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Observational Study
. 2023 Sep;60(9):1209-1218.
doi: 10.1007/s00592-023-02101-3. Epub 2023 May 15.

Real-world treatment patterns and diagnosis of charcot foot in franco-belgian diabetic foot expert centers (The EPiChar Study)

Carole-Anne Julien  1 , Georges Ha Van  2 , Jocelyne M'Bemba  3 , Muriel Bourgeon  4 , Dured Dardari  5 , Marc Lepeut  6 , Isabelle Dumont  7 , Mohammed Zakarya Zemmache  8 , Chris Serrand  8 , Benjamin Bouillet  9 , Ariane Sultan  10 , Sophie Schuldiner  11 ; EPiChar study group
Collaborators, Affiliations
Observational Study

Real-world treatment patterns and diagnosis of charcot foot in franco-belgian diabetic foot expert centers (The EPiChar Study)

Carole-Anne Julien et al. Acta Diabetol. 2023 Sep.

Abstract

Aim: To evaluate the real-life diagnosis and therapeutic means of Charcot Neuroosteoarthropathy (CN) in French-Belgian diabetic foot expert centers.

Methods: We collected clinical characteristics, results of exams and therapeutic pathways of consecutive adult patients with diabetic osteoarthropathy seen in consultation or hospitalization from January 1 to December 31, 2019 in 31 diabetic foot expert centers. The primary outcome was to describe the diagnostic and management methods for CN according to patient clinical characteristics, the clinical-radiological characteristics of acute and chronic CN and discharge means.

Results: 467 patients were included: 364 with chronic CN and 103 in the acute phase. 101 patients had bilateral chronic CN. Most patients were male (73.4%), treated with insulin (73.3%), and with multicomplicated diabetes. In the acute phase, edema and increased foot temperature were present in 75% and 58.3% of cases, respectively. Diagnosis confirmation was usually by MRI and the mode of discharge was variable. In the chronic phase, orthopedic shoes were prescribed in 81.5% of cases.

Conclusions: This observational study highlights the diagnostic and therapeutic practices in 31 diabetic foot centers. Our results highlight that the use of MRI and the modalities of offloading, an essential treatment in the acute phase, need to be better standardized. Centers were highly encouraging about creating a patient registry.

Keywords: Belgium; Charcot foot; Diabetic foot; France; Magnetic resonance imaging; Offloading.

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References

    1. Rogers LC, Frykberg RG, Armstrong DG, et al (2011) The Charcot foot in diabetes. Diabetes Care 34:2123–2129. https://doi.org/10.2337/dc11-0844 - DOI - PubMed - PMC
    1. Milne TE, Rogers JR, Kinnear EM, Martin HV, Lazzarini PA, Quinton TR et al (2013) Developing an evidence-based clinical pathway for the assessment, diagnosis and management of acute Charcot Neuro-Arthropathy: a systematic review. J Foot Ankle Res 6:1–12 - DOI
    1. Rogers LC, Frykberg RG, Armstrong DG, Boulton AJM, Edmonds M, Van GH et al (2011) The Charcotfoot in diabetes. J Am Podiatr Med Assoc 101(5):437–446. https://doi.org/10.7547/1010437 - DOI - PubMed
    1. Vopat ML, Nentwig MJ, Chong ACM, Agan JL, Shields NN, Yang S-Y (2018) Initial diagnosis and management for acute charcot neuroarthropathy. Kans J Med 11(4):114–119 - DOI - PubMed - PMC
    1. La Fontaine J, Lavery L, Jude E (2016) Current concepts of Charcot foot in diabetic patients. Foot (Edinb). Mars 26:7–14. https://doi.org/10.1016/j.foot.2015.11.001 - DOI

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