Jansen Rasmus Bo, Svendsen Ole Lander, Kirketerp-Møller Klaus
Dan Med J. 2016 Oct;63(10).
Charcot foot is a severe complication to diabetes mellitus and treatment involves several different clinical specialities. Our objective was to describe the current awareness, knowledge and treatment practices of Charcot foot among doctors who handle diabetic foot disorders.
This study is based on a questionnaire survey sent out to healthcare professionals, primarily doctors, working with diabetic foot ulcers and Charcot feet in the public sector of the Danish healthcare system.
The survey obtained a 52% response rate. A temperature difference of > 2 °C between the two feet was the most used method of diagnosing Charcot foot. Along with clinical inspection, temperature difference was also the measurement used for monitoring of healing. None of the suggested formalised classification systems were used to any extent. Most responders use detachable bandages for offloading (83%). All centres use some form of a multidisciplinary team, with the most common permanent members being orthopaedic surgeons (71%), wound specialist nurses (76%), podiatrists (65%), endocrinologists (47%) and diabetes specialist nurses (41%).
We conducted a survey of the diagnosis and treatment practices of acute diabetic Charcot foot at diabetes foot clinics in Denmark. The responders seem to follow the international recommendations and guidelines on management of the acute diabetic Charcot foot, despite a lack of Danish guidelines.
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夏科氏足是糖尿病的一种严重并发症，其治疗涉及多个不同的临床专业领域。我们的目的是描述处理糖尿病足疾病的医生对夏科氏足的当前认知、知识和治疗实践。
本研究基于对丹麦医疗系统公共部门中从事糖尿病足溃疡和夏科氏足治疗的医护人员（主要是医生）进行的问卷调查。
该调查的回复率为52%。双脚之间温差>2°C是诊断夏科氏足最常用的方法。除临床检查外，温差也是用于监测愈合情况的测量指标。所建议的任何正式分类系统均未得到广泛应用。大多数受访者使用可拆卸绷带进行减压（83%）。所有中心都采用某种形式的多学科团队，最常见的固定成员包括骨科医生（71%）、伤口专科护士（76%）、足病医生（65%）、内分泌科医生（47%）和糖尿病专科护士（41%）。
我们对丹麦糖尿病足诊所急性糖尿病性夏科氏足的诊断和治疗实践进行了调查。尽管缺乏丹麦的相关指南，但受访者似乎遵循了关于急性糖尿病性夏科氏足管理的国际建议和指南。
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