PMIDOWN STATDA DCOMIS IS VI IP DP TI PG AB -

16291066
NLM
MEDLINE
20051118
20051129
1474-547X (Electronic)
0140-6736 (Linking)
366
9498
2005 Nov 12
The global burden of diabetic foot disease.
1719-24
Diabetic foot problems are common throughout the world, resulting in major
economic consequences for the patients, their families, and society. Foot

ulcers
are more likely to be of neuropathic origin, and therefore eminently preve
ntable,
in developing countries, which will experience the greatest rise in the
prevalence of type 2 diabetes in the next 20 years. People at greatest ris
k of
ulceration can easily be identified by careful clinical examination of the
feet:
education and frequent follow-up is indicated for these patients. When ass
essing
the economic effects of diabetic foot disease, it is important to remember
that
rates of recurrence of foot ulcers are very high, being greater than 50% a
fter 3
years. Costing should therefore include not only the immediate ulcer episo
de, but
also social services, home care, and subsequent ulcer episodes. A broader
view of
total resource use should include some estimate of quality of life and the
final
outcome. An integrated care approach with regular screening and education
of
patients at risk requires low expenditure and has the potential to reduce
the
cost of health care.
FAU - Boulton, Andrew J M
AU - Boulton AJ
AD - Department of Medicine, University of Manchester, Manchester, UK.
aboulton@med.miami.edu
FAU - Vileikyte, Loretta
AU - Vileikyte L
FAU - Ragnarson-Tennvall, Gunnel
AU - Ragnarson-Tennvall G
FAU - Apelqvist, Jan
AU - Apelqvist J
LA - eng
PT - Journal Article
PT - Review
PL - England
TA - Lancet
JT - Lancet
JID - 2985213R
SB - AIM
SB - IM
MH - Amputation

MH MH MH MH MH RF EDATMHDACRDTAID AID PST SO -

Diabetic Foot/economics/*epidemiology/prevention & control

Health Education
Humans
Prevalence
*World Health
75
2005/11/18 09:00
2005/12/13 09:00
2005/11/18 09:00
S0140-6736(05)67698-2 [pii]
10.1016/S0140-6736(05)67698-2 [doi]
ppublish
Lancet. 2005 Nov 12;366(9498):1719-24.