Abstract
Background: The German S3- guideline on local therapy of leg ulcers and diabetic foot ulcers is in the process of being updated. Major goals are to improve the guidelines’ applicability and to take steps towards a living guideline according to current methodological standards. The aim of this article is to describe the main measures to achieve these goals. Methods: The context of the guideline in the field of local wound care and the stakeholder requirements are briefly described. Based on a derived framework, the project team adjusted the methods for the guideline. Results: Main adjustments are more specific inclusion criteria, online consensus meetings and the use of an authoring and publication platform to provide information in a multi-layered format. A new set of practice-oriented key questions were defined by the guideline panel to foster the formulation of action-oriented recommendations. Conclusions: The set of new key questions addressing practical problems and patients’ preferences as well as the adjustments made to improve not only the guidelines’ applicability, but also the feasibility of the further dynamic updating processes in the sense of a living guideline, should be steps in the right direction.
Highlights
The German guideline “Local Treatment of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes” was first published in 2012
The guideline concentrates on local therapy of chronic leg ulcers of either vascular or diabetic origin and complements further national and international guidelines aiming at prevention and causal therapy [1,2]
It aims to present a treatment algorithm, based on evidence and consensus, to optimize local wound therapy in patients diagnosed with peripheral arterial disease (PAOD), diabetes mellitus (DM), or chronic venous insufficiency (CVI)
Summary
The German guideline “Local Treatment of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes” was first published in 2012. The guideline concentrates on local therapy of chronic leg ulcers of either vascular or diabetic origin and complements further national and international guidelines aiming at prevention and causal therapy [1,2] It aims to present a treatment algorithm, based on evidence and consensus, to optimize local wound therapy in patients diagnosed with peripheral arterial disease (PAOD), diabetes mellitus (DM), or chronic venous insufficiency (CVI). Conclusions: The set of new key questions addressing practical problems and patients’ preferences as well as the adjustments made to improve the guidelines’ applicability, and the feasibility of the further dynamic updating processes in the sense of a living guideline, should be steps in the right direction
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
