The Effects of Renal Disease on Wound Healing

Hill, et al. found that ESRD was associated with a fourfold higher risk of diabetic foot complications, defined as infection, ulcer, gangrene, or amputation. Lower extremity amputations A lthough diabetes is a well-known cause of foot ulcerations—dialysis, end-stage renal disease (ESRD) and chronic kidney disease (CKD) have proven to be independent risk factors in the development and course of diabetic foot ulcerations. Previous authors have reported foot ulcers to be in 5-10% of people with diabetes, 10% of people with diabetes and mild CKD, and 15-40% of people with diabetes and ESRD. Welcome to Podiatry Management’s CME Instructional program. Our journal has been approved as a sponsor of Continuing Medical Education by the Council on Podiatric Medical Education. You may enroll: 1) on a per issue basis (at $26.00 per topic) or 2) per year, for the special rate of $210 (you save $50). You may submit the answer sheet, along with the other information requested, via mail, fax, or phone. You can also take this and other exams on the Internet at www.podiatrym.com/cme. If you correctly answer seventy (70%) of the questions correctly, you will receive a certificate attesting to your earned credits. You will also receive a record of any incorrectly answered questions. If you score less than 70%, you can retake the test at no additional cost. A list of states currently honoring CPME approved credits is listed on pg. 140. Other than those entities currently accepting CPME-approved credit, Podiatry Management cannot guarantee that these CME credits will be acceptable by any state licensing agency, hospital, managed care organization or other entity. PM will, however, use its best efforts to ensure the widest acceptance of this program possible. This instructional CME program is designed to supplement, NOT replace, existing CME seminars. The goal of this program is to advance the knowledge of practicing podiatrists. We will endeavor to publish high quality manuscripts by noted authors and researchers. If you have any questions or comments about this program, you can write or call us at: Podiatry Management, P.O. Box 490, East Islip, NY 11730, (631) 563-1604 or e-mail us at [email protected]. Following this article, an answer sheet and full set of instructions are provided (pg. 140).—Editor Goals and Objectives