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

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Criteria used to determine the suitability of articles for reviewIn assessing the evidence the following criteria were used to determine the suitability of studies:1. Papers or editorials that present original data.2. Appropriate population for question being addressed.3. Article in the English language.4. Study conducted in humans.5. Articles were obtained from journals able to be accessed within our library or ordered through an interlibrary loan.126
QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED1. Is peripheralneuropathy a riskfactor forulceration oramputation?Total for Question 1Diabetic neuropathies/ AND (skinulcer/ OR amputation/ ORcallus/) M 66-99, CI 82-04Diabetic neuropathies/ AND (skinulcer/ OR amputation/ ORcallus.mp) M 99-032000154 (M)44 (CI)50NO.RELEVANTARTICLES36336 (M)7 (CI)ARTICLES TOTAL FOR LEVEL I LEVEL II LEVEL LEVEL IV TOTAL NO. HIGHESTIDENTIFIED BY REVIEWIIIREVIEWED & LEVEL OFOTHERSTRATEGIESGRADED EVIDENCE53 131 2 4 32 3 41 IDiabetic neuropathies/ AND (skinulcer/ OR amputation/ OR Bonycallus/ M 03-04Diabetic neuropathies/ AND (skinulcer/ OR callus/ OR amputation/OR diabetic foot/) M 66-99, CI82-04Diabetic neuropathies/ AND (skinulcer/ OR amputation/ ORcallus.mp OR diabetic foot/) M99-03Diabetic neuropathies/ AND (skinulcer/ OR amputation/ OR Bonycallus/ OR diabetic foot/) M 03-04Risk factors/ AND diabetic foot/M 66-04, CI 82-04Diabetic neuropathy/ co,dm,rh,si,epAND (amputation/ OR skin ulcer/pc,co,rh,di,si,ep,th,et OR belowknee amputation/ OR callus/ et,co,pc,di,th,ep OR limb amputation/)EM 88-99Diabetes mellitus/co,rh,si,epAND Risk factors/ep,co,et,di,pc,si EMDiabetic neuropathy/ AND Riskfactors/ EM 99-0411344 (M)290 (CI)13635450 (M)115 (CI)1825159173 (M)42 (CI)53166 (M)33 (CI)29020127
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National Evidence Based Guidelinesf
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Research OfficersMs Linda SmithPodi
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2.2 Issues for Foot Problems in Typ
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• Aim to achieve the best possibl
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Background - Peripheral Neuropathy
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proportion of subjects with a durat
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and an OR 1.1-7.8. This study also
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Summary - Peripheral Neuropathy as
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Section 2: Diabetes Foot ProblemsIs
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predicting risk of amputation, 2.9
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Summary - Peripheral Vascular Disea
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Evidence - Foot Deformity and Previ
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people with both LJM and neuropathy
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Summary - Foot Deformity and Previo
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Also in the Seattle study, 67 peopl
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Summary - Ulcer as a Risk Factor fo
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The other frequently reported metho
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side; and 82% having the same resul
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Evidence Table: Section 5Detection
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Background - Clinical Detection of
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pulse was bilaterally absent in 1.8
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Evidence Table: Section 6AuthorClin
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Background - Frequency of Foot Exam
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Summary - Frequency of Foot Examina
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Behaviour assessment scores, measur
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Mazzuca et al (1986) studies 532 pe
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with before the programme, after 1-
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Evidence Table: Section 8AuthorEffe
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Background - Glycaemic Control and
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In a previous Japanese randomised s
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Evidence Table: Section 9AuthorGlyc
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Background - Footwear to Reduce Ulc
Page 76 and 77: period. In addition people without
Page 78 and 79: Comparisons of in-shoe foot pressur
Page 80 and 81: The rate of plantar callus formatio
Page 82 and 83: Evidence Table: Section 10AuthorFoo
Page 84 and 85: Background - Foot Clinics and Multi
Page 86 and 87: A prospective non randomised contro
Page 88 and 89: Summary - Foot Clinics and Multi-di
Page 90 and 91: Section 12: Diabetes Foot ProblemsI
Page 92 and 93: and/or osteomyelitis; III - fore-fo
Page 94 and 95: Summary - Economic consequences•
Page 96 and 97: Section 13: Diabetes Foot ProblemsI
Page 98 and 99: Some ethnic groups are associated w
Page 100 and 101: Evidence Table: Section 13AuthorSoc
Page 102 and 103: Calle-Pascual AL, Duran A, Diaz A,
Page 104 and 105: Jannink MJ, van Dijk H, de Vries J,
Page 106 and 107: Moss SE, Klein R, Klein BE. The 14-
Page 108 and 109: Soulier SM, Godsey C, Asay ED, Perr
Page 110 and 111: Diabetes Foot Problems: General Ref
Page 112 and 113: McNeely MJ, Boyko EJ, Ahroni JH, St
Page 114 and 115: Diabetes Foot Problems: Other Refer
Page 116 and 117: Caputo GM, Cavanagh PR, Ulbrecht JS
Page 118 and 119: Garbalosa JC, Cavanagh PR, Wu G, Ul
Page 120 and 121: Lavery LA, Armstrong DG, Wunderlich
Page 122 and 123: Payne C. Regional variations of dia
Page 124 and 125: Tovi J, Svanborg E, Nilsson BY, Eng
Page 128 and 129: QUESTIONS KEY WORDS NO.ARTICLESIDEN
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Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes

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