Latest Research

New research on diabetic foot disease is published on an almost daily basis. Keeping track of what is out there and finding the time to read seems a near impossible job at times. DFA aims to provide diabetic foot researchers with the infrastructure to accelerate high quality research, and to support health professionals to improve clinical outcomes.

Gait parameters of people with neuropathic diabetic foot ulcers

Jul 4, 2016

Busy times for Australian researchers, with another paper being published this week. This latest research is on the fundamental side of the research spectrum, focusing on gait parameters of people with neuropathic diabetic foot ulcers. It is an article to avoid if you are looking for direct clinical implications; however, it is a must read…

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Burden of patients with foot disease in our hospitals

Jun 27, 2016

A new study, from DFAs Pete Lazzarini and colleagues, investigated the inpatient burden caused by foot-related conditions. The authors screened all patients in five carefully selected Queensland hospitals on one day, to find out how many had foot disease, foot trauma or another foot problem. An enormous undertaking, performed by a well-trained team. And an…

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The relation between offloading adherence and ulcer healing

Jun 22, 2016

The majority of diabetic foot ulcers require offloading, to reduce plantar pressure and to heal the ulcer. Non-removable offloading devices are the gold standard, and advocated as such in Australian and international guidelines. However, non-removable offloading devices can be contra-indicated, and it is reported that both clinicians and patients frequently choose removable alternatives for other…

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Amputation in people with diabetes and end-stage renal disease

Jun 13, 2016

New Australian research has been published confirming the high amputation risk for people with diabetes and end-stage renal disease. In a retrospective chart review, researchers at the James Cook University (Townsville) looked at all patients attending the Townsville Dialysis Center between 2009 and 2013. They found 9 major and 20 minor lower limb amputations, all…

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Reporting standards of foot ulcer studies – what makes a good study?

May 23, 2016

Professor Jeffcoate and colleagues have published a paper in the Lancet Diabetes & Endocrinology that is a must read for anyone who wants to execute or read scientific studies on diabetic foot ulcers. Their paper, on behalf of the International Working Group on the Diabetic Foot and the European Wound Management Association, describes the “Reporting…

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DMRR special issue: The diabetic foot in 2015

Apr 7, 2016

In 2015, it can be said that the diabetic foot is no longer the Cinderella of diabetic complications.Thirty years ago there was little evidence-based research taking place on the diabetic foot, and there were no international meetings addressing this topic. Seven systematic reviews are published as part of the IWGDF Guidance, with over 100 pages…

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DMRR special issue: Classification of diabetic foot ulcers

Apr 7, 2016

Careful classification of each diabetic foot ulcer you treat is needed to understand outcomes of treatment. Dr. Game presents an overview of the various systems that are available. She rightfully criticises the number of systems, and the lack of validation of many of them. Depending on your purpose (research, clinical description or auditing), she suggests…

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DMRR special issue: Prevention and adherence

Apr 7, 2016

Prevention has traditionally been a bit of the neglected child in the diabetic foot family, but the 2015 Guidance and this special issue are trying to make up for that. Not only with a new chapter in the Guidance (http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2696/abstract) and a systematic review on prevention (http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2701/abstract), also with five nice proceeding papers. Dr. Bus…

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DMRR special issue: Peripheral artery disease

Apr 7, 2016

With the crucial role played in the healing of diabetic foot ulcers, assessment of presence or absence of peripheral artery disease is crucial. This can, however, be difficult because of the often complex, diffuse and distal nature of peripheral artery disease in patients with diabetes, as well as poor collateralisation and heavy vascular calcification. Dr.…

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DMRR special issue: Diabetic foot infection

Apr 7, 2016

Infections are a well-known danger in patients with a diabetic foot ulcer. To limit poor outcomes, adequate diagnosis needs to be followed by adequate treatment. Dr. Peters and Prof. Lipsky describe in two articles the pitfalls and dangers in diagnosis and treatment of diabetic foot infections. When diagnosing infection, Peters and Lipsky stress clinicians should…

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