Diabetic foot disease in patients with end-stage renal disease: An emerging threat?
Taiwan: Patients with diabetes and end-stage renal disease (ESRD) should be educated on the prevention of diabetic foot disease, and if peripheral arterial disease (PAD) is complicated, the researchers suggest that the performance of endovascular treatment should not be hesitated, according to a recent study.
"Over the years, the annual prevalence of patients with ESRD has increased 3.9-fold; they now constitute more than 30% of annual major-lower-extremity amputations (LEAs) of subjects with ESRD on diabetic foot diseases," Cheng-Wei Lin and colleagues from Taiwan wrote in their study published in Diabetes Research and Clinical Practice. "An interdisciplinary team approach and aggressive endovascular treatments (EVTs) might reduce major LEAs in these patients."
The study was conducted to disclose the prevalence, foot characteristics, demographic, and management and lower-extremity amputations of patients with end-stage renal disease on diabetic foot diseases.
For this purpose, the research team derived data from the Taiwan National Health Insurance Research Database from 2004 to 2017. Analysis of the clinical characteristics was done between subjects with and without ESRD. Diabetic foot ulcers were infections, ulcers, or severe peripheral arterial diseases in type 2 diabetes patients.
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