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April 27, 1994

The Diabetic Foot

Author Affiliations

University of Iowa Hospitals and Clinics Iowa City


by Marvin E. Levin, Lawrence W. O'Neal, and John H. Bowker, 5th ed, 635 pp, with illus, $95, ISBN 0-8016-6878-6, St Louis, Mo, Mosby, 1993.

JAMA. 1994;271(16):1293-1294. doi:10.1001/jama.1994.03510400083042

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The authors of The Diabetic Foot have found it necessary to expand this text in the five years since the fourth edition. The increase in size reflects our growing knowledge about the pathogenesis and management of lower limb problems in diabetic patients.

Thanks to educational efforts by multiple specialties, many of the growing and aging diabetic population now understand their disease, the possible complications, the danger of foot lesions, and the absolute necessity for proper foot care to avoid joining the 60 000 with major amputations in the United States each year. The very magnitude of diabetes, occurring in 14 million Americans, 15% of whom develop foot ulcers, and with a cost of $1 billion in direct medical care, warrants still more attention to this increasing problem. Sixteen percent of hospital admissions of diabetics are for foot problems.

The authors have continued to direct their efforts to the prime goal

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