he Short-Term and Long-Term Results of Surgical Treatment for Diabetic Foot Syndrome and Evaluation of the Quality of Life of Patients (Literature Review)

T.T. Kamalov, F.M. Turakhanova

Abstract


Currently, in many chronic diseases, the study of quality of life (QoL) is of increasing importance. Diabetes mellitus (DM) due to the complex regimen of control and treatment, as well as numerous somatic manifestations (acute and chronic complications) has a significant impact on QoL. QoL, in turn, has a significant impact on the prognosis of the disease. This review deals with the short-term and long-term results of surgical treatment for diabetic foot syndrome, the definition of QoL and related concepts, highlights the major approaches to the study of QoL in DM, presents a list of the most commonly used tools for QoL assessment. Analysis of publications showed that there is still the lack of systematic study of this problem, the possibilities of the current development of technics and information technology to solve it were not realized. Thus, in spite of the further development of vascular surgery, many issues related to the diagnosis and methods for the treatment of patients with ulcerative necrotic lesions in the lower extremities remain unresolved. The quality of diagnostic and therapeutic measures is still dependent on the profile of the medical institution, the presence in it of vascular surgery unit, subjective attitude of doctors to the different methods of treatment, their knowledge and experience in this field. The creation of an algorithm determining the sequence of actions of doctors at patient’s admittance to the hospital enables to address these issues most effectively and to improve the quality of diagnosis, treatment and further life of patients. Analysis of the literature showed that for more accurate assessment of the short-term and long-term results of reconstructive vascular surgery in patients with diabetic angiopathy, it is necessary to use the definition of QoL and its parameters, which in future will enable to choose the best method of surgical treatment in each case, as well as to identify the impact of surgery or other treatments on the patient’s psyche.
According to some authors, the existing classifications of diabetic foot syndrome incompletely reflect the clinical picture of complications and, consequently, in most cases, they do not determine the modality of treatment in patients. There are different views on operational and surgical techniques. The ways to reduce postoperative complications, the incidence of which in many hospitals is more than 30 %, were described incompletely and not always justified.


Keywords


diabetes mellitus; quality of life; diabetic foot syndrome; questionnaires.

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DOI: https://doi.org/10.22141/2224-0721.1.73.2016.71059

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