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Review Ann N Y Acad Sci 2018

Update on management of diabetic foot ulcers

Everett E, Mathioudakis N — Ann N Y Acad Sci, 2018

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reviewed current standard treatments for diabetic foot ulcers and examined the evidence for various additional therapies.

What They Found

The study noted that diabetic foot ulcers have high mortality rates, with 5% within 12 months and 42% within 5 years. Standard care involves surgical debridement, dressings, wound off-loading, and infection control. Many adjuvant therapies, including oxygen therapies, were found to be beneficial in improving wound healing rates.

What This Means for Canadian Patients

For Canadian patients with diabetic foot ulcers, this review highlights the importance of comprehensive, multidisciplinary care. It also suggests that various additional treatments, such as hyperbaric oxygen therapy, could potentially improve healing and outcomes when standard care alone is insufficient.

Canadian Relevance

This study covers diabetic foot ulcers, which is a Health Canada-recognized indication for hyperbaric oxygen therapy.

Study Limitations

The review noted that much of the evidence for adjuvant therapies came from small studies with a high risk of bias.

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Study Details

Study Type Review
Category Wound Care
Source Pubmed
PubMed ID 29377202
Year Published 2018
Journal Ann N Y Acad Sci
MeSH Terms Amputation, Surgical; Anti-Bacterial Agents; Bandages; Combined Modality Therapy; Debridement; Diabetic Foot; Humans; Hyperbaric Oxygenation; Hypoglycemic Agents; Intercellular Signaling Peptides and Proteins; Microbial Collagenase; Negative-Pressure Wound Therapy; Patient Care Team; Peripheral Arterial Disease; Physical Therapy Modalities; Practice Guidelines as Topic; Shoes; Skin Transplantation; Wound Healing; Wound Infection

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.