Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review

Diabetes/metabolism Research and Reviews
Sicco A BusInternational Working Group on the Diabetic Foot

Abstract

Footwear and offloading techniques are commonly used in clinical practice for preventing and healing of foot ulcers in persons with diabetes. The goal of this systematic review is to assess the medical scientific literature on this topic to better inform clinical practice about effective treatment. We searched the medical scientific literature indexed in PubMed, EMBASE, CINAHL, and the Cochrane database for original research studies published since 1 May 2006 related to four groups of interventions: (1) casting; (2) footwear; (3) surgical offloading; and (4) other offloading interventions. Primary outcomes were ulcer prevention, ulcer healing, and pressure reduction. We reviewed both controlled and non-controlled studies. Controlled studies were assessed for methodological quality, and extracted key data was presented in evidence and risk of bias tables. Uncontrolled studies were assessed and summarized on a narrative basis. Outcomes are presented and discussed in conjunction with data from our previous systematic review covering the literature from before 1 May 2006. We included two systematic reviews and meta-analyses, 32 randomized controlled trials, 15 other controlled studies, and another 127 non-controlled studies. Severa...Continue Reading

References

Apr 1, 1978·Journal of the American Podiatry Association·E E SingletonH S Shelman
Aug 1, 1976·Acta Orthopaedica Scandinavica·P HolsteinP Sager
Dec 1, 1992·Leprosy Review·J A BirkeW C Coleman
Jan 1, 1992·Diabetic Medicine : a Journal of the British Diabetic Association·M J YoungA J Boulton
Feb 1, 1991·Physical Therapy·J A BirkeD M Brasseaux
May 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·E ChantelauM Spraul
Apr 1, 1990·Journal of the American Podiatric Medical Association·T H TilloJ L Rowbotham
Mar 1, 1990·Journal of the American Podiatric Medical Association·J R Black
Jul 1, 1990·Archives of Surgery·G D Griffiths, T J Wieman
Nov 1, 1989·Diabetic Medicine : a Journal of the British Diabetic Association·B Borssén, F Lithner
Oct 1, 1987·Physical Therapy·D R SinacoreS J Rose
Mar 1, 1986·Diabetes Care·A J BoultonJ M Sosenko
Feb 1, 1984·Journal of the American Podiatry Association·R E WeinstockB A Sorkin
Feb 1, 1993·Journal of the American Podiatric Medical Association·J M GiuriniB I Rosenblum
Apr 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·E ChantelauM Reuter
Jun 1, 1996·Journal of the American Podiatric Medical Association·G RitzJ W Rowland
Oct 1, 1995·Diabetes Care·L UccioliG Menzinger
Jun 1, 1996·Foot & Ankle International·J S Early, S T Hansen
Mar 1, 1996·Diabetes Research and Clinical Practice·H KatoS Torii
Dec 1, 1996·Diabetic Medicine : a Journal of the British Diabetic Association·E A Knowles, A J Boulton
Nov 1, 1996·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·O PetrovC Daniele
Feb 1, 1997·Diabetes Research and Clinical Practice·R G FrykbergA Veves
Aug 1, 1997·Journal of the American Podiatric Medical Association·A S Landsman, R Sage
Jul 1, 1997·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·H R AshryD C Lavery
Nov 14, 1997·Journal of the American Podiatric Medical Association·J G FleischliD C Lavery
Nov 14, 1997·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·B I RosenblumG M Habershaw
Nov 20, 1997·Archives of Physical Medicine and Rehabilitation·L A LaveryT L Quebedeaux
Jun 3, 1998·Diabetic Medicine : a Journal of the British Diabetic Association·A PiaggesiR Navalesi
Jan 5, 1999·American Journal of Surgery·T J WiemanS W Taber
Feb 2, 1999·Journal of the American Podiatric Medical Association·D G Armstrong, S Stacpoole-Shea
Mar 4, 1999·Foot & Ankle International·J E FleischliW H Davis
May 4, 1999·The Journal of Bone and Joint Surgery. American Volume·D G ArmstrongL B Harkless
Aug 28, 1999·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·D L PiteiM Edmonds
Oct 31, 2000·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·A R CatanzaritiB Haverstock
Apr 24, 2001·Diabetes Care·R DahmenA F Hoeksma
May 26, 2001·Diabetes Care·D G ArmstrongL B Harkless
Jun 23, 2001·Journal of the American Podiatric Medical Association·R A SageS G Fisher
May 22, 2002·JAMA : the Journal of the American Medical Association·Gayle E ReiberJoseph LeMaster

