Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins Medical Institutions, Halsted 671, 600 N Wolfe Street, Baltimore, MD 21287.
Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins Medical Institutions, Halsted 671, 600 N Wolfe Street, Baltimore, MD 21287.
Semin Vasc Surg. 2021 Mar;34(1):47-53. doi: 10.1053/j.semvascsurg.2021.02.006. Epub 2021 Feb 5.
Diabetic foot ulcers (DFUs) are a common but highly morbid complication of long-standing diabetes, carrying high rates of associated major amputation and mortality. As the global incidence of diabetes has increased, along with the lifespan of the diabetic patient, the worldwide burden of DFUs has grown steadily. Outcomes in diabetes and DFUs are known to depend strongly on social determinants of health, with worse outcomes noted in minority and socioeconomically disadvantaged populations. Effective treatment of DFUs is complex, requiring considerable expenditure of resources and significant cost to the health care system. Comprehensive care models with multidisciplinary teams have proven effective in the treatment of DFUs by decreasing barriers to care and increasing access to the multiple specialists required to provide timely and effective DFU procedural intervention, surveillance, and preventative care. Vascular surgeons are an integral part throughout the cycle of care for DFUs and should be involved early in the course of such patients to maximize their contributions to a multidisciplinary care model.
糖尿病足溃疡（DFU）是长期糖尿病的一种常见但高度病态的并发症，其相关的主要截肢和死亡率很高。随着全球糖尿病发病率的上升以及糖尿病患者寿命的延长，DFU 的全球负担稳步增加。众所周知，糖尿病和 DFU 的结果强烈取决于健康的社会决定因素，在少数民族和社会经济处于不利地位的人群中，结果更差。DFU 的有效治疗非常复杂，需要大量资源和对医疗保健系统的重大成本投入。事实证明，多学科团队的综合护理模式通过降低护理障碍并增加获得及时有效的 DFU 程序干预、监测和预防护理所需的多名专家的机会，在 DFU 的治疗中非常有效。血管外科医生是 DFU 护理周期的一个组成部分，应在患者病程的早期就参与进来，以最大限度地发挥他们对多学科护理模式的贡献。
