Current situation and progress of diabetic foot care in the Middle East and North Africa region
Authors' conclusion
The MENA region has the highest prevalence of diabetes among all international diabetes federation (IDF) regions. Research and publications are increasing with time. The standard diabetic foot management is in practice. New treatment modalities are launched, more or less rapidly, depending on multiple factors. The "diabetic foot" must be recognized as a disease entity. National registries for diabetic foot and amputations must be established. Health organizations and NGOs have a role to play in this region where citizens are undergoing amputations for financial reasons.
Study context
- Population
- Diabetic foot care in countries of the Middle East and North Africa (MENA) region
- Outcome
- Status of diabetic foot care in MENA
Methodological detailsMedical Subject Headings (MeSH) and free-text literature search, 14-question expert questionnaire, one per MENA country
- MeSH and free-text literature search
- 14-question expert questionnaire, one per MENA country
Main finding
As reported in the abstract
- Number of publications low but increasing with time
- National registries missing in most countries
- Amputation rates moderate to high
- Wide diversity among countries
- Wound care, revascularization and flaps/grafts are mainstay of care in all countries
- Advanced modalities more frequently used in Middle East than North Africa
- Political stability, governmental vision and individual income affect level of foot care
Observational data: associations, not effects.
Original publication
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