- 作者：Jos茅 Antonio Rubio ; Javier Arag贸n-S谩nchez ; Jos茅 L. L谩zaro-Mart铆nez ; Mar铆a Cruz Almaraz ; Didac Mauricio ; Juan B. Antol铆n Santos ; Jos茅 脕ngel D铆az P茅rez ; Matteo Fabbi ; Mar铆a Luisa Lozano Del Hoyo ; Mar铆a Pilar Vela ; en representaci贸n del Grupo Espa帽ol del Pie Diab茅tico
- 关键词：Pie diabé ; tico ; Unidad de pie diabé ; tico ; Clí ; nica del pie diabé ; tico ; Equipo multidisciplinario de pie
- 刊名：Endocrinolog铆a y Nutrici贸n
- 出版年：February, 2014
- 年：2014
- 卷：61
- 期：2
- 页码：79-86
- 全文大小：386 K
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 卤 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.