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The Elephant in the Room.

Alberto Piaggesi1, Roberto Ferraresi2, Mauro Gargiulo3

  • 1Sezione Dipartimentale Piede Diabetico, Dipartimento di Medicina Specialistica, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

The International Journal of Lower Extremity Wounds
|August 1, 2023
PubMed
Summary

Diabetic foot syndrome (DFS) is a growing problem with high mortality. This article addresses critical management aspects in Italy to improve therapy quality and patient access to optimal care.

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chronic woundsdiabetic foot ulcershealth-related quality of life assessmentslower extremity woundwound assessmentwound management

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Area of Science:

  • Diabetology
  • Vascular Surgery
  • Podiatry

Background:

  • Diabetic foot syndrome (DFS) presents increasing prevalence, severity, and mortality.
  • Current management of DFS is suboptimal and accessible only in limited centers.
  • Clinical outcomes for DFS patients are highly variable, depending on care access.

Purpose of the Study:

  • To analyze critical aspects of DFS management in Italy.
  • To propose strategies for improving DFS therapy quality.
  • To enhance patient access to optimal diabetic foot care.

Main Methods:

  • Review of current DFS management protocols in Italy.
  • Analysis of factors influencing treatment outcomes.
  • Identification of barriers to optimal care access.

Main Results:

  • Significant variability in DFS care standards across Italian centers.
  • Limited accessibility to specialized multidisciplinary teams for DFS patients.
  • Need for standardized protocols and improved patient education.

Conclusions:

  • Standardization of DFS management protocols is crucial.
  • Enhanced accessibility to specialized care centers is required.
  • Multidisciplinary approaches can improve outcomes for diabetic foot patients.