2023 Japanese guideline issues weak recommendations for imaging in diabetic foot osteomyelitis, NPWT, and PRP

A 2023 fully revised Japanese guideline on diabetic foot ulcers and gangrene uses GRADE methodology and makes weak recommendations for imaging procedures for osteomyelitis, topical negative-pressure wound therapy, and platelet-rich plasma therapy.

• Imaging procedure for osteomyelitis received a weak recommendation for diagnosis of diabetic foot ulcers and gangrene.
• Topical negative-pressure wound therapy (NPWT) and platelet-rich plasma therapy were also weakly recommended.
• The guideline also provides broad advice on diagnosis, prevention, assessment, and unconventional treatments.

Evidence grade: GRADE: weak recommendation

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