Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

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Tovi J, Svanborg E, Nilsson BY, Engfeldt P. Diabetic neuropathy in elderly Type 2 diabetic patients:effects of insulin treatment. Acta Neurol Scand 1998;98:346-53.Trautner C, Haastert B, Spraul M, Giani G, Berger M. Unchanged incidence of lower-limb amputationsin a German city, 1990-1998. Diabetes Care 2001;24:855-9.Turner R, Cull C, Holman R, for the United Kingdom Prospective Diabetes Study Group. UnitedKingdom Prospective Diabetes Study 17: A 9-year update of a randomized, controlled trial on theeffect of improved metabolic control on complications in non-insulin-dependent diabetes mellitus. AnnIntern Med 1996;124:136-45.Uhlenbruck C, Chantelau E. The effect of diabetic polyneuropathy on the load distribution at theplantar pedis in response to hyperkeratosis. Diabetes und Stoffwechsel 1998;7:131-5.UKPDS 27. UK Prospective Diabetes Study 27. Plasma lipids and lipoproteins at diagnosis of NIDDMby age and sex. Diabetes Care 1997;20:1683-7.Veves A, Uccioli L, Manes C, Van Acker K, Komninou H, Philippides P, Katsilambros N, De Leeuw I,Menzinger G, Boulton AJM. Comparison of risk factors for foot problems in diabetic patients attendingteaching hospital outpatient clinics in four different European States. Diabet Med 1994;11:709-13.Vijay V, Snehalatha C, Seena R, Ramachandran A. The Rydel Seiffer tuning fork: an inexpensivedevice for screening diabetic patients with high-risk foot. Pract Diabetes Int 2001;18:155-6.Vinik AI, Holland MT, Le Beau JM, Liuzzi FJ, Stansberry KB, Colen LB. Diabetic neuropathies.Diabetes Care 1992;15:1926-75.Vogelberg KH, Stork W. Measurement of pulse reappearance time in diagnosis of peripheral vasculardisease in diabetes. Diabetes Care 1988;11:345-50.Wall B. Assessment of ischaemic feet in diabetes. J Wound Care J 1997;6:32-8.Watson J, Obersteller EA, Rennie L, Whitbread C. Diabetic foot care: developing culturallyappropriate educational tools for Aboriginal and Torres Strait Islander peoples in the NorthernTerritory, Australia. Aust J Rural Health 2001;9:121-6.Weaver FM, Burdi MD, Pinzur MS. Outpatient foot care: correlation to amputation levels. Foot AnkleInt 1994;15:498-501.Wieman TJ, Griffiths GD, Polk HCJr. Management of diabetic midfoot ulcers. Ann Surg1992;215:627-32.Winslow EH, Jacobson AF. Research for practice. Saving limbs with the Semmes-Weinsteinmonofilament. Am J Nurs 1999;99:76.Wollesen F, Dahlen G, Berglund L, Berne C. Peripheral atherosclerosis and serum lipoprotein(a) indiabetes. Diabetes Care 1999;22: 93-8.Wooldridge J, Bergeron J, Thornton C. Preventing diabetic foot disease: lessons from the medicaretherapeutic shoe demonstration. Am J Public Health 1996;86:935-8.Wunderlich RP, Armstrong DG, Husain SK, Lavery LA. Defining loss of protective sensation in thediabetic foot. Adv Wound Care 1998;11:123-8.Wysocki AB. A review of the skin and its appendages. Adv Wound Care 1995;8:53-70.Zimny S, Dessel F, Ehren M, Pfohl M, Schatz H. Early detection of micorcirculatory impairment indiabetic patients with foot at risk. Diabetes Care 2001;24:1810-4.124

2.6 Diabetes Foot Problem Guideline Search Strategy and YieldElectronic Databases Searched:MedlineCINAHLEMBASECochraneTerms used to search the databases:Detailed within the table below.Search Inclusion Criteria:Where possible the searches were limited by the English language and human research. The databases were searched for the following years of publication: Medline 1966-2004; CINAHL 1982-2004;EMBASE 1988-2004; Cochrane 1993-2004; Unless other year ranges are specified. PsycInfo and Sociological Abstracts were searched for the following years of publication of socioeconomic issues:1994-2004.Other searching:Reference lists at the end of review articles of particular relevance were hand searched.Relevant articles were solicited from expert colleagues and organisations.Local and international clinical practice guidelines were reviewed for relevant references.Abbreviations:The database searched has been indicated next to each set of keywords using the following abbreviations. M = Medline, CI = CINAHL, EM = EMBASE and CO = Cochrane. All EMBASE and Medlinesearches were done using English language (En.La) and human as a limit. The symbol / after a word indicates that it is a MeSH term and any article found by this method has been allocated to this subjectheading used in the database; .mp indicates that that word was searched as a keyword in the database. Other abbreviations used were: NIDDM = non-insulin-dependent diabetes mellitus; RCT =randomised controlled trial; CVD = cardiovascular diseases; PVD = peripheral vascular diseases; IC = intermittent claudication; CBD = cerebrovascular disorders; bl = blood; cl = classification; co =complications; dh = diet therapy; di = diagnosis; dm = disease management; dt = drug therapy; ep = epidemiology; et = etiology; mo = mortality; nu = nursing; pa = pathology; pc = prevention andcontrol; pp = pathophysiology; px = psychology; rh = rehabilitation; si = side effects; th = therapy.Identified = number of articles which matched the MeSH terms listed or contained the text terms in each particular database.Relevant = those articles considered relevant to the questions being asked after viewing titles or abstracts.Articles Identified by Other Strategies = articles identified by hand searching, other searches for other questions, or from colleagues.Total for Review = relevant articles for each question identified through searches or other strategies and met the following criteria.125

