title: Clinical management of acute diabetic Charcot foot in Denmark.
abstract: BACKGROUND
  Charcot foot is a severe complication to diabetes mellitus and treatment involves several different clinical specialities. Our objective was to describe the current awareness, knowledge and treatment practices of Charcot foot among doctors who handle diabetic foot disorders.
  
  
  METHODS
  This study is based on a questionnaire survey sent out to healthcare professionals, primarily doctors, working with diabetic foot ulcers and Charcot feet in the public sector of the Danish healthcare system.
  
  
  RESULTS
  The survey obtained a 52% response rate. A temperature difference of > 2 °C between the two feet was the most used method of diagnosing Charcot foot. Along with clinical inspection, temperature difference was also the measurement used for monitoring of healing. None of the suggested formalised classification systems were used to any extent. Most responders use detachable bandages for offloading (83%). All centres use some form of a multidisciplinary team, with the most common permanent members being orthopaedic surgeons (71%), wound specialist nurses (76%), podiatrists (65%), endocrinologists (47%) and diabetes specialist nurses (41%).
  
  
  CONCLUSIONS
  We conducted a survey of the diagnosis and treatment practices of acute diabetic Charcot foot at diabetes foot clinics in Denmark. The responders seem to follow the international recommendations and guidelines on management of the acute diabetic Charcot foot, despite a lack of Danish guidelines.
  
  
  BACKGROUND
  none.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: rasmus.bo.jansen@regionh.dk.
authors.forename: Rasmus Bo
authors.initials: RB
authors.lastname: Jansen
authors.forename: Ole Lander
authors.initials: OL
authors.lastname: Svendsen
authors.forename: Klaus
authors.initials: K
authors.lastname: Kirketerp-Møller
mesh_terms: D003718:Denmark / Q000453:epidemiology; D017719:Diabetic Foot / Q000453:epidemiology / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D009017:Morbidity / Q000639:trends; D011032:Podiatry / Q000379:methods*; D011159:Population Surveillance