Abstract:
:Diabetic foot ulcers remain a major health care problem. They are common, result in considerable suffering, frequently recur, and are associated with high mortality, as well as considerable health care costs. While national and international guidance exists, the evidence base for much of routine clinical care is thin. It follows that many aspects of the structure and delivery of care are susceptible to the beliefs and opinion of individuals. It is probable that this contributes to the geographic variation in outcome that has been documented in a number of countries. This article considers these issues in depth and emphasizes the urgent need to improve the design and conduct of clinical trials in this field, as well as to undertake systematic comparison of the results of routine care in different health economies. There is strong suggestive evidence to indicate that appropriate changes in the relevant care pathways can result in a prompt improvement in clinical outcomes.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Jeffcoate WJ,Vileikyte L,Boyko EJ,Armstrong DG,Boulton AJMdoi
10.2337/dc17-1836subject
Has Abstractpub_date
2018-04-01 00:00:00pages
645-652issue
4eissn
0149-5992issn
1935-5548pii
41/4/645journal_volume
41pub_type
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