Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease
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 geograp...
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ftunivnewcastnsw:uon:51505 2023-10-09T21:51:35+02:00 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 Prentice, Jenny Commons, Robert ., Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert Twigg, Stephen Lazzarini, Peter Raspovic, Anita The University of Newcastle. College of Health, Medicine & Wellbeing, School of Health Sciences 2022 http://hdl.handle.net/1959.13/1485134 eng eng BioMed Central (BMC) Journal of Foot and Ankle Research Vol. 15, Issue 1, no. 51 10.1186/s13047-022-00550-7 http://hdl.handle.net/1959.13/1485134 uon:51505 ISSN:1757-1146 x diabetes feet peripheral artery disease foot ulcer guidelines diagnosis revascularisation SDG 3 Sustainable Development Goals journal article 2022 ftunivnewcastnsw 2023-09-11T22:26:50Z 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, and/or ... Article in Journal/Newspaper First Nations NOVA: The University of Newcastle Research Online (Australia) |
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NOVA: The University of Newcastle Research Online (Australia) |
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ftunivnewcastnsw |
language |
English |
topic |
diabetes feet peripheral artery disease foot ulcer guidelines diagnosis revascularisation SDG 3 Sustainable Development Goals |
spellingShingle |
diabetes feet peripheral artery disease foot ulcer guidelines diagnosis revascularisation SDG 3 Sustainable Development Goals Chuter, Vivienne Quigley, Frank Prentice, Jenny Commons, Robert ., Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert Twigg, Stephen Lazzarini, Peter Raspovic, Anita 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 SDG 3 Sustainable Development Goals |
description |
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, and/or ... |
author2 |
The University of Newcastle. College of Health, Medicine & Wellbeing, School of Health Sciences |
format |
Article in Journal/Newspaper |
author |
Chuter, Vivienne Quigley, Frank Prentice, Jenny Commons, Robert ., Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert Twigg, Stephen Lazzarini, Peter Raspovic, Anita |
author_facet |
Chuter, Vivienne Quigley, Frank Prentice, Jenny Commons, Robert ., Tosenovsky, Patrik Ritter, Jens Carsten Charles, James Cheney, Jane Fitridge, Robert Twigg, Stephen Lazzarini, Peter Raspovic, Anita |
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 |
BioMed Central (BMC) |
publishDate |
2022 |
url |
http://hdl.handle.net/1959.13/1485134 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Journal of Foot and Ankle Research Vol. 15, Issue 1, no. 51 10.1186/s13047-022-00550-7 http://hdl.handle.net/1959.13/1485134 uon:51505 ISSN:1757-1146 |
op_rights |
x |
_version_ |
1779314715639414784 |