{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:23:32Z","timestamp":1786962212906,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T00:00:00Z","timestamp":1698019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2023,11,20]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Diabetes\u2010related foot disease (DFD) \u2014 foot ulcers, infection, ischaemia \u2014 is a leading cause of hospitalisation, disability, and health care costs in Australia. The previous 2011 Australian guideline for DFD was outdated. We developed new Australian evidence\u2010based guidelines for DFD by systematically adapting suitable international guidelines to the Australian context using the ADAPTE and GRADE approaches recommended by the NHMRC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main recommendations<\/jats:title><jats:p>This article summarises the most relevant of the 98 recommendations made across six new guidelines for the general medical audience, including:\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>prevention \u2014 screening, education, self\u2010care, footwear, and treatments to prevent DFD;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>classification \u2014 classifications systems for ulcers, infection, ischaemia and auditing;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>peripheral artery disease (PAD) \u2014 examinations and imaging for diagnosis, severity classification, and treatments;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>infection \u2014 examinations, cultures, imaging and inflammatory markers for diagnosis, severity classification, and treatments;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>offloading \u2014 pressure offloading treatments for different ulcer types and locations; and<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>wound healing \u2014 debridement, wound dressing selection principles and wound treatments for non\u2010healing ulcers.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Changes in management as a result of the guideline<\/jats:title><jats:p>For people without DFD, key changes include using a new risk stratification system for screening, categorising risk and managing people at increased risk of DFD. For those categorised at increased risk of DFD, more specific self\u2010monitoring, footwear prescription, surgical treatments, and activity management practices to prevent DFD have been recommended. For people with DFD, key changes include using new ulcer, infection and PAD classification systems for assessing, documenting and communicating DFD severity. These systems also inform more specific PAD, infection, pressure offloading, and wound healing management recommendations to resolve DFD.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52136","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T05:56:47Z","timestamp":1698127007000},"page":"485-495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Australian evidence\u2010based guidelines for the prevention and management of diabetes\u2010related foot disease: a guideline summary"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8235-7964","authenticated-orcid":false,"given":"Peter A","family":"Lazzarini","sequence":"first","affiliation":[{"name":"Queensland University of Technology  Brisbane QLD"},{"name":"Allied Health Research Collaborative, Metro North Hospital and Health Service  Brisbane 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