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

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• Evidence references• General references• Other references identified• Search Strategy and Yield Tables documenting the identification of the evidencesources6
2.2 Issues for Foot Problems in Type 2 Diabetes• Is peripheral neuropathy a risk factor for ulceration or amputation?• Is peripheral vascular disease a risk factor for ulceration or amputation?• Is foot deformity or a previous amputation a risk factor for ulceration oramputation?• Is a current or previous ulcer a risk factor for amputation?• What is the most practical method for detecting loss of protective foot sensation inthe primary care setting?• How should peripheral vascular disease be assessed clinically?• What should be the frequency of foot examination?• Does patient education improve footcare and outcomes?• Does improved glycaemic control decrease the development or progression ofperipheral neuropathy?• Does appropriate footwear reduce ulceration and amputation?• Do specialist foot clinics and multi-disciplinary teams decrease amputation?• What are the economic consequences of diabetes foot problems?• What are the socioeconomic influences on diabetes foot problems?7
Page 1: National Evidence Based Guidelinesf
Page 4: Research OfficersMs Linda SmithPodi
Page 9: • Aim to achieve the best possibl
Page 12 and 13: Background - Peripheral Neuropathy
Page 14 and 15: proportion of subjects with a durat
Page 16 and 17: and an OR 1.1-7.8. This study also
Page 18 and 19: Summary - Peripheral Neuropathy as
Page 20 and 21: Section 2: Diabetes Foot ProblemsIs
Page 22 and 23: predicting risk of amputation, 2.9
Page 24 and 25: Summary - Peripheral Vascular Disea
Page 28 and 29: Evidence - Foot Deformity and Previ
Page 30 and 31: people with both LJM and neuropathy
Page 32 and 33: Summary - Foot Deformity and Previo
Page 36 and 37: Also in the Seattle study, 67 peopl
Page 38 and 39: Summary - Ulcer as a Risk Factor fo
Page 42 and 43: The other frequently reported metho
Page 44 and 45: side; and 82% having the same resul
Page 46 and 47: Evidence Table: Section 5Detection
Page 48 and 49: Background - Clinical Detection of
Page 50 and 51: pulse was bilaterally absent in 1.8
Page 52 and 53: Evidence Table: Section 6AuthorClin
Page 54 and 55: Background - Frequency of Foot Exam
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Summary - Frequency of Foot Examina
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Section 8: Diabetes Foot ProblemsIs
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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
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A prospective non randomised contro
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Summary - Foot Clinics and Multi-di
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Section 12: Diabetes Foot ProblemsI
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and/or osteomyelitis; III - fore-fo
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Summary - Economic consequences•
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Section 13: Diabetes Foot ProblemsI
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Some ethnic groups are associated w
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Evidence Table: Section 13AuthorSoc
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Calle-Pascual AL, Duran A, Diaz A,
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Jannink MJ, van Dijk H, de Vries J,
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Moss SE, Klein R, Klein BE. The 14-
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Soulier SM, Godsey C, Asay ED, Perr
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Diabetes Foot Problems: General Ref
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McNeely MJ, Boyko EJ, Ahroni JH, St
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Diabetes Foot Problems: Other Refer
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Caputo GM, Cavanagh PR, Ulbrecht JS
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Garbalosa JC, Cavanagh PR, Wu G, Ul
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Lavery LA, Armstrong DG, Wunderlich
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Payne C. Regional variations of dia
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Tovi J, Svanborg E, Nilsson BY, Eng
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Criteria used to determine the suit
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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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