of a S3-German Guideline

Marion Burckhardt et al. Med Sci (Basel). .

Abstract

Background: The German S3- guideline on local therapy of leg ulcers and diabetic foot ulcers is in the process of being updated. Major goals are to improve the guidelines' applicability and to take steps towards a living guideline according to current methodological standards. The aim of this article is to describe the main measures to achieve these goals.

Methods: The context of the guideline in the field of local wound care and the stakeholder requirements are briefly described. Based on a derived framework, the project team adjusted the methods for the guideline.

Results: Main adjustments are more specific inclusion criteria, online consensus meetings and the use of an authoring and publication platform to provide information in a multi-layered format. A new set of practice-oriented key questions were defined by the guideline panel to foster the formulation of action-oriented recommendations.

Conclusions: The set of new key questions addressing practical problems and patients' preferences as well as the adjustments made to improve not only the guidelines' applicability, but also the feasibility of the further dynamic updating processes in the sense of a living guideline, should be steps in the right direction.

Keywords: foot ulcer; guideline; leg ulcer; living guideline; methodological standards; protocol; update; wound therapy.

PubMed Disclaimer

Conflict of interest statement

All authors are responsible for the methodological approach of the S3-guideline. Brigitte Nink-Grebe is general secretary of the sponsoring organization (German Association for Wound Healing and Wound Treatment e.V.), a scientific medical organization and NGO which follows international rules for dealing with conflicts of interests.

Figures

Figure 1
Figure 1
Framework to improve acceptance of the German DGfW-guideline (translated from [22]).
See this image and copyright information in PMC

References

    1. Deutsche Gesellschaft für Angiologie—Gesellschaft für Gefäßmedizin e.V S3-Leitlinie. [(accessed on 2 August 2021)];Periphere Arterielle Verschlusskrankheit (PAVK), Diagnostik, Therapie und Nachsorge. 2015 [S3 Leitlinie] Available online: https://www.awmf.org/uploads/tx_szleitlinien/065-003l_S3_PAVK_periphere_....
    1. Schaper N.C., van Netten J.J., Apelqvist J., Bus S.A., Hinchlife R.J., Lipsky B.A. Guideline on Diagnosis, Prognosis and Management of Peripheral Artery Disease in Patients with a Foot Ulcer and Diabetes. Part of the 2019 IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease. [(accessed on 2 August 2021)];2019 Available online: https://iwgdfguidelines.org/wp-content/uploads/2019/05/IWGDF-Guidelines-....
    1. Brouwers M., Kho M.E., Browman G.P., Burgers J.S., Cluzeau F., Feder G., Fervers B., Graham I.D., Grimshaw J., Hanna S., et al. AGREE II: Advancing guideline development, reporting and evaluation in healthcare. Can. Med. Assoc. J. 2010;182:E839–E842. doi: 10.1503/cmaj.090449. - DOI - PMC - PubMed
    1. Burckhardt M., Nink-Grebe B. Wundbehandlung: Wertvolles vermehren, Überflüssiges reduzieren. Dtsch. Arztebl. 2014;111:1248–1250.
    1. Burckhardt M., Gregor S., Kleijnen J., Köpke S., Kopp I., Maier-Hasselmann A., Meyer G., Misso K., Nink-Grebe B., Rüttermann M., et al. Leitlinienreport. S3-Leitlinie Lokaltherapie Chronischer Wunden bei Patienten Mit den Risiken Periphere Arterielle Verschlusskrankheit, Diabetes Mellitus, Chronische Venöse Insuffizienz. [(accessed on 2 August 2021)]; Available online: http://www.awmf.org/leitlinien/detail/ll/091-001.html.

Publication types