Yesil S, Akinci B, Bayraktar F, Havitcioglu H, Karabay O, Yapar N, Demirdover C, Yener S, Yalcin M, Comlekci A, Eraslan S
Division of Endocrinology and Metabolism, Department of Internal Medicine, Dokuz Eylul University Medical School, Inciralti, Izmir, Turkey.
Exp Clin Endocrinol Diabetes. 2009 Jul;117(7):345-9. doi: 10.1055/s-0028-1112149. Epub 2009 Feb 18.
It is widely recognized that a multidisciplinary team is effective in the management of diabetic foot ulcers. Contrary to developed countries, multidisciplinary diabetic foot care teams and/or clinics have not been constructed in most centres in developing countries. The aim of this study was to present our data regarding amputation rates and profiles before and after starting the Dokuz Eylul University multidisciplinary diabetic foot care team.
This study includes data from diabetic foot ulcer episodes which were managed in Dokuz Eylul University Hospital between January 1999 and January 2008. The data was collected prospectively during a minimum follow-up of 6 months in all ulcers. After January 2002, management of ulcers was coordinated by the diabetic foot care team (n=437). Amputation rates were compared to those who were admitted before January 2002 (n=137).
Overall amputation and minor amputation rates were similar for both periods. However, major amputations were observed to be decreased after starting the Dokuz Eylul University multidisciplinary diabetic foot care team (20.4% vs. 12.6%, p=0.026).
Our results demonstrated that major amputation rates can be reduced by team work. Formation of multidisciplinary diabetic foot care teams and clinics should be encouraged in Turkey.
多学科团队在糖尿病足溃疡的管理中效果显著，这一点已得到广泛认可。与发达国家不同，发展中国家的大多数中心尚未组建多学科糖尿病足护理团队和/或诊所。本研究的目的是展示我们关于多库兹艾吕尔大学多学科糖尿病足护理团队成立前后截肢率及病例资料的数据。
本研究纳入了1999年1月至2008年1月在多库兹艾吕尔大学医院处理的糖尿病足溃疡病例数据。所有溃疡均进行了至少6个月的前瞻性随访数据收集。2002年1月之后，溃疡的处理由糖尿病足护理团队协调（n = 437）。将截肢率与2002年1月之前入院的患者（n = 137）进行比较。
两个时期的总体截肢率和小截肢率相似。然而，多库兹艾吕尔大学多学科糖尿病足护理团队成立后，大截肢率有所下降（20.4%对12.6%，p = 0.026）。
我们的结果表明团队协作可降低大截肢率。土耳其应鼓励组建多学科糖尿病足护理团队和诊所。
