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Standards for the development and methodology of the 2023 IWGDF guidelines
Sicco A Bus1,2, Matilde Monteiro-Soares3,4,5, Fran Game6
1Department of Rehabilitation Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Diabetes/Metabolism Research and Reviews
|May 14, 2023
Summary
The 2023 International Working Group on the Diabetic Foot (IWGDF) guidelines offer evidence-based strategies for preventing and managing diabetes-related foot disease. Implementing these guidelines can reduce patient and societal burdens associated with this condition.
Area of Science:
- Podiatry
- Endocrinology
- Public Health
Background:
- Diabetes-related foot disease poses a significant burden on patients and healthcare systems.
- Effective, evidence-based guidelines are crucial for managing and preventing this condition.
- International collaboration enhances the development and impact of clinical guidelines.
Purpose of the Study:
- To present the 2023 International Working Group on the Diabetic Foot (IWGDF) guidelines for diabetes-related foot disease.
- To outline the systematic approach used for updating these evidence-based guidelines.
- To emphasize the importance of guideline implementation for reducing disease burden.
Main Methods:
- Utilized the Grading of Recommendations Assessment, Development and Evaluation (GRADE) evidence-to-decision framework for guideline updates.
- Conducted systematic literature reviews and meta-analyses to inform recommendations.
- Formulated specific, actionable recommendations with transparent rationales across seven key areas.
Main Results:
- The 2023 IWGDF guidelines cover prevention, classification, offloading, peripheral artery disease, infection, wound healing, and Charcot neuro-osteoarthropathy.
- Guidelines were developed by international expert working groups and underwent rigorous review.
- Practical guidelines were derived from the seven detailed chapters.
Conclusions:
- Adoption and implementation of the 2023 IWGDF guidelines are expected to improve patient outcomes.
- Effective implementation by healthcare providers and policymakers can reduce the global burden of diabetes-related foot disease.
- These updated guidelines provide a framework for enhanced prevention and management strategies.
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