Akademik Veri Yönetim Sistemi
Diyabetik Ayak Klinik ve Radyolojik Değerlendirme Kesin Tanıya Giden Yol, Soheil Ashkani-Esfahani,Bedri Karaismailoglu,Siddhartha Sharma, Editör, Springer, London/Berlin , Singapore, ss.277-300, 2024
The number of diabetic patients is increasing, and it is estimated to reach 783,000,000
by 2045. In addition to acute metabolic problems, it can induce neuropathy and
vascular complications. These two complications are the important causes of dia-
betic foot problems. The International Working Group on the Diabetic Foot
(IWGDF) defines diabetic foot as having one or more of the following conditions:
peripheral neuropathy, peripheral artery disease, infection, ulcer(s), neuro-osteoarthropathy,
gangrene, and amputation [1–3].
Foot ulcer is defined as a wound extending to the dermis. It is one of the most
important diabetic complications, affecting 15–25% of the patients. Aside from
decreasing the quality of life, it increases morbidity and mortality. Unfortunately,
14–24% of these individuals will require lower-extremity amputations. Diabetes is
the major cause of amputations in the United States, accounting for 60–70% of all
amputations performed each year [4]. The complication rates after diabetes-related
amputations are also high. Local infections and soft tissue problems are seen in
9–59.3% of patients, with a reamputation risk of 16.5% in the first 3 months and
20–25% in the first year (Fig. 17.1) [5–7]. The mortality rates in diabetic amputees
are reported as 13–49% in the first year and 50–65.3% after 5 years [7–9].
Aside from their medical significance, diabetic foot problems raise healthcare
expenses. Over a 10-year period, the estimated costs of diabetic foot care and lower-extremity
amputations in the United States were $18 billion and $11.7 billion,
respectively [7, 10]. According to Kerr et al., the United Kingdom spent more than
£900 million on diabetic foot care in 2019 [11]. These findings highlight the signifi-
cance of diabetic foot care in both medical and economic implications. That’s why
a routine foot examination is advised for all diabetics.