Arbeitsgemeinschaft Fuß der DDG

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1 Arbeitsgemeinschaft Fuß der DDG

2 Aktivitäten I 2 Vorstandssitzungen 3 Telefonkonferenzen Abschluss von Aufbau der Homepage und Mitgliederkartei Umstellung auf SEPA Aktueller Stand Mitglieder 359 Ärzte 48 OSM 66 Podologen / DiabetesAssistenz Mitglieder Stand Mitglieder davon 388 Ärzte 52 OSM/OST 70 Podologen/MFA 25 Diabetesberaterinnen

3 Aktivitäten II Publikationen FAZ Focus Diabetes..

4 Weitere Projekte die AG hat zu Risikogruppe 7 ein Papier verabschiedet hat und das derzeit die versch. Gremien wie Zentralverband der OSM und Orthopädenverband durchläuft und es besteht Ausschicht auf eine gemeinsame Verabschiedung in 2015 DFS Register

5 Aktivitäten V Certified Fercilities of the German working Group on the Diabetic foot 2007: 133 ambulante Fußbehandlungseinrichtungen 78 stationäre Fußbehandlungseinrichtungen : 130 ambulante Fußbehandlungseinrichtungen 71 stationäre Fußbehandlungseinrichtungen : 149 ambulante Fußbehandlungseinrichtung 72 stationäre Fußbehandlungseinrichtungen : 166 ambulante Fußbehandlungseinrichtungen 75 stationäre Fußbehandlungseinrichtungen : 209 ambulante Fußbehandlungseinrichtungen 87 stationäre Fußbehandlungseinrichtungen ambulante Fußbehandlungseinrichtungen 76 stationäre Fußbehandlungseinrichtungen ambulante Fußbehandlungseinrichtungen 78 stationäre Fußbehandlungseinrichtungen Neu- und Re-Zertifizierungen in 2013

6 Aktivitäten VI

7 Aktivitäten VII The Working Group on the Diabetic Foot and the German Diabetes Society established a system for accrediting hospitals and outpatient clinics specialized in treating diabetic foot wounds in The rationale was to establish comparable diabetic foot care centers with clearly defined standards of care. All centers have to proof the quality of structure (staff, premise and facilities), quality of procedures and the quality of evaluation. Actual we present the data over 7 years of these Centers. Results: There was a total of patients; using the Wagner classification the wounds were represented as follows: stage 0: 674, stage 1: 6932, stage 2: 5750, stage 3: 3653, stage 4: 1466 and stage 5: 57 patients. At the six-month follow-up assessment Patient underwent the follow-up corresponding to a recovery rate of 98%. At the follow up a substantial improvement could be seen; 55% of all patients showed a complete wound healing. There was a distinctive difference between the distribution of cases of the patients treated in outpatient centers and the inpatients. The outpatient foot centers saw a majority of Wagner stage 1 (87%) and stage 2 (71%) patients. Stage 1 patients (n=902) were rarely admitted to inpatient care (54%). A Charcot osteoarthropathy, was found in 9.2% (n=1712) of the cases. Most important our data indicated a low level of major (above-ankle) amputations with 3,1% (n=574). Substantially more patients underwent a minor (below-ankle) amputation; 17.5% (n=3254). A total of 733 patients died during the evaluation phase of six month (4,0%). In cases a clinical significant Infection was present (58%); an infection was diagnosed with 75,8% of the inpatients and 53,3% of the outpatients, respectively. In 7818 patients (42%) a peripheral arterial occlusive disease was diagnosed; 2154 of them underwent a revascularization. All over the time, we found comparable and reproducible results for every yearly calculation since Discussion: These data underline the quality of the treatment outcome of diabetic foot lesions in specialized centers in Germany. The data reflect a lower rate of major and minor amputations in the certified centers compared to the up to now available epidemiological data in Germany. This analysis presents reproducible data of defined and obligatory procedures/standards for diagnosis and treatment of the diabetic foot on amputation rate, level of amputations and mortality over an time period of 7 years.

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9 Aktivitäten V DDG 2014 Workshop :00-16:30 Diabetischer Fuß Vorsitzende: D. Hochlenert, Köln G. Engels, Köln AG-Symposium :00-11:30 Update Diabetischer Fuß 2014 Vorsitzende: R. Lobmann, Stuttgart M. Spraul, Rheine

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11 12th annual meeting of the DFSG, September 2014 The meeting will be held in Bratislava September Important Dates 01 April 2014 Abstract submission deadline May 2014 Abstract acceptance notification 20. June 2014 Early registration deadline Conference Dates Friday, 12. September 2014 Welcome Scientific sessions until the evening. Welcome reception at the venue. Saturday, 13. September 2014 Scientific Sessions from the morning to the evening GALA dinner at Restaurant Reduta, Bratislava. Sunday, 14. September 2014 Scientific Sessions from the morning to the afternoon.

12 Jahrestagungen der AG Fuss März 2015 Bad Nauheim Plenumsraum im Gesundheitsamt Wetterau Lokaler Organisator: Dr. M. Eckhard & Team 2016 Radolfzell; Dr. Rüdiger Klare 2017 Stuttgart

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14 Vielen Dank für Ihre Aufmerksamkeit