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Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review
AIM: Diabetic foot complications are the main reason for hospitalization and amputation in people with diabetes and have a prevalence of up to 25%. Clinical practice guidelines are recommendations based on evidence with the aim of improving health care. The main aim of this study was to carry out a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736276/ https://www.ncbi.nlm.nih.gov/pubmed/31464916 http://dx.doi.org/10.1097/MD.0000000000016877 |
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author | Pérez-Panero, Alberto J. Ruiz-Muñoz, María Cuesta-Vargas, Antonio I. Gónzalez-Sánchez, Manuel |
author_facet | Pérez-Panero, Alberto J. Ruiz-Muñoz, María Cuesta-Vargas, Antonio I. Gónzalez-Sánchez, Manuel |
author_sort | Pérez-Panero, Alberto J. |
collection | PubMed |
description | AIM: Diabetic foot complications are the main reason for hospitalization and amputation in people with diabetes and have a prevalence of up to 25%. Clinical practice guidelines are recommendations based on evidence with the aim of improving health care. The main aim of this study was to carry out a systematic review of the levels of the evaluation and treatment strategies that appear in the clinical practice guidelines focus on diabetic foot or diabetes with diabetic foot section. Another objective of this study was to perform an analysis of the levels of evidence in support of the recommendations made by the selected clinical practice guidelines. METHODS: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and a quality assessment by the Appraisal of Guidelines for Research and Evaluation (AGREE II) were performed. The databases checked were “NICE”, “Cinahl”, “Health Guide”, “RNAO”, “Sign”, “PubMed”, “Scopus” and “NCG”. The search terms included were “diabetic foot”, “guideline(s)”, “practice guideline(s)” and “diabetes.” RESULTS: Twelve articles were selected after checked inclusion criteria and quality assessment. A summary and classification of the recommendations was completed. CONCLUSIONS: The heterogeneity of levels of evidence and grades of recommendation of the CPGs included regarding the management, approach and treatment of DF makes it difficult to interpret and assume them in clinical practice in order to select the most correct procedures. Despite this and according to the detailed study of the guidelines included in this work, it can be concluded that the highly recommendable interventions for DF management are debridement (very high level of evidence and strongly recommended), foot evaluation (moderate level of evidence and fairly recommended) and therapeutic footwear (moderate level of evidence and fairly recommended). |
format | Online Article Text |
id | pubmed-6736276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-67362762019-10-02 Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review Pérez-Panero, Alberto J. Ruiz-Muñoz, María Cuesta-Vargas, Antonio I. Gónzalez-Sánchez, Manuel Medicine (Baltimore) 4300 AIM: Diabetic foot complications are the main reason for hospitalization and amputation in people with diabetes and have a prevalence of up to 25%. Clinical practice guidelines are recommendations based on evidence with the aim of improving health care. The main aim of this study was to carry out a systematic review of the levels of the evaluation and treatment strategies that appear in the clinical practice guidelines focus on diabetic foot or diabetes with diabetic foot section. Another objective of this study was to perform an analysis of the levels of evidence in support of the recommendations made by the selected clinical practice guidelines. METHODS: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and a quality assessment by the Appraisal of Guidelines for Research and Evaluation (AGREE II) were performed. The databases checked were “NICE”, “Cinahl”, “Health Guide”, “RNAO”, “Sign”, “PubMed”, “Scopus” and “NCG”. The search terms included were “diabetic foot”, “guideline(s)”, “practice guideline(s)” and “diabetes.” RESULTS: Twelve articles were selected after checked inclusion criteria and quality assessment. A summary and classification of the recommendations was completed. CONCLUSIONS: The heterogeneity of levels of evidence and grades of recommendation of the CPGs included regarding the management, approach and treatment of DF makes it difficult to interpret and assume them in clinical practice in order to select the most correct procedures. Despite this and according to the detailed study of the guidelines included in this work, it can be concluded that the highly recommendable interventions for DF management are debridement (very high level of evidence and strongly recommended), foot evaluation (moderate level of evidence and fairly recommended) and therapeutic footwear (moderate level of evidence and fairly recommended). Wolters Kluwer Health 2019-08-30 /pmc/articles/PMC6736276/ /pubmed/31464916 http://dx.doi.org/10.1097/MD.0000000000016877 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 4300 Pérez-Panero, Alberto J. Ruiz-Muñoz, María Cuesta-Vargas, Antonio I. Gónzalez-Sánchez, Manuel Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title | Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title_full | Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title_fullStr | Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title_full_unstemmed | Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title_short | Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: A systematic review |
title_sort | prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines: a systematic review |
topic | 4300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736276/ https://www.ncbi.nlm.nih.gov/pubmed/31464916 http://dx.doi.org/10.1097/MD.0000000000016877 |
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