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Diabetic foot in Nigeria--a review article
1Division of Orthopaedics and Trauma, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria. basolagberu@yahoo.com
African Journal of Medicine and Medical Sciences
|March 23, 2004
Summary
Diabetic foot (DF) care in Nigeria shows rising incidence and amputation rates, predominantly affecting lower socioeconomic groups. This review synthesizes national data, comparing it with global literature to improve outcomes.
Area of Science:
- Podiatry
- Diabetology
- Public Health
Background:
- Diabetic foot (DF) care in Nigeria has been documented in numerous institutional reports over 40 years, revealing significant variations.
- A rising incidence of DF is observed, increasingly leading to lower limb amputations in Nigeria.
Purpose of the Study:
- To provide the first comprehensive review of diabetic foot care in Nigeria.
- To consolidate and compare national DF data with international literature.
- To identify strategies for reducing morbidity and mortality associated with diabetic foot disease in Nigeria.
Main Methods:
- Systematic review of institutional reports on diabetic foot care in Nigeria over the past 40 years.
- Comparative analysis of Nigerian DF data against global literature.
- Discussion of aetiopathogenesis, classification, and treatment modalities specific to the Nigerian context.
Main Results:
- DF predominantly affects patients from lower socioeconomic groups, with a peak incidence in the 6th decade.
- Varied male-female preponderance observed across different institutions.
- DF is a significant and growing indication for lower limb amputation in Nigeria.
Conclusions:
- There is a need for standardized diabetic foot care protocols in Nigeria.
- Interventional radiology and revascularisation show promise in improving DF management outcomes.
- Addressing socioeconomic factors and improving access to care are crucial for reducing the burden of diabetic foot disease in Nigeria.