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

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QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED5. What is the mostpractical methodfor detecting lossof protective footsensation in theprimary caresetting?Total for Question 5Diabetes mellitus/ ANDmonofilament.mp/ M, CIDiabetic neuropathies/ ANDclinical assessment tools/ CI(Monofilament.mp OR screeningtest/) AND (diabeticneuropathy/co, dm,rh,si,ep ORdiabeticfoot/et,co,pc,di,rh,dm,ep,th) EM121633 (M)9 (CI)6958NO.RELEVANTARTICLES7314 (M)3 (CI)315ARTICLES TOTAL FOR LEVEL I LEVEL II LEVEL LEVEL IV TOTAL NO. HIGHESTIDENTIFIED BY REVIEWIIIREVIEWED & LEVEL OFOTHERSTRATEGIESGRADED EVIDENCE12 17 2 2 13 0 17 I(diabetic neuropathy/ OR diabeticfoot/) AND (monofilament.mpOR screening test/) EM 99-026225Monofilament.mp CO748Risk factors/ AND: Diabetic foot/Diabetes mellitus/ CO1256. How shouldperipheralvascular disease beassessed clinically?Diabetes mellitus/ AND riskfactors/ COTotal for Question 6NIDDM/ AND PVD/ ANDsymptoms.mp/ M, CIIC.mp/ AND PVD/:639085 (M)0 (CI)261 (M)41 (CI)0623 (M)0 (CI)9 (M)5 (CI)2 30 1 6 18 0 25 IAND NIDDM/ M, CI4 (M)2 (CI)1 (M)0 (CI)PVD/ AND NIDDM/ AND riskfactors/ M, CI28 (M)3 (CI)8 (M)2 (CI)IC/ AND PVD/ EM18710PVD.mp AND (IC.mp OR pedalpulses.mp) CO1373Pedal pulse.mp AND NIDDM/ M227Foot pulses.mp/ M331132
QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED6. How shouldperipheralvascular disease beassessed clinically?Foot pulses.mp M 99-02Pulse/ AND NIDDM/ M, CIPedal pulses.mp/ CI, EM730 (M)14 (CI)11 (CI)25 (EM)NO.RELEVANTARTICLES15 (M)1 (CI)2 (CI)2 (EM)ARTICLESIDENTIFIED BYOTHERSTRATEGIESTOTAL FORREVIEWLEVEL I LEVEL II LEVELIIILEVEL IV TOTAL NO.REVIEWED &GRADEDHIGHESTLEVEL OFEVIDENCENIDDM/ AND pulse rate/ EM99-04131PVD.mp AND (IC.mp OR pedalpulses.mp) CO9617. What should bethe frequency offoot assessment?Total for Question 7Diabetic foot/ AND (clinicalassessment.mp ORassessment.mp/) M, CI514155 (M)110 (CI)10331 (M)26 (CI)4 10 4 0 0 0 4 IRisk assessment/ AND diabeticfoot/ M, CI26 (M)22 (CI)8 (M)9 (CI)Diabetic foot/et,co,pc,di,rh,dm,ep,th AND Risk assessment/ EM7019Diabetic foot/et,co,pc,di,rh,dm,ep,th AND (assessment.mp ORclinical assessment.mp) EM936Diabetic foot.mp AND clinicalassessment.mp CO3848. Does patienteducation improvefootcare andoutcomes?Total for Question 8Diabetic foot/ AND (education/OR patient education/) M, CIDiabetic foot/et,co,pc,di,rh,dm,ep,th AND (education/ ORpatient education.mp/) EM432168 (M)95 (CI)13113047 (M)25 (CI)4613 19 1 6 7 2 16 IDiabetic foot.mp AND(education.mp OR patienteducation.mp) CO3812133
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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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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 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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