Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care, and providers at all levels. is Guideline
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
A1c, glycohemoglobin; ABI, ankle-brachial index; DFO, diabetic foot osteomyelitis;
DFU, diabetic foot ulcer; HBO, hyperbaric oxygen; MRI, magnetic resonance imaging ;
NPWT, negative pressure wound therapy; PAD, peripheral arterial disease; PDGF;
platelet-derived growth factor; PTB, probe to bone; PVR, pulse volume recording ; SIRS,
systemic inflammatory response syndrome; SPP, skin perfusion pressure; SVS, Society for
Vascular Surgery; TCC, total contact cast; TcPO
2
, transcutaneous oxygen pressure; TMA,
transmetatarsal amputation; TP, toe pressure; XR, radiography
Source
Hingorani A, LaMuraglia GM, Henke P, Meissner MH, Loretz L, Zinszer KM, Driver
VR, Frykberg R, Carman TL, Marston W, Mills JL Sr, Murad MH. e management
of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in
collaboration with the American Podiatric Medical Association and the Society for
Vascular Medicine. J Vasc Surg 2016;63:3S-21S.
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Strength of Recommendation and Quality of Evidence
Strength of Recommendation Quality of Evidence
1 – Strong Benefit clearly outweighs risk A High
2 – Weak Benefits and risks are more closely
matched and are more dependent
on specific clinical scenarios
B Moderate
C Low
U Ungraded
SVSDFI16051b