足と足首の臨床研究

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Diabetic Foot: Are Existing Clinical Practice Guidelines Evidence-Informed?

Senthil P Kumar, Prabha Adhikari, Sydney C D’Souza and Vaishali Sisodia

The objective of this editorial was to provide an overview of role of existing clinical practice guidelines on diabetic foot- its diagnosis and management from an evidence-informed perspective. Various organizations and focused research groups such as The Diabetes Committee of the American Orthopaedic Foot and Ankle Society, International Working Group on the Diabetic Foot, American College of Foot and Ankle Orthopaedics and Medicine, American College of Foot and Ankle Surgeons, Tucson Expert Consensus Conference and Infectious Disease Society of America had published a total of eight clinical practice guidelines. Whilst the existing guidelines were focused both on assessment and treatment, a multidisciplinary biopsychosocial perspective is however lacking in spite of the ensuing evidence-informed paradigm shift.