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Table 3 Summary of the original IWGDF recommendations compared with the new Australian guideline recommendations for wound classification

From: Australian guideline on wound classification of diabetes-related foot ulcers: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

No Original IWGDF Recommendation Decision New Australian Recommendation
1 In a person with diabetes and a foot ulcer, use the SINBAD system for communication among health professionals about the characteristics of the ulcer (strong; moderate) Adapted In a person with diabetes and a foot ulcer, as a minimum, use the SINBAD wound classification system for communication among health professionals about the characteristics of the ulcer (strong; moderate)
2 Do not use any of the currently available classification/scoring systems to offer an individual prognosis for a person with diabetes and a foot ulcer (strong; low) Adapted Be cautious in the application of any of the currently available classification/scoring systems to offer an individual prognosis for a person with diabetes and a foot ulcer (weak; low)
3 In a person with diabetes and an infected foot ulcer, use the IDSA/IWGDF infection classification to characterise and guide infection management (weak; moderate) Adopted As stated in original IWGDF recommendation
4 In a person with diabetes and a foot ulcer who is being managed in a setting where appropriate expertise in vascular intervention is available, use WIfI scoring to aid decision making in the assessment of perfusion and likelihood of benefit from revascularisation (weak; moderate) Adopted As stated in original IWGDF recommendation
5 Use the SINBAD system for any regional/national/international audits to allow comparisons between institutions on the outcomes of patients with diabetes and an ulcer of the foot (strong; high) Adapted As a minimum, use the SINBAD system for any regional/national/international audits to allow comparisons between institutions on the outcomes of patients with diabetes and an ulcer of the foot (strong; high)
  1. Note: underlined wording indicates the specific adapted changes to the original IWGDF recommendation