Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease
Abstract Background Peripheral artery disease (PAD) is implicated in up to 50% of diabetes‐related foot ulcers (DFU) and significantly contributes to morbidity and mortality in this population. An evidence‐based guideline that is relevant to the national context including consideration of the unique...
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crwiley:10.1186/s13047-022-00550-7 2024-06-23T07:52:52+00:00 Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease Chuter, Vivienne Quigley, Frank Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert 2022 http://dx.doi.org/10.1186/s13047-022-00550-7 https://link.springer.com/content/pdf/10.1186/s13047-022-00550-7.pdf https://link.springer.com/article/10.1186/s13047-022-00550-7/fulltext.html https://onlinelibrary.wiley.com/doi/pdf/10.1186/s13047-022-00550-7 en eng Wiley http://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 Journal of Foot and Ankle Research volume 15, issue 1 ISSN 1757-1146 1757-1146 journal-article 2022 crwiley https://doi.org/10.1186/s13047-022-00550-7 2024-05-31T08:16:06Z Abstract Background Peripheral artery disease (PAD) is implicated in up to 50% of diabetes‐related foot ulcers (DFU) and significantly contributes to morbidity and mortality in this population. An evidence‐based guideline that is relevant to the national context including consideration of the unique geographical and health care system differences between Australia and other countries, and delivery of culturally safe care to First Nations people, is urgently required to improve outcomes for patients with PAD and DFU in Australia. We aimed to identify and adapt current international guidelines for diagnosis and management of patients with PAD and DFU to develop an updated Australian guideline. Methods Using a panel of national content experts and the National Health and Medical Research Council procedures, the 2019 International Working Group on the Diabetic Foot (IWGDF) guidelines were adapted to the Australian context. The guideline adaptation frameworks ADAPTE and Grading of Recommendations Assessment, Development and Evaluation (GRADE) were applied to the IWGDF guideline for PAD by the expert panel. Recommendations were then adopted, adapted or excluded, and specific considerations for implementation, population subgroups, monitoring and future research in Australia were developed with accompanying clinical pathways provided to support guideline implementation. Results Of the 17 recommendations from the IWGDF Guideline on diagnosis, prognosis and management of PAD in patients with diabetes with and without foot ulcers, 16 were adopted for the Australian guideline and one recommendation was adapted due to the original recommendation lacking feasibility in the Australian context. In Australia we recommend all people with diabetes and DFU undergo clinical assessment for PAD with accompanying bedside testing. Further vascular imaging and possible need for revascularisation should be considered for all patients with non‐healing DFU irrespective of bedside results. All centres treating DFU should have expertise in, ... Article in Journal/Newspaper First Nations Wiley Online Library Journal of Foot and Ankle Research 15 1 |
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Abstract Background Peripheral artery disease (PAD) is implicated in up to 50% of diabetes‐related foot ulcers (DFU) and significantly contributes to morbidity and mortality in this population. An evidence‐based guideline that is relevant to the national context including consideration of the unique geographical and health care system differences between Australia and other countries, and delivery of culturally safe care to First Nations people, is urgently required to improve outcomes for patients with PAD and DFU in Australia. We aimed to identify and adapt current international guidelines for diagnosis and management of patients with PAD and DFU to develop an updated Australian guideline. Methods Using a panel of national content experts and the National Health and Medical Research Council procedures, the 2019 International Working Group on the Diabetic Foot (IWGDF) guidelines were adapted to the Australian context. The guideline adaptation frameworks ADAPTE and Grading of Recommendations Assessment, Development and Evaluation (GRADE) were applied to the IWGDF guideline for PAD by the expert panel. Recommendations were then adopted, adapted or excluded, and specific considerations for implementation, population subgroups, monitoring and future research in Australia were developed with accompanying clinical pathways provided to support guideline implementation. Results Of the 17 recommendations from the IWGDF Guideline on diagnosis, prognosis and management of PAD in patients with diabetes with and without foot ulcers, 16 were adopted for the Australian guideline and one recommendation was adapted due to the original recommendation lacking feasibility in the Australian context. In Australia we recommend all people with diabetes and DFU undergo clinical assessment for PAD with accompanying bedside testing. Further vascular imaging and possible need for revascularisation should be considered for all patients with non‐healing DFU irrespective of bedside results. All centres treating DFU should have expertise in, ... |
format |
Article in Journal/Newspaper |
author |
Chuter, Vivienne Quigley, Frank Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert |
spellingShingle |
Chuter, Vivienne Quigley, Frank Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
author_facet |
Chuter, Vivienne Quigley, Frank Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert |
author_sort |
Chuter, Vivienne |
title |
Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
title_short |
Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
title_full |
Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
title_fullStr |
Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
title_full_unstemmed |
Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
title_sort |
australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 australian evidence‐based guidelines for diabetes‐related foot disease |
publisher |
Wiley |
publishDate |
2022 |
url |
http://dx.doi.org/10.1186/s13047-022-00550-7 https://link.springer.com/content/pdf/10.1186/s13047-022-00550-7.pdf https://link.springer.com/article/10.1186/s13047-022-00550-7/fulltext.html https://onlinelibrary.wiley.com/doi/pdf/10.1186/s13047-022-00550-7 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Foot and Ankle Research volume 15, issue 1 ISSN 1757-1146 1757-1146 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_doi |
https://doi.org/10.1186/s13047-022-00550-7 |
container_title |
Journal of Foot and Ankle Research |
container_volume |
15 |
container_issue |
1 |
_version_ |
1802644294357483520 |