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
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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QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED6. How shouldperipheralvascular disease beassessed cl<strong>in</strong>ically?<strong>Foot</strong> 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 <strong>of</strong>foot assessment?Total for Question 7Diabetic foot/ AND (cl<strong>in</strong>icalassessment.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 ORcl<strong>in</strong>ical assessment.mp) EM936Diabetic foot.mp AND cl<strong>in</strong>icalassessment.mp CO3848. Does patienteducation improvefootcare <strong>and</strong>outcomes?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