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:: Editorial Board
:: About Iranian Journal of Endocrinology and Metabolism
:: Volume 21, Issue 4 (12-2019) ::
2019, 21(4): 239-252 Back to browse issues page
Diagnosis, Prognosis and Treatment of Peripheral Vascular Disease in Patients with Diabetic Foot Ulcer: Adopted IWGDF Guidance
Mohammad Reza Amini , Neda Mehrdad , Mahnaz Sanjari , Maryam Aalaa , Mohammad Reza Mohajeri-Tehrani , Behnam Molavi
Department of Surgery, Tehran University of Medical Sciences, Shariati Hospital, Tehran, I.R. Iran , emri-df@sina.tums.ac.ir
Abstract:   (3624 Views)
Introduction: Peripheral arterial disease (PAD) is common in diabetic patients, and about half of the patients with diabetic foot ulcers (DFU) have concomitant peripheral arterial disease (PAD). The purpose of this study was to select an appropriate and comprehensive clinical guide in the management of DFU. The part of the practical guide that pertains to this is based on three systematic reviews in three sections of diagnosis, prognosis, and treatment for DFU in patients with PAD. Materials and Methods: In this study, the ADAPTE methodology process consiss of the three stages of preparation, acceptance or final adoption and finalization for the localization of an international clinical guide. Results: Results are presented in the form of questions and recommendations in three sections, i.e. diagnosis, 2 questions and 3 recommendations, diagnosis  prognosis and treatment. In the diagnosis section, and in the prognosis section (2 questions and 6 recommendations), and in the treatment section (3 questions and 8 recommendations). Conclusion: In this practical guide, our take home massage, i.e. what we should learn and practice is summarized as follows:  1) We examine a patient with diabetes for peripheral arterial disease yearly. 2) Despite the best possible treatment in patients with DFU, if the wound does not improve after six weeks, we should refer the patient to a vascular surgeon. 3) Patients with PAD, associated with foot infections are at high risk for extreme amputation of the lower limbs and need urgent interventions. 4) All patients with diabetes with ischemic DFU should receive appropriate therapeutic treatment, similar to that for cardiovascular patients.
 
Keywords: Diabetic foot, Peripheral blood vessels, Clinical guidelines
Full-Text [PDF 1286 kb]   (809 Downloads)    
Type of Study: Original | Subject: Endocrinology
Received: 2019/07/10 | Accepted: 2019/12/23 | Published: 2019/12/14
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Amini M R, Mehrdad N, Sanjari M, Aalaa M, Mohajeri-Tehrani M R, Molavi B. Diagnosis, Prognosis and Treatment of Peripheral Vascular Disease in Patients with Diabetic Foot Ulcer: Adopted IWGDF Guidance. Iranian Journal of Endocrinology and Metabolism 2019; 21 (4) :239-252
URL: http://ijem.sbmu.ac.ir/article-1-2600-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 21, Issue 4 (12-2019) Back to browse issues page
مجله ی غدد درون‌ریز و متابولیسم ایران، دو ماهنامه  پژوهشی مرکز تحقیقات غدد درون‌ریز و متابولیسم، Iranian Journal of Endocrinology and Metabolism
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