Fully revised and updated edition of this popular book, addressing all issues concerning the diabetic foot, one of the most prevalent problems in diabetes, with a strong emphasis on practical aspects of delivering care.
Fully revised and updated edition of this popular book, addressing all issues concerning the diabetic foot, one of the most prevalent problems in diabetes, with a strong emphasis on practical aspects of delivering care.
Professor Andrew J. M. Boulton, Division of Diabetes, Endocrinology and Gastroenterology, University of Manchester, Manchester, UK; Consultant Physician, Manchester Royal Infirmary, Manchester, UK; Visiting Professor, Diabetes Research Institute, University of Miami, Miami, FL, USA. Professor Gerry Rayman, The Diabetes Centre, Ipswich Hospital, Ipswich, UK; University of East Anglia, Norwich, UK; University of Suffolk, Ipswich, UK. Dr. Dane K. Wukich, Professor and Chair, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Inhaltsangabe
List of Contributors xv
Preface xix
Introduction xxi
1 Epidemiology and Economic Impact of Foot Ulcers 1 Edward J. Boyko and Matilde Monteiro-Soares
1.1 Introduction 1
1.2 Diabetic Foot Ulcer (DFU) Definition 1
1.3 DFU Classification 2
1.4 DFU Incidence and Prevalence 3
1.5 DFU Recurrence 5
1.6 Risk Factors for Diabetic Foot Ulcers and Lower Extremity Amputation 6
1.7 Diabetic Foot Ulcer Outcomes 7
1.8 Economic Considerations 9
Reference 10
2 Cost of Diabetic Foot Disease in England 17 Marion Kerr
2.1 Introduction 17
2.2 Human Costs 17
2.3 Financial Costs 20
2.4 Why Measure Costs? 22
2.5 Establishing Healthcare Priorities 22
2.6 Conclusions 25
References 26
3 Epidemiology of Amputation and the Influence of Ethnicity 31 Caroline A. Abbott
3.1 Why Study the Epidemiology of LEA? 31
3.2 LEA Incidence Study Design: The Risk of Bias 32
3.3 LEA Risk Assessment Study Design 32
3.4 Risk Factors for LEA 33
3.5 Incidence Rates of LEA 34
3.6 International and Regional Differences 34
3.7 Time Trends in LEA Rates 34
3.8 Ethnic Differences in Diabetes-Related LEA 35
3.9 Ethnic Differences in Diabetes-Related LEA Risk 35
3.10 Indian Asians 38
References 38
4a The Diabetic Foot Worldwide: India 43 M. Viswanathan
4a.1 Introduction 43
4a.2 Epidemiology of Diabetes in India 43
4a.3 Socio Economic Burden Due to Diabetes 43
4a.4 Common Risk Factors for Amputation in India 43
4a.5 Diagnosing High Risk Feet in Developing Countries 44
4a.6 Comparison in Risk Factors between India and the Western World 44
4a.7 DFI as a Cause for Declining Kidney Function 44
4a.8 Helping People with Amputation Cope Up with the Disability 44
References 45
4b The Diabetic Foot Worldwide: Pakistan 47 Abdul Basit
4b.1 Introduction 47
4b.2 Concept of Multidisciplinary Diabetic Foot Care Team (MDFCT) 47
4b.3 Nationwide Diabetic Foot Programme (Step by Step-[SbS]) 48
4b.4 Footwear for Every Diabetic (FED) 48
4b.5 Further Steps Ahead of SbS 49
References 49
4c The Diabetic Foot Worldwide: Sub-Saharan Africa 51 Zulfiqarali G. Abbas
4c.1 Introduction 51
4c.2 Pathophysiology of Foot Ulcers 52
4c.3 Peripheral Neuropathy (PN) 52
4c.4 Peripheral Arterial Diseases (PAD) 53
4c.5 Foot Ulceration in SSA 54
4c.6 Foot Infection 55
4c.7 Amputation 56
4c.8 Mortality 56
4c.9 Prevention 56
4c.10 Conclusions 58
References 58
4d Burden of Diabetic Foot Disease in Brazil 61 Hermelinda C. Pedrosa and Luciana R. Bahia
References 64
4e Diabetic Foot in Romania and Eastern Europe 67 Norina Alinta Gâvan and C. I. Bondor
4e.1 Introduction 67
4e.2 The Aim 67
4e.3 Diabetic Foot in Romania 67
4e.4 Diabetic Foot in Eastern Europe 70
4e.5 Conclusions 71
References 71
4f Diabetic Foot Worldwide: Pacific Region 75
Shigeo Kono
References 76
4g The Diabetic Foot Worldwide: Middle East 79 Samir H. Assaad-Khalil
4g.1 The Burden of Diabetic Foot Disease (DFD) in the Middle East (ME) 79
4g.2 Specific Regional Barriers to Healthy Feet and Foot Care 80
