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Diabetic Foot: Emerging Prevention Strategies and Epidemiology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Endocrinology & Metabolism".

Deadline for manuscript submissions: 25 November 2025 | Viewed by 663

Special Issue Editor


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Guest Editor
1. Department of Endocrinology, University Medical Centre, University of Ljubljana, Ljubljana, Slovenia
2. Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
Interests: diabetes mellitus; diabetic foot; comorbidity; neuropathy; infection; diabetic emergencies

Special Issue Information

Dear Colleagues,

Diabetic foot disease is one of the most serious complications of diabetes mellitus. Evidence-based guidelines on diabetic foot management, prepared by the International Working Group on the Diabetic Foot (IWGDF), describe the strategies that can be utilized for screening, prevention, patient and staff education, and interdisciplinary treatment. This would enable us to significantly reduce the burden of diabetic foot disease on individuals and the public. Nevertheless, the implementation of guidelines and the set-up of multidisciplinary clinics for the holistic management of diabetic foot disorders varies and remains sub-optimal, particularly in countries without formal podiatry education programmes. Numerous initiatives (Diabetic Foot Care Assistant Programme, Step by Step and Train the Foot Trainer) have sought to address this deficit, but there remains a severe lack of good-quality data regarding the extent of the problem, which complicates resource planning.

In this Special Issue, we welcome authors to submit papers on the management of diabetic foot disease in terms of both prevention strategies and epidemiology.

Prof. Dr. Vilma Urbančič-Rovan
Guest Editor

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Keywords

  • diabetic foot
  • foot clinics
  • epidemiology
  • prevention
  • screening
  • amputation
  • podiatry

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Published Papers (1 paper)

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Review

36 pages, 691 KB  
Review
Patient-Reported Experience (PREMs) and Outcome (PROMs) Measures in Diabetic Foot Disease Management—A Scoping Review
by Elisa Amato, Francesco Giangreco, Elisabetta Iacopi and Alberto Piaggesi
J. Clin. Med. 2025, 14(17), 6116; https://doi.org/10.3390/jcm14176116 - 29 Aug 2025
Viewed by 511
Abstract
Background/Objectives: Diabetic foot syndrome (DFS) is a chronic complication of diabetes mellitus that negatively impacts patients’ quality of life (QoL). Patients’ perceptions of health status and healthcare can be assessed using Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs). This article [...] Read more.
Background/Objectives: Diabetic foot syndrome (DFS) is a chronic complication of diabetes mellitus that negatively impacts patients’ quality of life (QoL). Patients’ perceptions of health status and healthcare can be assessed using Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs). This article aims to review the available literature on PREMs and PROMs, evaluate their characteristics, and determine whether an existing measure is applicable to or can be developed for the patient population of a third-level unit for diabetic foot. Methods: A search through Cinahl, Scopus, and Pubmed electronic databases was conducted to identify studies published between 2000 and 2024. Eligible studies included those using PREMs and PROMs in patients with DFS. Studies that used self-assessment methods or open questions and those that applied PROMs in people living with diabetes without diabetic foot were excluded. Results: After a careful selection, 53 studies met the inclusion criteria: none of these applied PREMs. Regarding PROMs, 46 studies applied a generic method alone or in combination with a specific tool to large populations comparing patient groups, while 7 studies applied a specific PROM alone to small populations evaluating specific aspects of pathology. Conclusions: In the existing literature, generic tools are mainly reported. No gold standard has yet been identified among all the tools considered for assessment of quality of life or patients’ perceptions of their health. Further studies are needed to develop a reliable and specific PREM or PROM questionnaire for complex patients affected by DFS. Full article
(This article belongs to the Special Issue Diabetic Foot: Emerging Prevention Strategies and Epidemiology)
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