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An evidence\u2010based guideline that is relevant to the national context including consideration of the unique geographical and health care system differences between Australia and other countries, and delivery of culturally safe care to First Nations people, is urgently required to improve outcomes for patients with PAD and DFU in Australia. We aimed to identify and adapt current international guidelines for diagnosis and management of patients with PAD and DFU to develop an updated Australian guideline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a panel of national content experts and the National Health and Medical Research Council procedures, the 2019 International Working Group on the Diabetic Foot (IWGDF) guidelines were adapted to the Australian context. The guideline adaptation frameworks ADAPTE and Grading of Recommendations Assessment, Development and Evaluation (GRADE) were applied to the IWGDF guideline for PAD by the expert panel. Recommendations were then adopted, adapted or excluded, and specific considerations for implementation, population subgroups, monitoring and future research in Australia were developed with accompanying clinical pathways provided to support guideline implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 17 recommendations from the IWGDF Guideline on diagnosis, prognosis and management of PAD in patients with diabetes with and without foot ulcers, 16 were adopted for the Australian guideline and one recommendation was adapted due to the original recommendation lacking feasibility in the Australian context. In Australia we recommend all people with diabetes and DFU undergo clinical assessment for PAD with accompanying bedside testing. Further vascular imaging and possible need for revascularisation should be considered for all patients with non\u2010healing DFU irrespective of bedside results. All centres treating DFU should have expertise in, and\/or rapid access to facilities necessary to diagnose and treat PAD, and should provide multidisciplinary care post\u2010operatively, including implementation of intensive cardiovascular risk management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A guideline containing 17 recommendations for the diagnosis and management of PAD for Australian patients with DFU was developed with accompanying clinical pathways. As part of the adaptation of the IWGDF guideline to the Australian context, recommendations are supported by considerations for implementation, monitoring, and future research priorities, and in relation to specific subgroups including Aboriginal and Torres Strait Islander people, and geographically remote people. This manuscript has been published online in full with the authorisation of Diabetes Feet Australia and can be found on the Diabetes Feet Australia website: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.diabetesfeetaustralia.org\/new-guidelines\/\">https:\/\/www.diabetesfeetaustralia.org\/new\u2010guidelines\/<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13047-022-00550-7","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T02:03:02Z","timestamp":1656986582000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Australian guideline on diagnosis and management of peripheral artery disease: part of the 2021 Australian evidence\u2010based guidelines for diabetes\u2010related foot disease"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4793-5340","authenticated-orcid":false,"given":"Vivienne","family":"Chuter","sequence":"first","affiliation":[{"name":"School of Health Sciences Western Sydney University Campbelltown Australia"},{"name":"Discipline of Podiatry University of Newcastle Ourimbah Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Quigley","sequence":"additional","affiliation":[{"name":"The Mater Hospital Townsville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Tosenovsky","sequence":"additional","affiliation":[{"name":"Department of Vascular &amp; 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Furthermore, the authors confirm they have been fully authorised by Diabetes Feet Australia, the copyright owners of these 2021 Australian evidence-based guidelines for diabetes-related foot disease, to submit this manuscript for publication in the Journal of Foot and Ankle Research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The funding\/supporting bodies below provided oversight and final approval for this guideline, however, did not have any input into the decisions on recommendations contained in these guidelines or in the writing of these guidelines. JChe is employed by Diabetes Victoria and is fully funded by the National Diabetes Services Scheme. RF was an author of the IWGDF Peripheral Artery Disease Guidelines and associated Systematic Review on which this manuscript is based. RF addressed this conflict by not screening or assessing recommendations for this guideline. All other authors declare that they have no relevant competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"51"}}