Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice

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Autori principali: Ji Min Kim, Seon Mee Kang, Jung Hwa Jung, Ki Chun Kim, Sanghyun Ahn, Chong Hwa Kim, Tae Sun Park, Ie Byung Park
Natura: Artículo Open Access
Pubblicazione: Wiley 2026
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author Ji Min Kim
Seon Mee Kang
Jung Hwa Jung
Ki Chun Kim
Sanghyun Ahn
Chong Hwa Kim
Tae Sun Park
Ie Byung Park
author_facet Ji Min Kim
Seon Mee Kang
Jung Hwa Jung
Ki Chun Kim
Sanghyun Ahn
Chong Hwa Kim
Tae Sun Park
Ie Byung Park
Ji Min Kim
Seon Mee Kang
Jung Hwa Jung
Ki Chun Kim
Sanghyun Ahn
Chong Hwa Kim
Tae Sun Park
Ie Byung Park
collection Wiley Open Access
contents Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice Ji Min Kim Seon Mee Kang Jung Hwa Jung Ki Chun Kim Sanghyun Ahn Chong Hwa Kim Tae Sun Park Ie Byung Park Journal of Diabetes ABSTRACT Diabetic foot ulcers (DFUs) represent one of the most severe and resource‐demanding complications of diabetes mellitus, significantly contributing to morbidity through infections, lower‐limb amputations, reduced quality of life, and elevated healthcare expenditures. The etiology of DFUs involves a multifaceted interplay among diabetic neuropathy, peripheral arterial disease, biomechanical abnormalities, and compromised tissue repair mechanisms. Despite advancements in diabetic care, DFUs continue to pose a substantial global health burden characterized by high recurrence rates and suboptimal long‐term outcomes, particularly evident in regions such as China, where recurrence rates within 1 year exceed 30% among previously healed patients. Effective DFU management requires an integrated, multidisciplinary approach beginning with early risk stratification and accurate diagnosis, followed by targeted antimicrobial therapy, meticulous wound management, appropriate mechanical offloading, and comprehensive vascular assessment and intervention. This review synthesizes contemporary evidence and current clinical guidelines concerning DFU epidemiology, diagnostic criteria, and therapeutic strategies, underscoring the critical role of interdisciplinary coordinated care to enhance clinical outcomes and mitigate associated complications. 10.1111/1753-0407.70221 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/1753-0407.70221
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spellingShingle Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice
Ji Min Kim
Seon Mee Kang
Jung Hwa Jung
Ki Chun Kim
Sanghyun Ahn
Chong Hwa Kim
Tae Sun Park
Ie Byung Park
Journal of Diabetes
Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice Ji Min Kim Seon Mee Kang Jung Hwa Jung Ki Chun Kim Sanghyun Ahn Chong Hwa Kim Tae Sun Park Ie Byung Park Journal of Diabetes ABSTRACT Diabetic foot ulcers (DFUs) represent one of the most severe and resource‐demanding complications of diabetes mellitus, significantly contributing to morbidity through infections, lower‐limb amputations, reduced quality of life, and elevated healthcare expenditures. The etiology of DFUs involves a multifaceted interplay among diabetic neuropathy, peripheral arterial disease, biomechanical abnormalities, and compromised tissue repair mechanisms. Despite advancements in diabetic care, DFUs continue to pose a substantial global health burden characterized by high recurrence rates and suboptimal long‐term outcomes, particularly evident in regions such as China, where recurrence rates within 1 year exceed 30% among previously healed patients. Effective DFU management requires an integrated, multidisciplinary approach beginning with early risk stratification and accurate diagnosis, followed by targeted antimicrobial therapy, meticulous wound management, appropriate mechanical offloading, and comprehensive vascular assessment and intervention. This review synthesizes contemporary evidence and current clinical guidelines concerning DFU epidemiology, diagnostic criteria, and therapeutic strategies, underscoring the critical role of interdisciplinary coordinated care to enhance clinical outcomes and mitigate associated complications. 10.1111/1753-0407.70221 http://creativecommons.org/licenses/by/4.0/
title Comprehensive Management of Diabetic Foot Ulcers: Current Evidence and Practice
topic Journal of Diabetes
url https://onlinelibrary.wiley.com/doi/10.1111/1753-0407.70221