Comment on IWGDF ulcer prevention guidelines.
David Scott NickersonStephen L BarrettPublished in: Endocrinology, diabetes & metabolism (2020)
The IWGDF 2019 Updated Guidelines for prevention of foot ulcers in diabetes advise that nerve decompression surgery not be considered. This nerve decompression option has similar scientific supporting evidence to other surgeries which are recommended. The sanction ignores a large body of non-Level 1 evidence demonstrating various beneficial outcomes of ND including pain relief, DFU prevention, and protection from recurrence and amputation.
Keyphrases
- minimally invasive
- type diabetes
- clinical practice
- chronic pain
- cardiovascular disease
- peripheral nerve
- coronary artery bypass
- glycemic control
- neuropathic pain
- pain management
- metabolic syndrome
- adipose tissue
- coronary artery disease
- free survival
- spinal cord
- insulin resistance
- wound healing
- peripheral artery disease