Definitions and criteria for diabetes-related foot disease (IWGDF 2023 update)

doi:10.1002/dmrr.3654

. 2024 Mar;40(3):e3654.

doi: 10.1002/dmrr.3654. Epub 2023 May 15.

Definitions and criteria for diabetes-related foot disease (IWGDF 2023 update)

Jaap J van Netten^{1

2}, Sicco A Bus^{1

2}, Jan Apelqvist³, Pam Chen^{4

5}, Vivienne Chuter⁶, Robert Fitridge^{7

8}, Frances Game⁹, Robert J Hinchliffe¹⁰, Peter A Lazzarini^{11

12}, Joseph Mills¹³, Matilde Monteiro-Soares^{14

15

16}, Edgar J G Peters^{2

17}, Katherine M Raspovic¹⁸, Eric Senneville¹⁹, Dane K Wukich¹⁸, Nicolaas C Schaper²⁰; International Working Group on the Diabetic Foot

Affiliations

¹ Department of Rehabilitation Medicine, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
² Amsterdam Movement Sciences, Program Rehabilitation, Amsterdam, the Netherlands.
³ Department of Endocrinology, University Hospital of Malmö, Malmö, Sweden.
⁴ Joondalup Health Campus, Ramsay Healthcare, Sydney, Australia.
⁵ Faculty of Health, University of Tasmania, Hobart, Australia.
⁶ School of Health Sciences, Western Sydney University, Sydney, Australia.
⁷ Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
⁸ Vascular and Endovascular Service, Royal Adelaide Hospital, Adelaide, Australia.
⁹ Department of Diabetes and Endocrinology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
¹⁰ Department of Vascular Surgery, University of Bristol, Bristol, UK.
¹¹ School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
¹² Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Australia.
¹³ Michael E. DeBakey Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, Texas, USA.
¹⁴ Portuguese Red Cross School of Health - Lisbon, Lisbon, Portugal.
¹⁵ MEDCIDS - Departamento de Medicina da Comunidade Informação e Decisão em Saúde, Faculty of Medicine of the University of Porto, Porto, Portugal.
¹⁶ RISE@ CINTESIS, Faculty of Medicine Oporto University, Porto, Portugal.
¹⁷ Department of Internal Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Section of Infectious Diseases, Amsterdam, the Netherlands.
¹⁸ Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁹ Department of Infectious Diseases Gustave Dron Hospital, Tourcoing Univ-lille, Tourcoing, France.
²⁰ Div. Endocrinology, MUMC+, CARIM and CAPHRI Institute, Maastricht, The Netherlands.

PMID: 37186781
DOI: 10.1002/dmrr.3654

Definitions and criteria for diabetes-related foot disease (IWGDF 2023 update)

Jaap J van Netten et al. Diabetes Metab Res Rev. 2024 Mar.

. 2024 Mar;40(3):e3654.

doi: 10.1002/dmrr.3654. Epub 2023 May 15.

Authors

Affiliations

¹ Department of Rehabilitation Medicine, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
² Amsterdam Movement Sciences, Program Rehabilitation, Amsterdam, the Netherlands.
³ Department of Endocrinology, University Hospital of Malmö, Malmö, Sweden.
⁴ Joondalup Health Campus, Ramsay Healthcare, Sydney, Australia.
⁵ Faculty of Health, University of Tasmania, Hobart, Australia.
⁶ School of Health Sciences, Western Sydney University, Sydney, Australia.
⁷ Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
⁸ Vascular and Endovascular Service, Royal Adelaide Hospital, Adelaide, Australia.
⁹ Department of Diabetes and Endocrinology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
¹⁰ Department of Vascular Surgery, University of Bristol, Bristol, UK.
¹¹ School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
¹² Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Australia.
¹³ Michael E. DeBakey Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, Texas, USA.
¹⁴ Portuguese Red Cross School of Health - Lisbon, Lisbon, Portugal.
¹⁵ MEDCIDS - Departamento de Medicina da Comunidade Informação e Decisão em Saúde, Faculty of Medicine of the University of Porto, Porto, Portugal.
¹⁶ RISE@ CINTESIS, Faculty of Medicine Oporto University, Porto, Portugal.
¹⁷ Department of Internal Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Section of Infectious Diseases, Amsterdam, the Netherlands.
¹⁸ Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁹ Department of Infectious Diseases Gustave Dron Hospital, Tourcoing Univ-lille, Tourcoing, France.
²⁰ Div. Endocrinology, MUMC+, CARIM and CAPHRI Institute, Maastricht, The Netherlands.

