Interpretation of the 2020 <i>Recommendations of Chinese Experts on the Standardized Diagnosis and Treatment of Diabetic Foot During Coronavirus Disease (COVID-19) Pandemic</i> and <i>Fast-track Pathway for Diabetic Foot Ulceration During COVID-19 Crisis: A Document from International Diabetic Foot Care Group and D-Foot International</i>_West China Medical Journal

Authors：

CHEN Dawei ,  RAN Xingwu

Diabetic Foot Care Center, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

RAN Xingwu, Email: ranxignwu@163.com

Keywords：

Expert advice; Coronavirus disease 2019; Diabetic foot; Standardized management; Telemedicine

DOI：

10.7507/1002-0179.202103094

Video：

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The Diabetic Foot and Peripheral Vascular Disease Study Group, Chinese Diabetes Society, released an expert advice Recommendations of Chinese Experts on the Standardized Diagnosis and Treatment of Diabetic Foot During Coronavirus Disease (COVID-19) Pandemic, and the International Diabetic Foot Care Group and D-Foot International released a document Fast-track Pathway for Diabetic Foot Ulceration During COVID-19 Crisis: A Document from International Diabetic Foot Care Group and D-Foot International during the 2020 outbreak, respectively. Both have the same goals, but the implementation focuses are different. The aim of this article is to give an interpretation of both expert advices in terms of the general principles, the epidemic prevention and control, the family, community and hospitalization management model of diabetic foot, the holistic principle of diabetic foot standardized management, and the telemedicine application in the late epidemic period.

Citation： CHEN Dawei, RAN Xingwu. Interpretation of the 2020 Recommendations of Chinese Experts on the Standardized Diagnosis and Treatment of Diabetic Foot During Coronavirus Disease (COVID-19) Pandemic and Fast-track Pathway for Diabetic Foot Ulceration During COVID-19 Crisis: A Document from International Diabetic Foot Care Group and D-Foot International. West China Medical Journal, 2021, 36(4): 440-444. doi: 10.7507/1002-0179.202103094 Copy

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2.	Casciato DJ, Yancovitz S, Thompson J, et al. Diabetes-related major and minor amputation risk increased during the COVID-19 pandemic. J Am Podiatr Med Assoc, 2020: 20-224.
3.	中华医学会糖尿病学分会糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.
4.	Meloni M, Bouillet B, Ahluwalia R, et al. Fast-track pathway for diabetic foot ulceration during COVID-19 crisis: a document from International Diabetic Foot Care Group and D-Foot International. Diabetes Metab Res Rev, 2021, 37(3): e3396.
5.	冉兴无, 杨兵全, 许樟荣. 我国糖尿病足病的诊治现状与未来的研究方向. 中华糖尿病杂志, 2014, 6(7): 437-439.
6.	Ghotaslou R, Memar MY, Alizadeh N. Classification, microbiology and treatment of diabetic foot infections. J Wound Care, 2018, 27(7): 434-441.
7.	Meloni M, Izzo V, Giurato L, et al. Management of diabetic persons with foot ulceration during COVID-19 health care emergency: effectiveness of a new triage pathway. Diabetes Res Clin Pract, 2020, 165: 108245.
8.	国家卫生健康委办公厅. 关于进一步加强疫情防控期间有医务人员防护工作的通知. (2020-02-19)[2020-02-23]. http://www.nhc.gov.cn/yzygj/s7659/202002/75c6e88ecbeb42a9a26acb538383e2fc.shtml.
9.	Chen L, Cheng L, Gao W, et al. Telemedicine in chronic wound management: systematic review and meta-analysis. JMIR Mhealth Uhealth, 2020, 8(6): e15574.
10.	Shin L, Bowling FL, Armstrong DG, et al. Saving the diabetic foot during the COVID-19 pandemic: a tale of two cities. Diabetes Care, 2020, 43(8): 1704-1709.
11.	Liu C, Shi WL, You JX, et al. An internet-based algorithm for diabetic foot infection during the COVID-19 pandemic. J Foot Ankle Res, 2020, 13(1): 37.

1. Caruso P, Longo M, Signoriello S, et al. Diabetic foot problems during the COVID-19 pandemic in a tertiary care center: the emergency among the emergencies. Diabetes Care, 2020, 43(10): e123-e124.
2. Casciato DJ, Yancovitz S, Thompson J, et al. Diabetes-related major and minor amputation risk increased during the COVID-19 pandemic. J Am Podiatr Med Assoc, 2020: 20-224.
3. 中华医学会糖尿病学分会糖尿病足与周围血管病学组. 新型冠状病毒肺炎疫情期间糖尿病足患者规范化诊治专家建议. 中华糖尿病杂志, 2020, 12(4): 204-210.
4. Meloni M, Bouillet B, Ahluwalia R, et al. Fast-track pathway for diabetic foot ulceration during COVID-19 crisis: a document from International Diabetic Foot Care Group and D-Foot International. Diabetes Metab Res Rev, 2021, 37(3): e3396.
5. 冉兴无, 杨兵全, 许樟荣. 我国糖尿病足病的诊治现状与未来的研究方向. 中华糖尿病杂志, 2014, 6(7): 437-439.
6. Ghotaslou R, Memar MY, Alizadeh N. Classification, microbiology and treatment of diabetic foot infections. J Wound Care, 2018, 27(7): 434-441.
7. Meloni M, Izzo V, Giurato L, et al. Management of diabetic persons with foot ulceration during COVID-19 health care emergency: effectiveness of a new triage pathway. Diabetes Res Clin Pract, 2020, 165: 108245.
8. 国家卫生健康委办公厅. 关于进一步加强疫情防控期间有医务人员防护工作的通知. (2020-02-19)[2020-02-23]. http://www.nhc.gov.cn/yzygj/s7659/202002/75c6e88ecbeb42a9a26acb538383e2fc.shtml.
9. Chen L, Cheng L, Gao W, et al. Telemedicine in chronic wound management: systematic review and meta-analysis. JMIR Mhealth Uhealth, 2020, 8(6): e15574.
10. Shin L, Bowling FL, Armstrong DG, et al. Saving the diabetic foot during the COVID-19 pandemic: a tale of two cities. Diabetes Care, 2020, 43(8): 1704-1709.
11. Liu C, Shi WL, You JX, et al. An internet-based algorithm for diabetic foot infection during the COVID-19 pandemic. J Foot Ankle Res, 2020, 13(1): 37.

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