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

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QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED10. Does appropriatefootwear reduceulceration andamputation?(Shoe/ OR footwear.mp )ANDdiabetic foot/et,co,pc,di,rh,dm,ep,th EM(Shoe/ OR footwear.mp) AND(amputation/ OR below kneeamputation/ OR footamputation/OR limb amputation/)EM14052NO.RELEVANTARTICLES5127ARTICLESIDENTIFIED BYOTHERSTRATEGIESTOTAL FORREVIEWLEVEL I LEVEL II LEVELIIILEVEL IV TOTAL NO.REVIEWED &GRADEDHIGHESTLEVEL OFEVIDENCEFootwear.mp CO5412Diabetes.mp AND (ulceration.mpOR amputation.mp) ANDfoot.mp CO1021311. Do specialist footclinics ormultidisciplinaryteams decreaseamputation?Total for Question 11(Outpatient clinics, hospital/ ORmultidisciplinary.mp OR patientcare team/ OR clinic.mp) ANDdiabetic foot/ M, CI808192 (M)43 (CI)13362 (M)13 (CI)21 45 1 2 12 0 15 Idiabetic foot/ AND (clinics.mpOR multidisciplinary care team/OR patient care team.mp)) CI 99-045323Diabetic foot/et,co,pc,di,rh,dm,ep, th EM41311Diabetic foot/ AND (outpatientclinics, hospital.mp ORmultidisciplinary team.mp ORpatient care/ OR clinics.mp) EM99-029320Diabetic foot.mp AND (high riskfoot clinic.mp OR outpatientsclinic.mp) CO144136
QUESTIONS KEY WORDS NO.ARTICLESIDENTIFIED12. What are theeconomicconsequences andsocioeconomicinfluences ofdiabetes footproblems?Total for Question 12(diabetic foot/ OR diabetic footproblems.mp OR diabeticneuropathies/ OR amputation/ ORfoot ulceration.mp) AND (crosssectionalstudies/ OR cohortstudies/ OR prospective studies/OR systematic review.mp ORmeta-analysis/) AND(socioeconomic status.mp ORsocial class/ ORsociodemographic.mp OR socialenvironment/ OR socialdeterminants.mp OR income/ ORincome.mp OR poverty/ ORwealth.mp OR education/ OReducational status/ ORemployment statsu.mp ORemployment/ OR unemployment/OR insurance/ OR ethnic groups/OR ethnicity.mp OR culture/ ORcontinental population groups/OR indigenous.mp ORaboriginal.mp OR housing/ ORleasing, property/ OR tenant.mpOR regional variation.mp ORurban differential.mp ORgeographical.mp OR rural.mp ORremote.mp OR smoking/ ORmarriage/ OR spouses/ ORnutrition/ OR physicalactivity.mp OR exercise/ ORalcohols/ OR obesity/ ORoverweight.mp OR drugs.mp ORpharmaceutical preparation/ ORgender identity/ OR sex/ ORoccupations/ OR equity.mp ORaccess.mp) M, CI, EM, PsycInfo94-0434078 (M)21 (CI)44 (EM)1 (Psyc)NO.ARTICLES TOTAL FOR LEVEL I LEVEL II LEVEL LEVEL IV TOTAL NO.RELEVANT IDENTIFIED BY REVIEWIIIREVIEWED &ARTICLES OTHERSTRATEGIESGRADED32 0 21 1 0 15HIGHESTLEVEL OFEVIDENCE(niddm.mp OR diabetic footproblems.mp OR diabetic footdiseases.mp OR diabeticneuropathy.mp OR foot ulcer.mpOR amputation.mp) AND(socioeconomic status.mp ORsocioeconomic position.mp ORsocioeconomic factors.mp ORsocial class144137
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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
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Evidence Table: Section 10AuthorFoo
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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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