Abstract
Diabetes mellitus is a major public health challenge and causes substantial morbidity and mortality worldwide. Diabetic foot disease is one of the most debilitating and costly complications of diabetes. While simple preventative foot care measures can reduce the risk of lower limb ulcerations and subsequent amputations by up to 85%, they are not always implemented. In Oman, foot care for patients with diabetes is mainly provided in primary and secondary care settings. Among all lower limb amputations performed in public hospitals in Oman between 2002-2013, 47.3% were performed on patients with diabetes. The quality of foot care among patients with diabetes in Oman has not been evaluated and unidentified gaps in care may exist. This article highlights challenges in the provision of adequate foot care to Omani patients with diabetes. It concludes with suggested strategies for an integrated national diabetic foot care programme in Oman.
Highlights
Diabetes mellitus is a major public health challenge and causes substantial morbidity and mortality worldwide
Among all lower limb amputations performed in public hospitals in Oman between 2002–2013, 47.3% were performed on patients with diabetes
The Save the Diabetic Foot Project in Brazil is a commendable example of how the implementation of simple and low-cost preventative measures can result in a large reduction in amputation rates among patients with diabetes (77.8% over nine years).[45]
Summary
Abstract: Diabetes mellitus is a major public health challenge and causes substantial morbidity and mortality worldwide. ويعتبر مر ض قدم ال سكري, ي شكل داء ال سكري تحديا كبيرا على ال صحة العامة كونه ي ؤدي إلى الوفاة واعتلال حاد في ال صحة:الملخ ص. تقدم رعاية م ضاعفات قدم ال سكري في مراكز الرعاية. ولكنها لا تطبق ب شكل دائم85% التقرحات وبتر الأطراف ال سفلى بن سبة ت صل إلى. Challenges in the provision of adequate foot care to Omani patients with diabetes are discussed and recommendations drawn from international guidelines are presented in order to improve diabetic foot care in primary and secondary care settings in Oman. Both relevant published and grey literature was reviewed. These factors complicate estimations of the true rate of diabetes-related amputations in Oman
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