The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus

K. Bakker, J. Apelqvist, B.A. Lipsky, J.J. van Netten, N.C. Schaper

Research output: Contribution to journalConference article in journalAcademicpeer-review

Abstract

Foot problems complicating diabetes are a source of major patient suffering and societal costs. Investing in evidence-based, internationally appropriate diabetic foot care guidance is likely among the most cost-effective forms of healthcare expenditure, provided it is goal-focused and properly implemented. The International Working Group on the Diabetic Foot (IWGDF) has been publishing and updating international Practical Guidelines since 1999. The 2015 updates are based on systematic reviews of the literature, and recommendations are formulated using the Grading of Recommendations Assessment Development and Evaluation system. As such, we changed the name from Practical Guidelines' to Guidance'. In this article we describe the development of the 2015 IWGDF Guidance documents on prevention and management of foot problems in diabetes. This Guidance consists of five documents, prepared by five working groups of international experts. These documents provide guidance related to foot complications in persons with diabetes on: prevention; footwear and offloading; peripheral artery disease; infections; and, wound healing interventions. Based on these five documents, the IWGDF Editorial Board produced a summary guidance for daily practice. The resultant of this process, after reviewed by the Editorial Board and by international IWGDF members of all documents, is an evidence-based global consensus on prevention and management of foot problems in diabetes. Plans are already under way to implement this Guidance. We believe that following the recommendations of the 2015 IWGDF Guidance will almost certainly result in improved management of foot problems in persons with diabetes and a subsequent worldwide reduction in the tragedies caused by these foot problems.

Original languageEnglish
Pages (from-to)2-6
Number of pages5
JournalDiabetes/Metabolism Research and Reviews
Volume32
Issue numberSupplement 1
Early online date27 Sep 2015
DOIs
Publication statusPublished - 1 Jan 2016
Event7th International Symposium on the Diabetic Foot - The Hague, Netherlands
Duration: 20 May 201523 May 2015

Keywords

  • diabetic foot
  • foot ulcer
  • guidelines
  • guidance
  • IWGDF
  • implementation
  • PRACTICAL GUIDELINES
  • ULCERS

Cite this