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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: Diabetic foot infection

Apr 7, 2016

loading… Infections are a well-known danger in patients with a diabetic foot ulcer. To limit poor outcomes, adequate diagnosis needs to be followed by adequate treatment. Dr. Peters and Prof. Lipsky describe in two articles the pitfalls and dangers in diagnosis and treatment of diabetic foot infections. When diagnosing infection, Peters and Lipsky stress clinicians…

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DMRR special issue: Interventions to improve wound healing

Apr 7, 2016

loading… Drs. Garwood and Steinberg critically discuss the current situation in wound healing products, starting with describing the high influx of emerging wound care modalities, while lacking adequate research. They continue with describing the positive outcomes from negative pressure wound therapy, and the mixed outcomes on both cellular and tissue based products, as well as…

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DMRR special issue: The Charcot foot

Apr 7, 2016

loading… The Charcot foot remains an intriguing topic. Despite having a rather small incidence rate in comparison to foot ulcers or amputation, it is a topic that receives a fair bit of attention in research. That is probably explained by the challenging (and interesting) medical questions on the one hand, and the devastating consequences for…

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DMRR special issue: Surgical interventions

Apr 7, 2016

loading… 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…

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

Apr 7, 2016

loading… 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…

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DMRR special issue: A broader view of our patients

Apr 7, 2016

loading… 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…

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DMRR special issue: National auditing and accreditation systems

Apr 7, 2016

loading… 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…

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National Diabetes Foot Care Audit (NDFA)

Apr 5, 2016

loading… 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…

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Australian and International Guidelines – Where to go from here?

Dec 1, 2015

loading… 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…

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IWGDF recommendations on peripheral artery disease and infection

Dec 1, 2015

loading… 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…

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