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糖尿病足管理中的种族和民族差异

Racial and Ethnic Disparities in the Management of Diabetic Feet.

作者信息

Clayton Elizabeth O, Njoku-Austin Confidence, Scott Devon M, Cain Jarrett D, Hogan MaCalus V

机构信息

Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Ave., Suite #911, Pittsburgh, PA, 15213, USA.

出版信息

Curr Rev Musculoskelet Med. 2023 Nov;16(11):550-556. doi: 10.1007/s12178-023-09867-7. Epub 2023 Sep 21.

Abstract

PURPOSE OF REVIEW

Diabetes mellitus is a chronic medical condition affecting many individuals worldwide and leads to billions of dollars spent within the healthcare system for its treatment and complications. Complications from diabetes include diabetic foot conditions that can have a devasting impact on quality of life. Diabetic foot ulcers and amputations occur in minority individuals at an increased rate compared to Caucasian individuals. This review provides an update examining the racial and ethnic disparities in the management of diabetic foot conditions and the differences in rates of amputation.

RECENT FINDINGS

Current research continues to show a disparity as it relates to diabetic foot management. There are novel treatment options for diabetic foot ulcers that are currently being explored. However, there continues to be a lack in racial diversity in new treatment studies conducted in the USA. Individuals from racial and ethnic minority groups have diabetes at higher rates compared to Caucasian individuals, and are also more likely to develop diabetic foot ulcers and receive amputations. Over the last few years, more efforts have been made to improve health disparities. However, there needs to be an improvement in increasing racial diversity when investigating new therapies for diabetic foot ulcers.

摘要

综述目的

糖尿病是一种慢性疾病,影响着全球众多人群,其治疗及并发症导致医疗系统花费数十亿美元。糖尿病并发症包括糖尿病足病,会对生活质量产生严重影响。与白种人相比,少数族裔个体发生糖尿病足溃疡和截肢的几率更高。本综述对糖尿病足病管理中的种族和民族差异以及截肢率差异进行了更新研究。

最新发现

当前研究继续表明糖尿病足管理存在差异。目前正在探索糖尿病足溃疡的新型治疗方案。然而,美国开展的新治疗研究中种族多样性仍然不足。与白种人相比,少数族裔个体患糖尿病的几率更高,也更易发生糖尿病足溃疡并接受截肢手术。在过去几年中,为改善健康差异已做出更多努力。然而,在研究糖尿病足溃疡新疗法时,需要在增加种族多样性方面加以改进。

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