Effects of a Multidisciplinary Therapeutic Approach to Diabetic Foot Complications: A Single-Center Pilot Study from Turkey

İngilizce (OpenAlex)

D iabetes mellitus (DM) is rapidly becoming a significant public health issue in society.Consequently, diabetic complications are also increasingly prevalent worldwide.The prevalence of the disease has doubled in the last 20 years, and it is estimated that by the year 2045, approximately 693 million adults worldwide will be affected by the disease.[1] Each year, diabetes-related foot ulcers affect an estimated 18.6 million people worldwide.These ulcers are initially seen as clinical manifestations in 80% of patients who have lower extremity amputations due to diabetes.Studies have associated diabetic foot ulcers with an increased risk of mortality.[2] A patient with a diabetic foot ulcer has a risk of mortality within 5 years that is 2.5 times higher compared to a diabetic patient without a diabetic foot ulcer.[3] This study was conducted to evaluate the effect of a multidisciplinary approach in diabetic foot treatment.Effective management of diabetic foot treatment is important to reduce the risk of amputation, improve the quality of life of patients, and reduce the impact of all these financial and moral burdens.Objectives: The prevalence of diabetes mellitus is rapidly increasing in society.Every year, millions of people suffer from diabetic foot complications.This study was conducted to evaluate the effectiveness of a multidisciplinary approach in diabetic foot treatment.Methods: A total of 85 cases with diabetic foot complications were analyzed in the study.Besides, we evaluated patients' personal information, any morbidity, the consultations they asked for while planning their treatment, the surgical options they preferred, the SINBAD and PEDIS scores they had when they were admitted to the hospital, and how these scores related to each other. Results:The number of male patient was higher (66, 77%) and the average age of all patients was 67.4 (40-93) years.The frequency of chronic ischemic heart disease was found to be 96% among the patients and also 51 patients (60%) underwent peripheral vascular interventional angiography.Wound debridement was performed on 38 patients (44%), and various levels of amputations were conducted on 47 patients.While 39 of the patients received hyperbaric oxygen therapy (HBOT) and 34 received vacuum-assisted wound closure (VAC) system treatment.Conclusion: This single clinical study demonstrates that a multidisciplinary approach is an effective strategy for treating diabetic foot complications.