The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: Development of an evidence-based global consensus

Bakker, K., Apelqvist, J., Lipsky, B.A., van Netten, J.J., & Schaper, N.C. (2016) The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: Development of an evidence-based global consensus. Diabetes/Metabolism Research and Reviews, 32(Supplement S1), pp. 2-6.

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Abstract

Foot problems complicating diabetes are a source of major patient suffering and societal costs. Investing in evidence-based, internationally appropriate diabetic foot care guidance is likely among the most cost-effective forms of healthcare expenditure, provided it is goal-focused and properly implemented. The International Working Group on the Diabetic Foot (IWGDF) has been publishing and updating international Practical Guidelines since 1999. The 2015 updates are based on systematic reviews of the literature, and recommendations are formulated using the Grading of Recommendations Assessment Development and Evaluation system. As such, we changed the name from 'Practical Guidelines' to 'Guidance'. In this article we describe the development of the 2015 IWGDF Guidance documents on prevention and management of foot problems in diabetes. This Guidance consists of five documents, prepared by five working groups of international experts. These documents provide guidance related to foot complications in persons with diabetes on: prevention; footwear and offloading; peripheral artery disease; infections; and, wound healing interventions. Based on these five documents, the IWGDF Editorial Board produced a summary guidance for daily practice. The resultant of this process, after reviewed by the Editorial Board and by international IWGDF members of all documents, is an evidence-based global consensus on prevention and management of foot problems in diabetes. Plans are already under way to implement this Guidance. We believe that following the recommendations of the 2015 IWGDF Guidance will almost certainly result in improved management of foot problems in persons with diabetes and a subsequent worldwide reduction in the tragedies caused by these foot problems.

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ID Code: 93273
Item Type: Journal Article
Refereed: Yes
Additional Information: Supplement: 2015 IWGDF Guidance on the Prevention and Management of Foot Problems in Diabetes and Proceedings of the 7th International Symposium on the Diabetic Foot, 20–23 May 2015, The Hague, The Netherlands
Keywords: Diabetic foot, Foot ulcer, Guidance, Guidelines, Implementation, IWGDF
DOI: 10.1002/dmrr.2694
ISSN: 1520-7560
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: 2016 John Wiley & Sons, Ltd.
Deposited On: 26 Feb 2016 04:04
Last Modified: 03 Mar 2016 04:48

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