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Review
. 2023 Nov;16(11):550-556.
doi: 10.1007/s12178-023-09867-7. Epub 2023 Sep 21.

Racial and Ethnic Disparities in the Management of Diabetic Feet

Affiliations
Review

Racial and Ethnic Disparities in the Management of Diabetic Feet

Elizabeth O Clayton et al. Curr Rev Musculoskelet Med. 2023 Nov.

Erratum in

Abstract

Purpose of review: Diabetes mellitus is a chronic medical condition affecting many individuals worldwide and leads to billions of dollars spent within the healthcare system for its treatment and complications. Complications from diabetes include diabetic foot conditions that can have a devasting impact on quality of life. Diabetic foot ulcers and amputations occur in minority individuals at an increased rate compared to Caucasian individuals. This review provides an update examining the racial and ethnic disparities in the management of diabetic foot conditions and the differences in rates of amputation.

Recent findings: Current research continues to show a disparity as it relates to diabetic foot management. There are novel treatment options for diabetic foot ulcers that are currently being explored. However, there continues to be a lack in racial diversity in new treatment studies conducted in the USA. Individuals from racial and ethnic minority groups have diabetes at higher rates compared to Caucasian individuals, and are also more likely to develop diabetic foot ulcers and receive amputations. Over the last few years, more efforts have been made to improve health disparities. However, there needs to be an improvement in increasing racial diversity when investigating new therapies for diabetic foot ulcers.

Keywords: Diabetes; Diabetic foot ulcer; Disparities; Health equity; Race.

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Conflict of interest statement

Elizabeth O. Clayton, Confidence Njoku-Austin, Devon M. Scott, Jarrett D. Cain, and MaCalus V. Hogan declare that they have no conflict of interest.

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References

    1. • Ferreira RC. Diabetic foot. Part 1: ulcers and Infections. Rev Bras Ortop (Sao Paulo). 2020;55(4):389–396. 10.1055/s-0039-3402462. Review that outlines the pathophysiology and treatment of diabetes complications affecting the feet, such as ulcers and secondary infections, highlighting the importance of clinical history and physical examination in accurate diagnosis. - PMC - PubMed
    1. Hines A, Alavi A, Davis MDP. Cutaneous manifestations of diabetes. Med Clin North Am. 2021;105(4):681–697. doi: 10.1016/j.mcna.2021.04.008. - DOI - PubMed
    1. Driver VR, Fabbi M, Lavery LA, Gibbons G. The costs of diabetic foot: the economic case for the limb salvage team. J Vasc Surg. 2010;52(3 Suppl):17S–22S. doi: 10.1016/j.jvs.2010.06.003.Erratum.In:JVascSurg.2010Dec;52(6):1751. - DOI - PubMed
    1. Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376(24):2367–2375. doi: 10.1056/NEJMra1615439. - DOI - PubMed
    1. McDermott K, Fang M, Boulton AJM, Selvin E, Hicks CW. Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers. Diabetes Care. 2023;46(1):209–221. doi: 10.2337/dci22-0043. - DOI - PMC - PubMed