Tovi J, Svanborg E, Nilsson BY, Engfeldt P. Diabetic neuropathy <strong>in</strong> elderly <strong>Type</strong> 2 diabetic patients:effects <strong>of</strong> <strong>in</strong>sul<strong>in</strong> treatment. Acta Neurol Sc<strong>and</strong> 1998;98:346-53.Trautner C, Haastert B, Spraul M, Giani G, Berger M. Unchanged <strong>in</strong>cidence <strong>of</strong> lower-limb amputations<strong>in</strong> a German city, 1990-1998. <strong>Diabetes</strong> Care 2001;24:855-9.Turner R, Cull C, Holman R, for the United K<strong>in</strong>gdom Prospective <strong>Diabetes</strong> Study Group. UnitedK<strong>in</strong>gdom Prospective <strong>Diabetes</strong> Study 17: A 9-year update <strong>of</strong> a r<strong>and</strong>omized, controlled trial on theeffect <strong>of</strong> improved metabolic control on complications <strong>in</strong> non-<strong>in</strong>sul<strong>in</strong>-dependent diabetes mellitus. AnnIntern Med 1996;124:136-45.Uhlenbruck C, Chantelau E. The effect <strong>of</strong> diabetic polyneuropathy on the load distribution at theplantar pedis <strong>in</strong> response to hyperkeratosis. <strong>Diabetes</strong> und St<strong>of</strong>fwechsel 1998;7:131-5.UKPDS 27. UK Prospective <strong>Diabetes</strong> Study 27. Plasma lipids <strong>and</strong> lipoprote<strong>in</strong>s at diagnosis <strong>of</strong> NIDDMby age <strong>and</strong> sex. <strong>Diabetes</strong> Care 1997;20:1683-7.Veves A, Uccioli L, Manes C, Van Acker K, Komn<strong>in</strong>ou H, Philippides P, Katsilambros N, De Leeuw I,Menz<strong>in</strong>ger G, Boulton AJM. Comparison <strong>of</strong> risk factors for foot problems <strong>in</strong> diabetic patients attend<strong>in</strong>gteach<strong>in</strong>g hospital outpatient cl<strong>in</strong>ics <strong>in</strong> four different European States. Diabet Med 1994;11:709-13.Vijay V, Snehalatha C, Seena R, Ramach<strong>and</strong>ran A. The Rydel Seiffer tun<strong>in</strong>g fork: an <strong>in</strong>expensivedevice for screen<strong>in</strong>g diabetic patients with high-risk foot. Pract <strong>Diabetes</strong> Int 2001;18:155-6.V<strong>in</strong>ik AI, Holl<strong>and</strong> MT, Le Beau JM, Liuzzi FJ, Stansberry KB, Colen LB. Diabetic neuropathies.<strong>Diabetes</strong> Care 1992;15:1926-75.Vogelberg KH, Stork W. Measurement <strong>of</strong> pulse reappearance time <strong>in</strong> diagnosis <strong>of</strong> peripheral vasculardisease <strong>in</strong> diabetes. <strong>Diabetes</strong> Care 1988;11:345-50.Wall B. Assessment <strong>of</strong> ischaemic feet <strong>in</strong> diabetes. J Wound Care J 1997;6:32-8.Watson J, Obersteller EA, Rennie L, Whitbread C. Diabetic foot care: develop<strong>in</strong>g culturallyappropriate educational tools for Aborig<strong>in</strong>al <strong>and</strong> Torres Strait Isl<strong>and</strong>er peoples <strong>in</strong> the NorthernTerritory, Australia. Aust J Rural Health 2001;9:121-6.Weaver FM, Burdi MD, P<strong>in</strong>zur MS. Outpatient foot care: correlation to amputation levels. <strong>Foot</strong> AnkleInt 1994;15:498-501.Wieman TJ, Griffiths GD, Polk HCJr. Management <strong>of</strong> diabetic midfoot ulcers. Ann Surg1992;215:627-32.W<strong>in</strong>slow EH, Jacobson AF. Research for practice. Sav<strong>in</strong>g limbs with the Semmes-We<strong>in</strong>ste<strong>in</strong>mon<strong>of</strong>ilament. Am J Nurs 1999;99:76.Wollesen F, Dahlen G, Berglund L, Berne C. Peripheral atherosclerosis <strong>and</strong> serum lipoprote<strong>in</strong>(a) <strong>in</strong>diabetes. <strong>Diabetes</strong> Care 1999;22: 93-8.Wooldridge J, Bergeron J, Thornton C. Prevent<strong>in</strong>g diabetic foot disease: lessons from the medicaretherapeutic shoe demonstration. Am J Public Health 1996;86:935-8.Wunderlich RP, Armstrong DG, Husa<strong>in</strong> SK, Lavery LA. Def<strong>in</strong><strong>in</strong>g loss <strong>of</strong> protective sensation <strong>in</strong> thediabetic foot. Adv Wound Care 1998;11:123-8.Wysocki AB. A review <strong>of</strong> the sk<strong>in</strong> <strong>and</strong> its appendages. Adv Wound Care 1995;8:53-70.Zimny S, Dessel F, Ehren M, Pfohl M, Schatz H. Early detection <strong>of</strong> micorcirculatory impairment <strong>in</strong>diabetic patients with foot at risk. <strong>Diabetes</strong> Care 2001;24:1810-4.124

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