Brazilian Society of Angiology and Vascular Surgery 2023 guidelines on the diabetic foot

Area of Science:

• Podiatry
• Endocrinology
• Vascular Medicine

Background:

• Diabetic foot complications arise from complex anatomical, vascular, and neurological factors.
• These factors present significant challenges in clinical practice for managing diabetes-related foot issues.

Purpose of the Study:

• To compile primary scientific evidence on diabetic foot management.
• To establish evidence-based recommendations for prevention, diagnosis, treatment, and follow-up of diabetic foot conditions.

Main Methods:

• Systematic review of main guidelines and articles from Embase, Lilacs, and PubMed.
• Utilized the European Society of Cardiology system for recommendation classes and levels of evidence.
• Organized information into six key chapters covering prevention, pressure relief, classification, peripheral artery disease, infection, and Charcot's neuroarthropathy.

Main Results:

• Synthesized evidence on the multifaceted nature of diabetic foot, integrating anatomical, vascular, and neurological aspects.
• Established clear recommendation classes and levels of evidence for various management strategies.
• Provided a structured guide covering critical areas from ulcer prevention to Charcot's neuroarthropathy.

Conclusions:

• The developed Diabetic Foot Guidelines offer an objective and comprehensive resource for medical practice.
• Essential recommendations are presented for the holistic management of patients with diabetic foot.
• Aims to improve clinical decision-making and patient outcomes in diabetic foot care.