Eventuali ulteriori approfondimenti diagnostici, di secondo livello, sono programmati ed effettuati nelle strutture di AOUC, con percorsi appositamente predisposti e deliberati nei percorsi ambulatoriali complessi e coordinati relativi al Piede Diabetico, svolti da personale esperto formalmente identificato.

La sede di attività più opportuna è definita in relazione alla fase del percorso
Ambulatorio polispecialistico Clinica Medica
Degenza Ortopedia elettiva e day surgery
Degenza geriatria per la complessità assistenziale e specialistiche mediche
Sub-Intensiva Cardiologica Medico-Chirurgica e Degenza Cardiovascolare

Monami M, Longo R, Desideri CM, Masotti G, Marchionni N, Mannucci E. The diabetic person beyond a foot ulcer: prognostic value of depressive symptoms. J Am Pod Med Ass 98: 130-136, 2008.
Monami M, Vivarelli M, Desideri C, Colombi C, Marchionni N, Mannucci E. Pulse pressure and prediction of incident foot ulcers in type 2 diabetes. Diabetes Care 32: 897-899, 2009.
Monami M, Vivarelli M, Desideri CM, Ippolito G, Marchionni N, Mannucci E. Autologous skin fibroblast and keratinocyte grafts in the treatment of chronic foot ulcers in aging type 2 diabetic patients. J Am Podiatr Med Assoc 101: 55-58, 2011.
Crawford F, Anandan C, Chappell FM, Murray GD, Price JF, Sheikh A, Simpson CR, Maxwell M, Stansby GP, Young MJ, Abbott CA, Boulton AJ, Boyko EJ, Kastenbauer T, Leese GP, Monami M, Monteiro-Soares M, Rith-Najarian SJ, Veves A, Coates N, Jeffcoate WJ, Leech N, Fahey T, Tierney J. Protocol for a systematic review and individual patient data meta-analysis of prognostic factors of foot ulceration in people with diabetes: the international research collaboration for the prediction of diabetic foot ulcerations (PODUS). BMC Med Res Methodol 13:22, 2013.
Mannucci E, Genovese S, Monami M, Navalesi G, Dotta F, Anichini R, Romagnoli F, Gensini G. Photodynamic topical antimicrobial therapy for infected foot ulcers in patients with diabetes: a randomized, double-blind, placebo-controlled study-the D.A.N.T.E (Diabetic ulcer Antimicrobial New Topical treatment Evaluation) study. Acta Diabetol. 51(3):435-40, 2014.
Monami M, Zannoni S, Gaias M, Nreu B, Marchionni N, Mannucci E. Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial. Int J Endocrinol. 2015 (epub-ahead of print);
Vitale V, Monami M, Mannucci E. Prostanoids in patients with peripheral arterial disease: A meta-analysis of placebo-controlled randomized clinical trials. J Diabetes Complications. 2016 Jan-Feb;30(1):161-6.
Monami M, Mirabella C, Aleffi S, Giannoni L , Mannucci E. A novel technique using CO2 laser for the treatment of lower limb ulcers with exposed bone. A proof-of-concept study. Manuscript in press.
Monami M, Mirabella C, Aleffi S, Giannoni L , Mannucci E. CO2 laser for the treatment of diabetic foot ulcers with exposed bone. Manuscript in press.
Monami M, Mirabella C, Aleffi S, Mannucci E, Elmi S, Masotti L. A Randomised, Open Label, Controlled Clinical Study to Evaluate the Efficacy and Safety of CO 2 -Laser Treatment in Patients with Diabetic Infected Foot Ulcers. Manuscript in press.