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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Jul 15, 2023; 14(7): 942-957
Published online Jul 15, 2023. doi: 10.4239/wjd.v14.i7.942
Published online Jul 15, 2023. doi: 10.4239/wjd.v14.i7.942
Detection, management, and prevention of diabetes-related foot disease in the Australian context
Scott McNeil, Kate Waller, Yves S Poy Lorenzo, Olimpia C Mateevici, Stacey Telianidis, Sara Qi, Irina Churilov, Richard J MacIsaac, Anna Galligan, High Risk Foot Service, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Scott McNeil, Richard J MacIsaac, Anna Galligan, Department of Endocrinology and Diabetes, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Kate Waller, Department of Podiatry, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Yves S Poy Lorenzo, Olimpia C Mateevici, Infectious Diseases Unit, Department of Medicine, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Yves S Poy Lorenzo, Department of Pharmacy, St Vincent’s Hospital Melbourne, Fitzroy 3065, Australia
Yves S Poy Lorenzo, Irina Churilov, Richard J MacIsaac, Department of Medicine, St Vincent’s Hospital Melbourne, University of Melbourne, Fitzroy 3065, Victoria, Australia
Stacey Telianidis, Sara Qi, Department of Vascular Surgery, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Irina Churilov, Department of Rehabilitation Medicine, St Vincent’s Hospital Melbourne, Fitzroy 3065, Victoria, Australia
Richard J MacIsaac, the Australian Centre for Accelerating Diabetes Innovations, School of Medicine, University of Melbourne, Parkville 3010, Victoria, Australia
Author contributions: McNeil S and Waller K contributed equally to this work; all authors contributed to the writing and editing of the manuscript according to their areas of specialty; McNeil S, Waller K and Poy Lorenzo YS created and formatted the tables and figures; MacIsaac RJ and Galligan A reviewed the final draft as senior authors.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Anna Galligan, FRACP, MBBS, MMed, Staff Physician, Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy 3065, Victoria, Australia. anna.galligan@svha.org.au
Received: December 23, 2022
Peer-review started: December 23, 2022
First decision: February 28, 2023
Revised: April 6, 2023
Accepted: May 23, 2023
Article in press: May 23, 2023
Published online: July 15, 2023
Peer-review started: December 23, 2022
First decision: February 28, 2023
Revised: April 6, 2023
Accepted: May 23, 2023
Article in press: May 23, 2023
Published online: July 15, 2023
Core Tip
Core Tip: In Australia, the interdisciplinary service is recognised as a critical component of providing care to people with diabetes-related foot disease (DFD). We give our perspective on the management of DFD based on 6 categories: (1) Assessment and education in high-risk patients; (2) Wound preparation, debridement, and dressing; (3) Offloading and footwear; (4) Diagnosis and management of infection; (5) Interventions including revascularisation, pharmacotherapy, and novel wound therapies; and (6) Integrated interdisciplinary care and patient information.