PMID: 37186781
DOI: 10.1002/dmrr.3654

Abstract

Multiple disciplines are involved in the management of diabetes-related foot disease and a common vocabulary is essential for clear communication. Based on the systematic reviews of the literature that form the basis of the International Working Group on the Diabetic Foot (IWGDF) Guidelines, the IWGDF has developed a set of definitions and criteria for diabetes-related foot disease. This document describes the 2023 update of these definitions and criteria. We suggest these definitions be used consistently in both clinical practice and research, to facilitate clear communication with people with diabetes-related foot disease and between professionals around the world.

Keywords: definition; diabetes; foot disease.

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References

REFERENCES

1. Van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev. 2020;36(Suppl 1):e3268.
1. Jeffcoate WJ, Bus SA, Game FL, et al. Reporting standards of studies and papers on the prevention and management of foot ulcers in diabetes: required details and markers of good quality. Lancet Diabetes Endocrinol. 2016;4(9):781-788. https://doi.org/10.1016/s2213-8587(16)30012-2
1. Van Netten JJ, Sacco ICN, Raspovic A, et al. Clinical and biomechanical effectiveness of foot-ankle exercise programs and weight-bearing activity in people with diabetes and neuropathy: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654
1. Van Netten JJ, Raspovic A, Lavery LA, et al. Prevention of foot ulcers people with diabetes at risk of ulceration: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654
1. Monteiro-Soares M, Hamilton EJ, Russell DA, et al. Classification of foot ulcers in people with diabetes: a systematic review. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

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[1] Van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev. 2020;36(Suppl 1):e3268.

[2] Van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev. 2020;36(Suppl 1):e3268.

[3] Jeffcoate WJ, Bus SA, Game FL, et al. Reporting standards of studies and papers on the prevention and management of foot ulcers in diabetes: required details and markers of good quality. Lancet Diabetes Endocrinol. 2016;4(9):781-788. https://doi.org/10.1016/s2213-8587(16)30012-2

[4] Jeffcoate WJ, Bus SA, Game FL, et al. Reporting standards of studies and papers on the prevention and management of foot ulcers in diabetes: required details and markers of good quality. Lancet Diabetes Endocrinol. 2016;4(9):781-788. https://doi.org/10.1016/s2213-8587(16)30012-2

[5] Van Netten JJ, Sacco ICN, Raspovic A, et al. Clinical and biomechanical effectiveness of foot-ankle exercise programs and weight-bearing activity in people with diabetes and neuropathy: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

[6] Van Netten JJ, Sacco ICN, Raspovic A, et al. Clinical and biomechanical effectiveness of foot-ankle exercise programs and weight-bearing activity in people with diabetes and neuropathy: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

[7] Van Netten JJ, Raspovic A, Lavery LA, et al. Prevention of foot ulcers people with diabetes at risk of ulceration: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

[8] Van Netten JJ, Raspovic A, Lavery LA, et al. Prevention of foot ulcers people with diabetes at risk of ulceration: a systematic review and meta-analysis. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

[9] Monteiro-Soares M, Hamilton EJ, Russell DA, et al. Classification of foot ulcers in people with diabetes: a systematic review. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

[10] Monteiro-Soares M, Hamilton EJ, Russell DA, et al. Classification of foot ulcers in people with diabetes: a systematic review. Diab Metab Res Rev. 2023. https://doi.org/10.1002/dmrr.3654

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Definitions and criteria for diabetes-related foot disease (IWGDF 2023 update)

Affiliations

Definitions and criteria for diabetes-related foot disease (IWGDF 2023 update)

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