José Antonio Rubio1, Javier Aragón-Sánchez2, José L Lázaro-Martínez3, María Cruz Almaraz4, Didac Mauricio5, Juan B Antolín Santos6, José Ángel Díaz Pérez7, Matteo Fabbi8, María Luisa Lozano Del Hoyo9, María Pilar Vela10. 1. Departamento de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España. Electronic address: joseantonio.rubio@salud.madrid.org. 2. Unidad de Pie Diabético, Departamento de Cirugía, Hospital La Paloma, Las Palmas de Gran Canaria, España. 3. Unidad de Pie Diabético, Clínica Universitaria de Podología, Universidad Complutense de Madrid, Madrid, España. 4. Departamento de Endocrinología y Nutrición, Hospital Universitario Carlos Haya, Málaga, España. 5. Departamento de Endocrinología y Nutrición, Hospital Germans Trias i Pujol, Badalona, Barcelona, España. 6. Medicina de Familia y Comunitaria, Centro de Salud de Mansilla de las Mulas, León, España. 7. Departamento de Endocrinología y Nutrición, Hospital Universitario Clínico de San Carlos, Madrid, España. 8. Departamento de Endocrinología y Nutrición, Hospital General de Catalunya, Sant Cugat del Vallès, España. 9. Medicina de Familia y Comunitaria, Centro de Salud Las Fuentes Norte, Zaragoza, España. 10. Departamento de Angiología y Cirugía Vascular, Hospital Universitario Cruces, Barakaldo, España.
Abstract
OBJECTIVE: To ascertain the number of diabetic foot units (DFUs) in Spain, the specialists working in them, and the population covered by them. MATERIAL AND METHODS: The Spanish Group on the Diabetic Foot (SGDF) prepared and agreed a questionnaire based on the recommendations of the 2011 International Consensus on the Diabetic Foot (ICDF). From October to December 2012, the questionnaire was sent to members of three scientific societies formed by professionals involved in the care of patients with diabetes mellitus. Population coverage of the responding centers and DFUs was estimated using the 2012 population census. RESULTS: Seventy five questionnaires were received, 64 of them from general hospitals, which accounted for 13% of the general hospitals of the National Health System. It was calculated that they provided coverage to 43% of the population. Thirty four centers answered that they had a DFU. Specialized diabetic foot care was only provided to 25% of the population. The number of different professionals working at diabetic foot units was 6.3±2.7. Classification of DFUs based on their complexity was as follows: 5 basic units (14.7%), 20 intermediate units (58.8%), and 9 excellence units (26.5%). CONCLUSIONS: The number of DFUs reported in this study in Spain is low, and allow for foot care of only one out of every four patients with diabetes. Spanish health system needs to improve diabetic foot care by creating new DFUs and improving the existing ones.
OBJECTIVE: To ascertain the number of diabetic foot units (DFUs) in Spain, the specialists working in them, and the population covered by them. MATERIAL AND METHODS: The Spanish Group on the Diabetic Foot (SGDF) prepared and agreed a questionnaire based on the recommendations of the 2011 International Consensus on the Diabetic Foot (ICDF). From October to December 2012, the questionnaire was sent to members of three scientific societies formed by professionals involved in the care of patients with diabetes mellitus. Population coverage of the responding centers and DFUs was estimated using the 2012 population census. RESULTS: Seventy five questionnaires were received, 64 of them from general hospitals, which accounted for 13% of the general hospitals of the National Health System. It was calculated that they provided coverage to 43% of the population. Thirty four centers answered that they had a DFU. Specialized diabetic foot care was only provided to 25% of the population. The number of different professionals working at diabetic foot units was 6.3±2.7. Classification of DFUs based on their complexity was as follows: 5 basic units (14.7%), 20 intermediate units (58.8%), and 9 excellence units (26.5%). CONCLUSIONS: The number of DFUs reported in this study in Spain is low, and allow for foot care of only one out of every four patients with diabetes. Spanish health system needs to improve diabetic foot care by creating new DFUs and improving the existing ones.
Keywords:
Clínica del pie diabético; Diabetic foot; Diabetic foot clinic; Diabetic foot unit; Equipo multidisciplinario de pie; Multidisciplinary foot team; Pie diabético; Unidad de pie diabético
Authors: Rocío Zamanillo-Campos; Maria Jesús Serrano-Ripoll; Joana Maria Taltavull-Aparicio; Elena Gervilla-García; Joana Ripoll; Maria Antonia Fiol-deRoque; Anne-Marie Boylan; Ignacio Ricci-Cabello Journal: Int J Environ Res Public Health Date: 2022-02-08 Impact factor: 3.390
Authors: Ana López-de-Andrés; Rodrigo Jiménez-García; Maria D Esteban-Vasallo; Valentin Hernández-Barrera; Javier Aragon-Sánchez; Isabel Jiménez-Trujillo; Javier de Miguel-Diez; Maria A Palomar-Gallego; Martin Romero-Maroto; Napoleón Perez-Farinos Journal: J Clin Med Date: 2019-10-02 Impact factor: 4.241