Brazilian Society of Angiology and Vascular Surgery 2023 guidelines on the diabetic foot
Eliud Garcia Duarte Júnior, Cícero Fidelis Lopes, Danilo Roberto Fadel Gaio, Jamil Victor de Oliveira Mariúba, Lorena de Oliveira Cerqueira, Marcos Antonio Bonacorso Manhanelli Filho, Túlio Pinho Navarro, Aldemar Araújo Castro, Walter Junior Boim de Araújo, Hermelinda Cordeiro Pedrosa, Júnio Galli Filho, Nélson De Luccia, Clayton de Paula, Fernando Reis Neto, Milton Sérgio Bohatch Júnior, Tércio Ferreira Oliveira, Amanda Fernandes Vidal da Silva, Júlio César Peclat de Oliveira, Edwaldo Édner Joviliano
Abstract
The diabetic foot interacts with anatomical, vascular, and neurological factors that challenge clinical practice. This study aimed to compile the primary scientific evidence based on a review of the main guidelines, in addition to articles published on the Embase, Lilacs, and PubMed platforms. The European Society of Cardiology system was used to develop recommendation classes and levels of evidence. The themes were divided into six chapters (Chapter 1 - Prevention of foot ulcers in people with diabetes; Chapter 2 - Pressure relief from foot ulcers in people with diabetes; Chapter 3 -Classifications of diabetic foot ulcers; Chapter 4 - Foot and peripheral artery disease; Chapter 5 - Infection and the diabetic foot; Chapter 6 - Charcot's neuroarthropathy). This version of the Diabetic Foot Guidelines presents essential recommendations for the prevention, diagnosis, treatment, and follow-up of patients with diabetic foot, offering an objective guide for medical practice.