Build a multidisciplinary integrated team for the increasing refractory diabetic foot ulcers_West China Medical Journal

Authors：

 RAN Xingwu ¹ , DAI Yan ²

1. Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Wound Care Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

RAN Xingwu, Email: ranxingwu@163.com

Keywords：

Diabetes mellitus; Diabetic foot ulcers; Refractory; Multidisciplinary collaboration team; Multidisciplinary integration team

DOI：

10.7507/1002-0179.202103168

Video：

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The annual incidence of diabetic foot ulcers in China is as high as 8.1%, which ranks first among the causes of chronic wounds in China. Although through the efforts of several generations of podiatrists and the building of multidisciplinary collaboration team, the major amputation rate in patients with diabetic foot ulcers in China has been decreased significantly, it is still far higher than the level of developed countries in Europe and the United States. Therefore, in order to cope with the increasing occurrence and recurrence of refractory diabetic foot ulcers, in addition to further optimizing the construction of multidisciplinary collaboration team, it is an urgent topic for us to explore the construction of a multidisciplinary integrated team to seamlessly connect the diagnosis and treatment of different aspects of foot disease. This article describes the importance and necessity of building a wound repair center with Chinese characteristics, which is a model of multidisciplinary integrated team, aiming at provide a theoretical basis for establishing a multidisciplinary integrated management model and realizing seamless connection between diagnosis and treatment, so as to further improve the cure rate of diabetic foot ulcers.

Citation： RAN Xingwu, DAI Yan. Build a multidisciplinary integrated team for the increasing refractory diabetic foot ulcers. West China Medical Journal, 2021, 36(4): 428-431. doi: 10.7507/1002-0179.202103168 Copy

1.	张会峰, 许樟荣, 冉兴无. 糖尿病足的相关定义和标准. 中华糖尿病杂志, 2020, 12(6): 363-368.
2.	Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
3.	Cheng B, Jiang Y, Fu X, et al. Epidemiological characteristics and clinical analyses of chronic cutaneous wounds of inpatients in China: prevention and control. Wound Repair Regen, 2020, 28(5): 623-630.
4.	王爱红, 许樟荣, 纪立农. 中国城市医院糖尿病截肢的临床特点及医疗费用分析. 中华医学杂志, 2012, 92(4): 224-227.
5.	班绎娟, 冉兴无, 杨川, 等. 中国部分省市糖尿病足病临床资料和住院费用等比较. 中华糖尿病杂志, 2014(7): 499-503.
6.	Edmonds ME, Blundell MP, Morris ME, et al. Improved survival of the diabetic foot: the role of a specialized foot clinic. Q J Med, 1986, 60(232): 763-771.
7.	Larsson J, Apelqvist J, Agardh CD, et al. Decreasing incidence of major amputation in diabetic patients: a consequence of a multidisciplinary foot care team approach?. Diabet Med, 1995, 12(9): 770-776.
8.	Buggy A, Moore Z. The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review. J Wound Care, 2017, 26(6): 324-339.
9.	Blanchette V, Brousseau-Foley M, Cloutier L. Effect of contact with podiatry in a team approach context on diabetic foot ulcer and lower extremity amputation: systematic review and meta-analysis. J Foot Ankle Res, 2020, 13(1): 15.
10.	李永恒, 何利平, 冉兴无, 等. 华西医院住院糖尿病足的流行率及临床疗效. 西部医学, 2011, 23(7): 1228-1232.
11.	Li L, Chen D, Wang C, et al. Autologous platelet-rich gel for treatment of diabetic chronic refractory cutaneous ulcers: a prospective, randomized clinical trial. Wound Repair Regen, 2015, 23(4): 495-505.
12.	Xu Z, Ran X. Diabetic foot care in China: challenges and strategy. Lancet Diabetes Endocrinol, 2016, 4(4): 297-298.
13.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
14.	魏在荣, 黄广涛. 慢性创面的治疗进展及创面外科整合治疗模式探讨. 中华烧伤杂志, 2019, 35(11): 824-827.
15.	Fonder MA, Lazarus GS, Cowan DA, et al. Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings. J Am Acad Dermatol, 2008, 58(2): 185-206.
16.	姜玉峰. 中国特色创面修复学科体系建设的回顾与展望. 华西医学, 2021, 36(4): 421-426.
17.	中华医学会糖尿病学分会糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.

1. 张会峰, 许樟荣, 冉兴无. 糖尿病足的相关定义和标准. 中华糖尿病杂志, 2020, 12(6): 363-368.
2. Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
3. Cheng B, Jiang Y, Fu X, et al. Epidemiological characteristics and clinical analyses of chronic cutaneous wounds of inpatients in China: prevention and control. Wound Repair Regen, 2020, 28(5): 623-630.
4. 王爱红, 许樟荣, 纪立农. 中国城市医院糖尿病截肢的临床特点及医疗费用分析. 中华医学杂志, 2012, 92(4): 224-227.
5. 班绎娟, 冉兴无, 杨川, 等. 中国部分省市糖尿病足病临床资料和住院费用等比较. 中华糖尿病杂志, 2014(7): 499-503.
6. Edmonds ME, Blundell MP, Morris ME, et al. Improved survival of the diabetic foot: the role of a specialized foot clinic. Q J Med, 1986, 60(232): 763-771.
7. Larsson J, Apelqvist J, Agardh CD, et al. Decreasing incidence of major amputation in diabetic patients: a consequence of a multidisciplinary foot care team approach?. Diabet Med, 1995, 12(9): 770-776.
8. Buggy A, Moore Z. The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review. J Wound Care, 2017, 26(6): 324-339.
9. Blanchette V, Brousseau-Foley M, Cloutier L. Effect of contact with podiatry in a team approach context on diabetic foot ulcer and lower extremity amputation: systematic review and meta-analysis. J Foot Ankle Res, 2020, 13(1): 15.
10. 李永恒, 何利平, 冉兴无, 等. 华西医院住院糖尿病足的流行率及临床疗效. 西部医学, 2011, 23(7): 1228-1232.
11. Li L, Chen D, Wang C, et al. Autologous platelet-rich gel for treatment of diabetic chronic refractory cutaneous ulcers: a prospective, randomized clinical trial. Wound Repair Regen, 2015, 23(4): 495-505.
12. Xu Z, Ran X. Diabetic foot care in China: challenges and strategy. Lancet Diabetes Endocrinol, 2016, 4(4): 297-298.
13. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
14. 魏在荣, 黄广涛. 慢性创面的治疗进展及创面外科整合治疗模式探讨. 中华烧伤杂志, 2019, 35(11): 824-827.
15. Fonder MA, Lazarus GS, Cowan DA, et al. Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings. J Am Acad Dermatol, 2008, 58(2): 185-206.
16. 姜玉峰. 中国特色创面修复学科体系建设的回顾与展望. 华西医学, 2021, 36(4): 421-426.
17. 中华医学会糖尿病学分会糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.

West China Medical Journal

Build a multidisciplinary integrated team for the increasing refractory diabetic foot ulcers

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