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Citations

May 15, 2016·The Lancet. Diabetes & Endocrinology·William J JeffcoateUNKNOWN International Working Group on the Diabetic Foot and the European Wound Management Association
Jul 13, 2016·Journal of Orthopaedic Surgery and Research·Eran TamirGabriel Agar
Oct 11, 2016·Diabetes Research and Clinical Practice·Anita RaspovicWan Mun Wong
Aug 31, 2016·Experimental Dermatology·John W SessionsBrian D Jensen
Mar 8, 2017·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Maude Bleau LavigneChristine Loignon
Dec 29, 2017·Journal of Diabetes Science and Technology·Dominic EhrmannNorbert Hermanns
Sep 28, 2015·Diabetes/metabolism Research and Reviews·K BakkerUNKNOWN International Working Group on the Diabetic Foot
Oct 16, 2015·Diabetes/metabolism Research and Reviews·S A Bus
Jan 28, 2016·Diabetes/metabolism Research and Reviews·S A BusUNKNOWN International Working Group on the Diabetic Foot
Sep 6, 2015·Diabetes/metabolism Research and Reviews·S A BusUNKNOWN International Working Group on the Diabetic Foot
Sep 28, 2018·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Émilie Dufour, Arnaud Duhoux
Nov 2, 2018·Expert Review of Endocrinology & Metabolism·Evangelia TzeraviniEdward B Jude
Jan 27, 2018·Journal of Foot and Ankle Research·Jaap J van NettenPaul R Wraight
Oct 20, 2018·Advances in Skin & Wound Care·Raelina S HowellHarold Brem
Feb 8, 2019·Journal of Experimental Orthopaedics·F MazurC Grim
Mar 28, 2019·Diabetes/metabolism Research and Reviews·Xue-Lei FuHong-Lin Chen
May 21, 2019·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Jaap J van NettenBernd Ploderer
Aug 15, 2019·Physical Therapy·Malindu E FernandoJonathan Golledge
Feb 29, 2020·The International Journal of Lower Extremity Wounds·Javier EnaRicardo Gómez-Huelgas
Mar 17, 2020·Diabetes/metabolism Research and Reviews·Peter A LazzariniSicco A Bus
Mar 17, 2020·Diabetes/metabolism Research and Reviews·Sicco A BusUNKNOWN International Working Group on the Diabetic Foot (IWGDF)
Aug 29, 2019·Annals of Surgery·Babak HajhosseiniGeoffrey C Gurtner
Nov 23, 2019·Journal of the American Podiatric Medical Association·Kathy LudwigJeffrey Jensen
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Aug 1, 2020·Journal of Applied Biomechanics·Seth T StrayerKurt E Beschorner
Aug 1, 2020·The International Journal of Lower Extremity Wounds·Wee Teck LimSatyan Rajbhandari
Aug 15, 2017·Diabetic Foot & Ankle·Gustav Jarl, Roy Tranberg
Jun 28, 2019·Journal of Foot and Ankle Research·Ana Martinez-SantosChristopher J Nester
Jun 15, 2017·The New England Journal of Medicine·David G ArmstrongSicco A Bus
Apr 30, 2019·Journal of Diabetes Science and Technology·Peter A LazzariniBijan Najafi
Aug 25, 2016·Plastic and Reconstructive Surgery·Sicco A Bus
Jan 21, 2020·Diabetes/metabolism Research and Reviews·Jaap J van NettenSicco A Bus
Dec 13, 2016·International Orthopaedics·Jürgen GötzFranz Koeck
Dec 3, 2016·Globalization and Health·Emma TebbuttRobert Horvath
Jul 15, 2017·JBI Database of Systematic Reviews and Implementation Reports·Richard CollingsJoanne Paton
Oct 19, 2017·The New England Journal of Medicine·Adam J SingerRobert S Kirsner
Oct 23, 2019·Journal of Diabetes Research·Vladimíra FejfarováVěra Lánská

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