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Comment on van Netten, et al: Definitions and criteria for diabetic foot disease
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-6410-2474
School of Health and Welfare, Jönköping University, Jönköping, Sweden.
International Organization for Standardization, Sibbhult, Sweden; Össur Clinics Scandinavia, Stockholm, Sweden.
2020 (English)In: Endocrinology, Diabetes and Metabolism, ISSN 2398-9238Article in journal (Refereed) Published
Abstract [en]

Objective: The International Working Group on the Diabetic Foot (IWGDF) recently published updated definitions for the diabetic foot field. However, the suggested definitions of lower limb amputations differ from the definitions of the International Organization of Standardization (ISO), which may create problems when implementing the definitions. This paper compares and discusses the amputation definitions of IWGDF and ISO.

Results: Despite many similarities, the IWGDF and ISO systems have some important differences. First, the IWGDF uses the term “minor amputation” which is value-laden, arbitrary and has been defined in several different ways in the literature. Second, the IWGDF system lacks descriptions of amputations distal or through the ankle, which may increase the risk for misclassification. Third, hip disarticulations and transpelvic amputations are not included in the IWGDF system.

Conclusion: It is suggested that future updates of the IWGDF definitions should be aligned with those of ISO, to meet the goal of global consensus on terminology related to lower limb amputation. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2020.
Keywords [en]
Amputation, classification, diabetic foot
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-81875DOI: 10.1002/edm2.142ISI: 000993473700014Scopus ID: 2-s2.0-85084307812OAI: oai:DiVA.org:oru-81875DiVA, id: diva2:1431114
Available from: 2020-05-19 Created: 2020-05-19 Last updated: 2023-12-08Bibliographically approved

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CiteExportLink to record
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  • apa
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