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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ftdoajarticles:oai:doaj.org/article:b0d5b16573c84292bc7330f5d8e0ec01 2024-09-15T18:06:50+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 Vivienne Chuter Frank Quigley Patrik Tosenovsky Jens Carsten Ritter James Charles Jane Cheney Robert Fitridge 2022-01-01T00:00:00Z https://doi.org/10.1186/s13047-022-00550-7 https://doaj.org/article/b0d5b16573c84292bc7330f5d8e0ec01 EN eng Wiley https://doi.org/10.1186/s13047-022-00550-7 https://doaj.org/toc/1757-1146 1757-1146 doi:10.1186/s13047-022-00550-7 https://doaj.org/article/b0d5b16573c84292bc7330f5d8e0ec01 Journal of Foot and Ankle Research, Vol 15, Iss 1, Pp n/a-n/a (2022) Diabetes feet Peripheral artery disease Foot ulcer Guidelines Diagnosis Revascularisation Diseases of the musculoskeletal system RC925-935 article 2022 ftdoajarticles https://doi.org/10.1186/s13047-022-00550-7 2024-08-05T17:50:05Z 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 Directory of Open Access Journals: DOAJ Articles Journal of Foot and Ankle Research 15 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Diabetes feet Peripheral artery disease Foot ulcer Guidelines Diagnosis Revascularisation Diseases of the musculoskeletal system RC925-935 |
spellingShingle |
Diabetes feet Peripheral artery disease Foot ulcer Guidelines Diagnosis Revascularisation Diseases of the musculoskeletal system RC925-935 Vivienne Chuter Frank Quigley Patrik Tosenovsky Jens Carsten Ritter James Charles Jane Cheney Robert Fitridge Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence‐based guidelines for diabetes‐related foot disease |
topic_facet |
Diabetes feet Peripheral artery disease Foot ulcer Guidelines Diagnosis Revascularisation Diseases of the musculoskeletal system RC925-935 |
description |
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 |
Vivienne Chuter Frank Quigley Patrik Tosenovsky Jens Carsten Ritter James Charles Jane Cheney Robert Fitridge |
author_facet |
Vivienne Chuter Frank Quigley Patrik Tosenovsky Jens Carsten Ritter James Charles Jane Cheney Robert Fitridge |
author_sort |
Vivienne Chuter |
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 |
https://doi.org/10.1186/s13047-022-00550-7 https://doaj.org/article/b0d5b16573c84292bc7330f5d8e0ec01 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Foot and Ankle Research, Vol 15, Iss 1, Pp n/a-n/a (2022) |
op_relation |
https://doi.org/10.1186/s13047-022-00550-7 https://doaj.org/toc/1757-1146 1757-1146 doi:10.1186/s13047-022-00550-7 https://doaj.org/article/b0d5b16573c84292bc7330f5d8e0ec01 |
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_ |
1810444197767938048 |