Consensus on the application of negative pressure wound therapy of diabetic foot wounds
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Abstract: Because China is becoming an aging society, the incidence of diabetes and diabetic foot have been increasing. Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates. Negative pressure wound therapy (NPWT) is one of the most effective techniques for the treatment of diabetic foot wounds and great progress, both in terms of research and its clinical application, has been made in the last 20 years of its development. However, due to the complex pathogenesis and management of diabetic foot, irregular application of NPWT often leads to complications, such as infection, bleeding and necrosis, that seriously affect its treatment outcomes. In 2020, under the leadership of Burns, Trauma and Tissue Repair Committee of the Cross-Straits Medicine Exchange Association, the writing group for 'Consensus on the application of negative pressure wound therapy of diabetic foot wounds' was established with the participation of scholars from the specialized areas of burns, endocrinology, vascular surgery, orthopedics and wound repair. Drawing on evidence-based practice suggested by the latest clinical research, this consensus proposes the best clinical practice guidelines for the application and prognostic evaluation of NPWT for diabetic foot. The consensus aims to support the formation of standardized treatment schemes that clinicians can refer to when treating cases of diabetic foot.
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参考文献
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Table 1. Level of evidence and grade of recommendation for the application of NPWT in DFU
Level of evidence Strong Based on well-designed randomized controlled trials, meta-analyses or systematic evaluations Moderate Based on well-designed cohort or case–control studies Weak Based on well-designed case series and expert advice Grade of recommendation Strong Indicating a clear treatment effect or highly unanimous recognition by experts Moderate Indicating unclear possible risks and effect after treatment Weak Indicating expert opinions about a likely treatment choice with low level of evidence at the present stage This table is modified based on 2001 Oxford Centre for Evidence-Based Medicine 'Levels of Evidence' and 'Grades of Recommendation' [9]
NPWT Negative Pressure Wound Therapy, DFU Diabetic Foot Ulcer
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