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New research on diabetes-related foot disease is published on an almost daily basis. Keeping track of what is out there and finding the time to read seems a near impossible job at times. DFA aims to provide summaries on latest research from around the globe and nationally to keep you up-to-date.

DMRR special issue: Surgical interventions

Apr 7, 2016

Four articles in the special issue are written for a surgical audience The first two deal with the Charcot foot, we have discussed the m here. Prof. Tagoe and his colleagues from the UK discuss the place of Achilles Tendon Lengthening. After some historical and surgical information on this procedure, they discuss the evidence for…

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DMRR special issue: Disturbed hypoxic response and the pathogenic mechanism of diabetic foot ulcers

Apr 7, 2016

Research on diabetic foot ulcers can be rather clinically oriented Luckily, there are also many ‘basic science’ brains that attach themselves more to microscopes than patients interested in foot ulcers. Catrina and Zheng, from the prestigious Karolinska Institut in Sweden, discuss the evidence of pathogenic mechanisms at the cell level that are involved in the…

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DMRR special issue: A broader view of our patients

Apr 7, 2016

Not all articles in the DMRR special issue have an exclusive focus on diabetic foot disease These articles are a good reminder that it’s not just about ‘treating the hole in the patient (the ulcer), but about treating the whole of the patient’. Perkasis and Vanderwoude describe the concepts of frailty and sarcopenia. Frailty is…

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DMRR special issue: National auditing and accreditation systems

Apr 7, 2016

To improve nationwide diabetic foot care, auditing and accreditation is encouraged. Diabetes Feet Australia is making our first steps on this long path, for example with the minimum dataset (https://www.diabetesfeetaustralia.org/for-researchers/australian-diabetic-foot-ulcer-minimum-dataset-dictionary/). Compared to Scotland, Germany and Belgium, it is clear we have a long way to go. These three countries are setting standards for us all.…

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National Diabetes Foot Care Audit (NDFA)

Apr 5, 2016

Early referral for foot ulcers is essential, results from the UK Foot Care Audit Show Read the full report here: NDFA Report  The National Diabetes Foot Care Audit (NDFA) is part of the National Diabetes Audit programme (NDA).The NDA is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and…

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Australian and International Guidelines – Where to go from here?

Dec 1, 2015

This is the sixth article in the “DFA Guides You Through” series on Australian and International diabetic foot disease guidelines.  In the previous five sections, we have guided you through the two most important evidence-based diabetic foot disease documents available for Australian clinicians: the Australian and International guidelines. However, the journey does not end here; this is where it begins…

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IWGDF recommendations on peripheral artery disease and infection

Dec 1, 2015

This is the fifth article in the “DFA Guides You Through” series on Australian and International diabetic foot disease guidelines.  As discussed in our previous article, peripheral artery disease and infection were outside the scope of the Australian guidelines. For the Australian situation, a therapeutic guideline exists for antibiotic use, which can be applied to patients…

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Australian and International Guidelines on the management of diabetic foot disease

Dec 1, 2015

This is the fourth article in the “DFA Guides You Through” series on Australian and International diabetic foot disease guidelines. In this article, we compare the Australian guideline and IWGDF guidance on the management of diabetic foot disease. Management of diabetic foot disease is divided in three topics: organization of care and ulcer assessment; footwear and offloading; and wound…

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Australian and International Guidelines on the prevention of diabetic foot ulcers

Dec 1, 2015

This is the third article in the “DFA Guides You Through” series on Australian and International diabetic foot disease guidelines. Prevention has long been the Cinderella of diabetic foot disease, receiving scant attention in research and guidelines. While it is still underrepresented in research (of the last 100 published RCTs on diabetic foot disease only…

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An overview of current Australian and International Guidelines on diabetic foot disease

Dec 1, 2015

This is the second article in the “DFA Guides You Through” series on Australian and International diabetic foot disease guidelines. You can find the first article here. Both the Australian and the International Working Group on the Diabetic Foot (IWGDF) Guidelines on diabetic foot disease use clearly formulated recommendations based on well-defined grading systems and extensive systematic literature searches, resulting…

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