Diagnosis and Management of Diabetic Foot Complications (Record no. 4228)

MARC details
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fixed length control field 02668nam a22003017a 4500
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fixed length control field 190521s20182018 xxu||||| |||| 00| 0 eng d
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Original cataloging agency Ovid MEDLINE(R)
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PMID 30958663
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Title Diagnosis and Management of Diabetic Foot Complications
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Source American Diabetes Association. 2018 10
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Abbreviated source American Diabetes Association. 2018 10
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Year 2018
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Manufacturer FY2019
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Publication status ppublish
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Date added to catalog 2019-05-21
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Abstract At least half of all amputations occur in people with diabetes, most commonly because of an infected diabetic foot ulcer. A thorough understanding of the causes and management of diabetic foot ulceration is essential to reducing lower-extremity amputation risk. This compendium elucidates the pathways leading to foot ulcers and enumerates multiple contributory risk factors. The authors emphasize the importance of appropriate screening and wound classification and explain when patients should be referred for specialist care, targeted education, or therapeutic shoes or insoles. They provide a comprehensive review of treatment approaches, including devices for foot lesion off-loading and aggressive wound debridement through mechanical, enzymatic, autolytic, biologic, and surgical means. Because infection and peripheral artery disease are key contributors to amputation risk, the authors discuss the diagnosis and management of these conditions in detail. They also review the expanding armamentarium of evidence-based adjunctive treatments for foot ulcers, including growth factors, skin substitutes, stem cells, and other biologics. Because Charcot neuroarthropathy is a serious but frequently missed condition in people with diabetic neuropathy, the authors explain the differential diagnosis of the hot, swollen foot that is a hallmark of this condition. The article ends with an overview of four strategies for maintaining a foot in remission, followed by a brief look at the future of diabetic foot care.
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Abstract Copyright (c) 2018 by American Diabetes Association. All rights reserved. None of the contents may be reproduced without the written permission of the American Diabetes Association.
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Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Washington Hospital Center
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Department Surgery/Podiatric Surgery
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Medline publication type Review
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Local Authors Attinger, Christopher
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Local Authors Steinberg, John S
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All authors Armstrong DG, Attinger CE, Boulton AJM, Kirsner RS, Lavery LA, Lipsky BA, Mills JL Sr., Steinberg JS
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DOI <a href="https://dx.doi.org/10.2337/db20182-1">https://dx.doi.org/10.2337/db20182-1</a>
Public note https://dx.doi.org/10.2337/db20182-1
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Book
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 05/21/2019   30958663 30958663 05/21/2019 05/21/2019 Journal Article

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