Guidelines

Introduction

In the ongoing quest to provide a more standardized, evidence-based medicine (EBM) approach to the assessment, diagnosis and treatment of patients with diabetes who are at high risk for amputation, we have organized the most recently published guidelines and other key publications below as a convenient set of resources in one place. It is our hope that this convenient compendium, including resources on the diabetic foot, critical limb-threatening ischemia (CLTI) and the building of interdisciplinary limb salvage teams, will prove to be beneficial in your efforts to improve limb salvage outcomes for your patients.

Diabetic Foot

Diabetic Foot Ulcers and Their Recurrence.

Armstrong DG, Boulton AJM, Bus SA.N Engl J Med. 2017;376(24):2367-2375.
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Practical Guidelines on the Prevention and Management of Diabetic Foot Disease (IWGDF 2023 Update).

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Fitridge R, Game F, Moneiro-Soares M, Senneville E.
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Guidelines on the Prevention of Foot Ulcers in Persons with Diabetes (IWGDF 2023 Update).

Bus SA, Sacco ICN, Monteiro-Soares M, Raspovic A, Paton J, Rasmussen A, Lavery LA, van Netten JJ.
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Guidelines on Offloading Foot Ulcers in Persons with Diabetes (IWGDF 2023 Update).

Bus SA, Armstrong DG, Crews RT, Gooday C, Jarl G, Kirketerp-Møller K, Viswanathan V, Lazzarini PA.
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IWGDF/IDSA guidelines on the diagnosis and treatment of diabetes-related foot infections (IWGDF/IDSA 2023).

Senneville E, Albalawi Z, et al. Diabetes Metab Res Rev. 2023; e3687.
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The intersocietal IWGDF, ESVS, SVS guidelines on peripheral artery disease in patients with diabetes mellitus and a foot ulcer.

Fitridge R, Chuter V, Mills JL, Hinchliffe RJ, Azuma N, Behrendt C, Boyko EJ, Conte MS, Humphries M, Kirksey L, McGinigle K, Nikol S, Nordanstig J, Rowe V, Russell DA, van den Berg J, Venermo M, Schaper NC.
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2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections.

Lipsky BA, Berendt AR, Cornia PB, et al.Clin Infect Dis. 2012;54(12):e132-73.
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CLTI

Society for Vascular Surgery Lower Extremity Threatened Limb Classification System:

Mills JL, Conte MS, Armstrong DG.J Vasc Surg. 2014;59(1):220-234.e2.

Risk stratification based on wound, ischemia, and foot infection (WIfI).

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Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia.

Conte MS, Bradbury AW, Kolh P, et al.J Vasc Surg. 2019;69(6S):3S-125S.e40.
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Interdisciplinary Teams

The Diabetic Rapid Response Acute Foot Team: 7 Essential Skills for Targeted Limb Salvage.

Fitzgerald RH, Mills JL, Joseph W, Armstrong DG.Eplasty. 2009;9:e15. Epub 2009 May 5.
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Toe and Flow: Essential Components and Structure of the Amputation Prevention Team.

Rogers LC, Andros G, Caporusso J, Harkless LB, Mills JL, Armstrong DG.J Vasc Surg. 2010;52(3 Suppl):23S-27S.
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