Advanced

Diabetikers fotproblem : Rätt prevention och behandling kan halvera risken för amputation

Apelqvist, Jan LU ; Bergqvist, David; Eneroth, Magnus LU and Larsson, Jan (1999) In Lakartidningen 96(1-2). p.37-41
Abstract

Almost half of all lower leg amputations are performed in patients with diabetes. In over 70 per cent of these cases, amputation is precipitated by progression of foot ulceration to deep gangrenous infection. Most foot ulcers are preceded by trauma, usually due to ill-fitting shoes, and are precipitated by sensory motor neuropathy with varying degrees of peripheral vascular disease. The Swedish Medical Research Council and the Swedish Institute for Health Services Development arranged a conference on diabetic foot problems in April 1998, the purpose of which was to arrive at a consensus regarding the prevention and management of diabetic foot. It was concluded that a satisfactory multidisciplinary approach should include regular control... (More)

Almost half of all lower leg amputations are performed in patients with diabetes. In over 70 per cent of these cases, amputation is precipitated by progression of foot ulceration to deep gangrenous infection. Most foot ulcers are preceded by trauma, usually due to ill-fitting shoes, and are precipitated by sensory motor neuropathy with varying degrees of peripheral vascular disease. The Swedish Medical Research Council and the Swedish Institute for Health Services Development arranged a conference on diabetic foot problems in April 1998, the purpose of which was to arrive at a consensus regarding the prevention and management of diabetic foot. It was concluded that a satisfactory multidisciplinary approach should include regular control of feet and footwear, preventive foot care (education, footwear, chiropody), continuous follow-up of high-risk feet, and early recognition of revascularisation. Continuous registration of amputation, irrespective of type, cause and site, might substantially reduce the amputation rate among diabetics. Were such an approach to reduce the incidence of diabetes-related amputation by 50 per cent, annual costs for the management of diabetic foot in Sweden would be reduced by SEK 400 million (the value of improved quality of life not taken into consideration).

(Less)
Please use this url to cite or link to this publication:
author
alternative title
Diabetic foot; Optimal prevention and treatment can halve the risk of amputation
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
96
issue
1-2
pages
5 pages
external identifiers
  • scopus:0033528002
ISSN
0023-7205
language
Swedish
LU publication?
no
id
6290396f-de58-4f0d-b5ed-44a36b6c117c
alternative location
http://ltarkiv.lakartidningen.se/1999/temp/pda18823.pdf
date added to LUP
2017-03-29 08:51:21
date last changed
2017-07-30 05:23:31
@article{6290396f-de58-4f0d-b5ed-44a36b6c117c,
  abstract     = {<p>Almost half of all lower leg amputations are performed in patients with diabetes. In over 70 per cent of these cases, amputation is precipitated by progression of foot ulceration to deep gangrenous infection. Most foot ulcers are preceded by trauma, usually due to ill-fitting shoes, and are precipitated by sensory motor neuropathy with varying degrees of peripheral vascular disease. The Swedish Medical Research Council and the Swedish Institute for Health Services Development arranged a conference on diabetic foot problems in April 1998, the purpose of which was to arrive at a consensus regarding the prevention and management of diabetic foot. It was concluded that a satisfactory multidisciplinary approach should include regular control of feet and footwear, preventive foot care (education, footwear, chiropody), continuous follow-up of high-risk feet, and early recognition of revascularisation. Continuous registration of amputation, irrespective of type, cause and site, might substantially reduce the amputation rate among diabetics. Were such an approach to reduce the incidence of diabetes-related amputation by 50 per cent, annual costs for the management of diabetic foot in Sweden would be reduced by SEK 400 million (the value of improved quality of life not taken into consideration).</p>},
  author       = {Apelqvist, Jan and Bergqvist, David and Eneroth, Magnus and Larsson, Jan},
  issn         = {0023-7205},
  language     = {swe},
  number       = {1-2},
  pages        = {37--41},
  series       = {Lakartidningen},
  title        = {Diabetikers fotproblem : Rätt prevention och behandling kan halvera risken för amputation},
  volume       = {96},
  year         = {1999},
}