title: The New Prognostic-Therapeutic Index for Diabetic Foot Surgery--Extended Analysis.
abstract: BACKGROUND
  The disproportionate surgical indication in patients with diabetic foot, as well as the large number of major amputations of the pelvic limb have created the necessity of conceiving a therapeutic-prognostic index to guide the physician in establishing the adequate surgical indication. The aim of this analysis is to extend a former research published in 2014, regarding the new prognostic-therapeutic index used in the diabetic foot pathology, that included 929 patients.
  
  
  METHODS
  We have analyzed a number of 1221 patients, that were admitted at the Surgery Clinic of the Cantacuzino Hospital, between January 2013 and June 2015, suffering from diabetes mellitus and associating diabetic foot lesions.
  
  
  RESULTS
  The new therapeutic-prognostic index has been calculated for the retrospective lot, resulting into a concordance between the actual surgical intervention and the prognostic index of 79.4%; for the patients evaluated prospectively we have found a confirmation of the relation between the performed surgical intervention and the forecasted surgical intervention, of 86,8%.
  
  
  CONCLUSIONS
  The new therapeutic-prognostic index is of a major usefulness in recommending an adequate therapeutic conduct correlated to the severity of the lesion, especially in facilities where the pathology of the diabetic foot is less known.
authors.forename: Florin
authors.initials: F
authors.lastname: Bobircă
authors.forename: Octavian
authors.initials: O
authors.lastname: Mihalache
authors.forename: Dragoş
authors.initials: D
authors.lastname: Georgescu
authors.forename: Traian
authors.initials: T
authors.lastname: Pătraşcu
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000671:Amputation, Surgical; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D017719:Diabetic Foot / Q000453:epidemiology / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D012720:Severity of Illness Index; D017678:Sex Distribution; D016896:Treatment Outcome