Cultura

The Role Of Medical Secretarial And Nursing Support In Enhancing Patient Awareness Of Periodic Laboratory And Radiological Screening For The Early Detection Of Diabetes Complications

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Faisal Abdulaziz Alomari, Alwaleed Khalid Mohammed Alshuraym, Ali Hassan Ali Haroobi, Asalah Alshammari, Sara Alajmi
Fatimah Ali Alkhalaf, Rawan Ibrahim Alowayid, Renad Mohamed Aljohani, Bassam Muslih Alfuhigi, Abdullah Ali Abdullah Al-Fenaikh

Abstract

Diabetes mellitus represents a major global public health challenge due to its high prevalence and the progressive nature of its complications. Early detection through periodic laboratory tests and radiological imaging is essential for reducing morbidity, mortality, and healthcare costs associated with diabetes-related complications. However, limited community awareness and suboptimal utilization of diagnostic services continue to hinder effective prevention and early intervention.

This comprehensive review aimed to examine the role of effective healthcare management in enhancing community awareness of the importance of periodic laboratory testing and radiological imaging for the early detection of diabetes complications. A structured narrative review was conducted using peer-reviewed literature from major scientific databases, in addition to international guidelines and reports issued by authoritative organizations.

The findings indicate that effective management plays a central role in translating clinical guidelines into community-level preventive practices. Strong leadership, interdisciplinary coordination, and culturally sensitive awareness strategies were consistently associated with improved utilization of laboratory and radiological diagnostic services. Periodic laboratory investigations were identified as essential tools for monitoring glycemic control and detecting early microvascular complications, while radiological imaging was crucial for identifying vascular and structural complications at early stages. The review also highlights that community awareness and health-seeking behavior are significantly influenced by management-driven education programs and organizational support.

In conclusion, effective healthcare management is a key driver in enhancing community awareness and promoting the early detection of diabetes complications. Strengthening management frameworks and integrating diagnostic services within comprehensive awareness strategies are essential for improving diabetes outcomes and supporting sustainable public health interventions.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty