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

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QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED3. Is foot deformityor a previousamputation a riskfactor forulceration oramputation?Total for Question 3Foot deformities/ AND (skinulcer/ OR amputation/ ORkeratosis/) M 66-04, CI 82-04Risk factors/ AND diabetic foot/M 66-04, CI 82-0493610 (M)6 (CI)402 (M)114 (CI)NO.RELEVANTARTICLES1285 (M)2 (CI)61 (M)30 (CI)ARTICLES TOTAL FOR LEVEL I LEVEL II LEVEL LEVEL IV TOTAL NO. HIGHESTIDENTIFIED BY REVIEWIIIREVIEWED & LEVEL OFOTHERSTRATEGIESGRADED EVIDENCE73 86 1 5 30 3 39 IRisk factors/ep,co,et,di,pc,siAND diabetes mellitus/co,rh,si,epEM(Foot malformation/ OR callus/OR keratosis/) AND risk factors/AND (amputation/ OE footamputation/ OR below kneeamputation/ OR leg amputation/)EM 99-04Foot malformation/et,co,pc,di,rh,ep,th AND (skin ulcer/ pc,co,rh,di,si,ep,th,et OR amputation/ ORbelow knee amputation/ OR limbamputation/ OR foot amputation/)EMDiabetic foot/ AND risk factors/CODiabetes mellitus/ AND riskfactors/ CONIDDM.mp AND (deformity.mpOR amputation.mp OR callus.mpOR foot ulceration.mp) CO6965313633789415804130
QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED4. Is a current orprevious ulcer arisk factor foramputation?Total for Question 4Amputation/ AND (keratosis/ ORskin ulcer/) M, CIRisk factors/ AND diabetic foot/M, CI117249 (M)9 (CI)264 (M)75 (CI)NO.RELEVANTARTICLES1384 (M)0 (CI)53 (M)28 (CI)ARTICLES TOTAL FOR LEVEL I LEVEL II LEVEL LEVEL IV TOTAL NO. HIGHESTIDENTIFIED BY REVIEWIIIREVIEWED & LEVEL OFOTHERSTRATEGIESGRADED EVIDENCE35 62 0 2 12 2 16 II(Foot amputation/ OR below kneeamputation/ OR limb amputation/OR amputation/) AND (callus/et,co,pc,th,ep OR skin ulcer/pc,co,rh,di,si, ep,th,et) EMRisk factors/ep,co,et,di,pc,siAND diabetes mellitus/co,rh,si,ep EM(amputation/ OR foot amputation/OR below knee amputation/ ORleg amputation/) AND riskfactors/ AND diabetic foot/ EM99-02Diabetic foot/ AND Risk factors/CODiabetes mellitus/ AND riskfactors/ CONIDDM.mp AND (deformity.mpOR amputation.mp OR callus.mpOR foot ulceration.mp) CO258559631237835110052131
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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
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period. In addition people without
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Comparisons of in-shoe foot pressur
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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 126 and 127: Criteria used to determine the suit
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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