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
Evidence – Foot Deformity and Previous Amputation as RiskFactors for Ulceration and AmputationPrevious amputation is a risk factor for ulceration and further amputationA history of previous lower extremity event (ulceration or amputation) determined byinterview, medical record review and examination, was used to classify risk in aprospective study of 358 American Indians (Rith-Najarian et al, 1992). People in therisk category, including previous amputation had the highest level of risk forulceration (OR 78) and further amputation (rate 180/1000 diabetic person-year). Thetrend for increasing risk of amputation and ulceration with the risk category whichincluded neuropathy, deformity and a history of ulceration or amputation, was highlysignificant (p
Foot deformity is a risk factor for ulceration, especially in people withneuropathyAbbott and coworkers (2002) followed a cohort of 9,710 people in the UK for 2 yearsassessing the final ulceration status of 6,613 people by postal questionnaire. Therewere 219 people who developed a new foot ulcer during the study period with anannual incidence rate of 2.2%. Foot deformity was defined as the presence of 3 ormore of muscle wasting, hammer and claw toes, bony prominences, prominentmetatarsal heads, Charcot arthopathy and limited joint mobility. Foot deformity wasassociated with a RR for foot ulceration of 2.54 (CI 2.04-3.22, p
- Page 1: National Evidence Based Guidelinesf
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- Page 24 and 25: Summary - Peripheral Vascular Disea
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- Page 46 and 47: Evidence Table: Section 5Detection
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- Page 54 and 55: Background - Frequency of Foot Exam
- Page 56 and 57: Summary - Frequency of Foot Examina
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- Page 76 and 77: period. In addition people without
<strong>Foot</strong> deformity is a risk factor for ulceration, especially <strong>in</strong> people withneuropathyAbbott <strong>and</strong> coworkers (2002) followed a cohort <strong>of</strong> 9,710 people <strong>in</strong> the UK for 2 yearsassess<strong>in</strong>g the f<strong>in</strong>al ulceration status <strong>of</strong> 6,613 people by postal questionnaire. Therewere 219 people who developed a new foot ulcer dur<strong>in</strong>g the study period with anannual <strong>in</strong>cidence rate <strong>of</strong> 2.2%. <strong>Foot</strong> deformity was def<strong>in</strong>ed as the presence <strong>of</strong> 3 ormore <strong>of</strong> muscle wast<strong>in</strong>g, hammer <strong>and</strong> claw toes, bony prom<strong>in</strong>ences, prom<strong>in</strong>entmetatarsal heads, Charcot arthopathy <strong>and</strong> limited jo<strong>in</strong>t mobility. <strong>Foot</strong> deformity wasassociated with a RR for foot ulceration <strong>of</strong> 2.54 (CI 2.04-3.22, p
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