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Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean

The prevalence of diabetes mellitus, diabetic foot (DF) disease and, as a result, lower extremity amputation rates remain high in the Caribbean. This study was undertaken to determine whether Caribbean countries have designated individuals that monitor DF disease and whether there are DF protocols c...

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Autores principales: Sumpio, Bauer E., McConnie, Simone, Maharaj, Dale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021831/
https://www.ncbi.nlm.nih.gov/pubmed/36962244
http://dx.doi.org/10.1371/journal.pgph.0000446
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author Sumpio, Bauer E.
McConnie, Simone
Maharaj, Dale
author_facet Sumpio, Bauer E.
McConnie, Simone
Maharaj, Dale
author_sort Sumpio, Bauer E.
collection PubMed
description The prevalence of diabetes mellitus, diabetic foot (DF) disease and, as a result, lower extremity amputation rates remain high in the Caribbean. This study was undertaken to determine whether Caribbean countries have designated individuals that monitor DF disease and whether there are DF protocols consistent with the International Working Group on the Diabetic Foot (IWGDF) guidance documents. Relevant DF health care personnel(s) from the CARICOM and Dutch Caribbean countries were called or sent questionnaires regarding the presence of structured programs to monitor and manage DF problems in the population. All 25 countries (100%) responded. 81% of respondents could not identify any Ministry, Hospital or individual initiatives that monitored the DF. Only 9 (36%) countries had any guidelines in place. Only 3 countries with guidelines in place utilized IWGDF guidelines. Only 6 (24%) countries had podiatrists and 10 (40%) had vascular surgery availability. 7 (28%) countries had the components for a multidisciplinary team. The presence or the appointment of a designated individual and/or a multidisciplinary approach within the countries for DF disease was absent in the majority of respondent countries. Only a minority of countries implemented DF guidelines or had expertise available to organize a DF multidisciplinary team. Vascular surgery and podiatric care were noticeably deficient. These may be critical factors in the variability and reduced success in implementation of strategies for managing DF problems and subsequent amputations amongst these Caribbean countries.
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spelling pubmed-100218312023-03-17 Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean Sumpio, Bauer E. McConnie, Simone Maharaj, Dale PLOS Glob Public Health Research Article The prevalence of diabetes mellitus, diabetic foot (DF) disease and, as a result, lower extremity amputation rates remain high in the Caribbean. This study was undertaken to determine whether Caribbean countries have designated individuals that monitor DF disease and whether there are DF protocols consistent with the International Working Group on the Diabetic Foot (IWGDF) guidance documents. Relevant DF health care personnel(s) from the CARICOM and Dutch Caribbean countries were called or sent questionnaires regarding the presence of structured programs to monitor and manage DF problems in the population. All 25 countries (100%) responded. 81% of respondents could not identify any Ministry, Hospital or individual initiatives that monitored the DF. Only 9 (36%) countries had any guidelines in place. Only 3 countries with guidelines in place utilized IWGDF guidelines. Only 6 (24%) countries had podiatrists and 10 (40%) had vascular surgery availability. 7 (28%) countries had the components for a multidisciplinary team. The presence or the appointment of a designated individual and/or a multidisciplinary approach within the countries for DF disease was absent in the majority of respondent countries. Only a minority of countries implemented DF guidelines or had expertise available to organize a DF multidisciplinary team. Vascular surgery and podiatric care were noticeably deficient. These may be critical factors in the variability and reduced success in implementation of strategies for managing DF problems and subsequent amputations amongst these Caribbean countries. Public Library of Science 2022-05-13 /pmc/articles/PMC10021831/ /pubmed/36962244 http://dx.doi.org/10.1371/journal.pgph.0000446 Text en © 2022 Sumpio et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sumpio, Bauer E.
McConnie, Simone
Maharaj, Dale
Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title_full Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title_fullStr Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title_full_unstemmed Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title_short Heterogeneity in the guidelines for the management of diabetic foot disease in the Caribbean
title_sort heterogeneity in the guidelines for the management of diabetic foot disease in the caribbean
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021831/
https://www.ncbi.nlm.nih.gov/pubmed/36962244
http://dx.doi.org/10.1371/journal.pgph.0000446
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