Development of the Italian clinical practice guidelines for the treatment of diabetic foot syndrome: design and methodological aspects.

Adult Female Humans Male Middle Aged Consensus Diabetes Mellitus Diabetic Foot / etiology Italy / epidemiology Surveys and Questionnaires Practice Guidelines as Topic

Diabetes Diabetic foot syndrome Guidelines

Journal

Acta diabetologica

ISSN: 1432-5233

Titre abrégé: Acta Diabetol

Pays: Germany

ID NLM: 9200299

Informations de publication

Date de publication:
Nov 2023

Historique:

received: 30 05 2023

accepted: 27 06 2023

medline: 27 9 2023

pubmed: 26 7 2023

entrez: 26 7 2023

Statut: ppublish

Résumé

Diabetic foot syndrome (DFS) and its complications are a growing public health concern. The Italian Society of Diabetology (SID) and the Italian Association of Clinical Diabetologists (AMD), in collaboration with other scientific societies, will develop the first Italian guidelines for the treatment of DFS. The creation of SID/AMD Guidelines is based on an extended work made by 19 panelists and 12 members of the Evidence Review Team. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide aims, reference population, and target health professionals. Clinical questions have been created using PICO (Patient, Intervention, Comparison, Outcome) conceptual framework. The definition of questions has been performed using a two-step web-based Delphi methodology, a structured technique aimed at obtaining by repeated rounds of questionnaires a consensus opinion from a panel of experts in areas wherein evidence is scarce or conflicting, and opinion is important. The mean age of panelists (26.3% women) was 53.7 ± 10.6 years. The panel proposed 34 questions. A consensus was immediately reached for all the proposed questions, 32 were approved and 2 were rejected. The areas covered by clinical questions included diagnosis of ischemia and infection, treatment of ischemic, neuropathic, and infected ulcers, prevention of foot ulceration, organization and education issues, and surgical management. The PICO presented in this paper are designed to provide indications for healthcare professionals in charge of diabetic foot treatment and prevention, primarily based on clinical needs of people with diabetic foot syndrome and considering the existing organization of health care.

Identifiants

DOI: 10.1007/s00592-023-02150-8 PMID: 37491605

pubmed: 37491605

doi: 10.1007/s00592-023-02150-8

pii: 10.1007/s00592-023-02150-8

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

1449-1469

Informations de copyright

Références

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