In this Review, we aim to complement the 2023 update of the guidelines of the International Working Group on the Diabetic Foot. We highlight the complexity of the pathological processes that underlie diabetes-related foot ulceration (DFU) and draw attention to the potential implications for clinical management and outcome. Variation observed in the incidence and outcome of DFUs in different communities might result from differences in study populations and the accessibility of care. Comparing differences in incidence, management, and outcome of DFUs in different communities is an essential component of the quality of disease care. Additionally, these comparisons can also highlight the relationship between DFU incidence, management, and outcome and the structure of local clinical services and the availability of staff with the necessary skills. The clinical outcome is, however, also dependent on the availability of multidisciplinary care and the ability of people with DFUs to gain access to that care.

中文翻译：

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糖尿病相关足部溃疡的原因、预防和治疗


在本次审查中，我们旨在补充国际糖尿病足工作组 2023 年更新的指南。我们强调糖尿病相关足部溃疡 (DFU) 病理过程的复杂性，并提请注意其对临床管理和结果的潜在影响。不同社区 DFU 发生率和结果的差异可能是由于研究人群和护理可及性的差异造成的。比较不同社区 DFU 的发病率、治疗和结果的差异是疾病护理质量的重要组成部分。此外，这些比较还可以突出 DFU 发生率、管理和结果与当地临床服务结构以及具备必要技能的工作人员的可用性之间的关系。然而，临床结果还取决于多学科护理的可用性以及 DFU 患者获得该护理的能力。