Diabetic Foot Classifications: Review of Literature

Diabetic foot is one of the most serious complications of diabetes. As the global burden of diabetes is increasing, the incidence of diabetic foot is equally on a rise. However, diabetic foot has been often ignored by people and also the treating physicians leading to a rise in major amputations. Various classifications have been proposed over decades describing the diabetic foot and the clinicians are hardly aware of them especially in developing and underdeveloped countries where this disease is rampantly   increasing. One of the main reason for this unawareness is the fact that this disease is often less discussed in the standard teaching curriculum. The other probable reason is that physicians show more interest in learning other classification like that in oncology compared to disease like diabetic foot which actually deserves more importance. Further, even the trainee doctors and nurses show less inclination to know about diabetic foot classification as their teachers dont teach much about them. This unique review article serves to survey for the first time the various classifications proposed for the diabetic foot thereby helping the various treating physicians to update themselves in the diabetic foot.

Diabetic Foot Classifications: Review of Literature

Diabetic foot is one of the most serious complications of diabetes. As the global burden of diabetes is increasing, the incidence of diabetic foot is equally on a rise. However, diabetic foot has been often ignored by people and also the treating physicians leading to a rise in major amputations. Various classifications have been proposed over decades describing the diabetic foot and the clinicians are hardly aware of them especially in developing and underdeveloped countries where this disease is rampantly   increasing. One of the main reason for this unawareness is the fact that this disease is often less discussed in the standard teaching curriculum. The other probable reason is that physicians show more interest in learning other classification like that in oncology compared to disease like diabetic foot which actually deserves more importance. Further, even the trainee doctors and nurses show less inclination to know about diabetic foot classification as their teachers dont teach much about them. This unique review article serves to survey for the first time the various classifications proposed for the diabetic foot thereby helping the various treating physicians to update themselves in the diabetic foot.

___

  • Janet LK, Irl BH. Medical management of patients with Diabetes during perioperative period. In: Bowker JH, Pfeifer MA, eds, Levin and O’Neal’s The Diabetic Foot. 7th edition. Philadelphia: Mosby. 2008;387-401.
  • David GA, Lavery LA, Harkless LB. Treatment based classification system for assessment and care of diabetic feet. J Am Pod Med Assoc. 1996;86(7):311-6.
  • Acker KV, DeBlock UC, Abrams P, Bouten A, Leeuw ID, Droste PJ, Weyler J, PeterRiesch B. The choice of diabetic foot ulcer classification in relation to the final outcome. Wounds. 2002;14(1):16–25.
  • James WB. Classification of foot lesion in diabetic patients. In: Bowker JH, Pfeifer MA, eds, Levin and O’Neal’s The Diabetic Foot. 7th edition. Philadelphia: Mosby. 2008:221
  • Mark AK, Warren SJ. Update of the treatment of diabetic foot infections. Clin Podiatr Med Surg. 2007;24:383-96.
  • Wagner FW Jr. The diabetic foot and amputation of the foot. Surgery of the foot. St Louis: Mosby. 1986:421-55.
  • Parisi MC, Zantut-Wittmann DE, Pavin EJ, Machado H, Nery M, Jeffcoate WJ. Comparison of three systems of classification in predicting the outcome of diabetic foot ulcers in a Brazilian population. Eur J Endocrinol. 2008;159(4):417-22.
  • Edmonds ME, Foster AVM. Managing the diabetic foot. 2nd edition. Blackwell; 2005. Terashi H, Kitano I, Tsuji Y. Total management of diabetic foot ulceration–Kobe classification as a new classification of diabetic foot wounds. Keio J Med. 2011;60(1):17
  • Amit KCJ. A new classification of Diabetic foot classification: A simple and effective teaching tool. J Diab Foot Complications. 2012;4(1):1-5.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )