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The global burden of diabetic foot disease

Boulton, A J M; Vileikyte, L; Ragnarson-Tennvall, G and Apelqvist, Jan LU (2005) In The Lancet 366(9498). p.1719-1724
Abstract
Diabetic foot problems are common throughout the world, resulting in major economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathic origin, and therefore eminently preventable, in developing countries, which will experience the greatest rise in the prevalence of type 2 diabetes in the next 20 years. People at greatest risk of ulceration can easily be identified by careful clinical examination of the feet: education and frequent follow-up is indicated for these patients. When assessing the economic effects of diabetic foot disease, it is important to remember that rates of recurrence of foot ulcers are very high, being greater than 50% after 3 years. Costing should therefore... (More)
Diabetic foot problems are common throughout the world, resulting in major economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathic origin, and therefore eminently preventable, in developing countries, which will experience the greatest rise in the prevalence of type 2 diabetes in the next 20 years. People at greatest risk of ulceration can easily be identified by careful clinical examination of the feet: education and frequent follow-up is indicated for these patients. When assessing the economic effects of diabetic foot disease, it is important to remember that rates of recurrence of foot ulcers are very high, being greater than 50% after 3 years. Costing should therefore include not only the immediate ulcer episode, but also social services, home care, and subsequent ulcer episodes. A broader view of total resource use should include some estimate of quality of life and the final outcome. An integrated care approach with regular screening and education of patients at risk requires low expenditure and has the potential to reduce the cost of health care. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Lancet
volume
366
issue
9498
pages
1719 - 1724
publisher
Elsevier Limited
external identifiers
  • wos:000233206400028
  • pmid:16291066
  • scopus:27744593541
ISSN
1474-547X
DOI
10.1016/S0140-6736(05)67698-2
language
English
LU publication?
yes
id
bc50aac8-1280-405e-a07a-2363414fa903 (old id 213806)
date added to LUP
2007-09-21 09:12:23
date last changed
2017-11-19 03:40:10
@article{bc50aac8-1280-405e-a07a-2363414fa903,
  abstract     = {Diabetic foot problems are common throughout the world, resulting in major economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathic origin, and therefore eminently preventable, in developing countries, which will experience the greatest rise in the prevalence of type 2 diabetes in the next 20 years. People at greatest risk of ulceration can easily be identified by careful clinical examination of the feet: education and frequent follow-up is indicated for these patients. When assessing the economic effects of diabetic foot disease, it is important to remember that rates of recurrence of foot ulcers are very high, being greater than 50% after 3 years. Costing should therefore include not only the immediate ulcer episode, but also social services, home care, and subsequent ulcer episodes. A broader view of total resource use should include some estimate of quality of life and the final outcome. An integrated care approach with regular screening and education of patients at risk requires low expenditure and has the potential to reduce the cost of health care.},
  author       = {Boulton, A J M and Vileikyte, L and Ragnarson-Tennvall, G and Apelqvist, Jan},
  issn         = {1474-547X},
  language     = {eng},
  number       = {9498},
  pages        = {1719--1724},
  publisher    = {Elsevier Limited},
  series       = {The Lancet},
  title        = {The global burden of diabetic foot disease},
  url          = {http://dx.doi.org/10.1016/S0140-6736(05)67698-2},
  volume       = {366},
  year         = {2005},
}