Footwear and offloading interventions to prevent and heal diabetic foot ulcers: Adapted IWGDF guidance
نویسندگان
چکیده مقاله:
Introduction: Foot ulcer is one of the greatest complications of diabetes. If there is no effective pressure reduction in the ulcer, healing may be delayed. In this regard, the use of offloading methods for the prevention and treatment of foot ulcers in diabetic patients is known as a common therapeutic approach. Since evidence-based recommendations should be considered for the use of the above methods, we decided to provide applicable guidelines in this area by localizing the recommendations and localizing the IWGDF practical guide. Materials and Methods: In this study, the adoption of the international evidence-based clinical guidelines on the offloading interventions to prevent and heal diabetic foot ulcers was carried out using the ADAPTE methodology in a working group consisting of orthopedic, physical medicine and rehabilitation specialists was performed during three stages of set up, adoption, and finalization. AGREEII tool was used to evaluate the quality of the selected clinical guidelines. Also, in order to reach a consensus for the relevant recommendations, three Delphi rounds and one face-to-face meeting were used. Results: The IWGDF 2015 clinical guide was selected. The quality score of this guideline based on AGREEII tool in each of the 6 areas was more than 70% and varied between 81.3% and 100% with good quality. The IWGDF guideline for offloading interventions for the prevention and treatment of diabetic foot ulcers included 13 recommendations. Conclusion: In IWGDF guideline, a total of 13 recommendations regarding foot wear and offloading interventions in the prevention and treatment of foot ulcers in patients with diabetes in accordance with the health care system of our country were adapted.
منابع مشابه
IWGDF guidance on footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes.
Institutions 1 Department of Rehabilitation Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands 2 Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ, USA 3 School of Health Care Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK. 4 Cardiff and Vale Univers...
متن کاملThe effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review.
BACKGROUND Footwear and offloading techniques are commonly used in clinical practice for the prevention and treatment of foot ulcers in diabetes, but the evidence base to support this use is not well known. The goal of this review was to systematically assess the literature and to determine the available evidence on the use of footwear and offloading interventions for ulcer prevention, ulcer tr...
متن کاملFootwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review.
BACKGROUND 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. METHODS We searched the medical scientific literature indexed in PubMed, EMBASE, CIN...
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Background: Diabetic foot is one of the main complications of diabetes, which is caused by a significant proportion of patients with diabetes and which imposes costs on the family and the health system around the world. This review aims to summarize the latest findings in the field of diabetic foot based on clinical guidelines. Methods: In this review study, in order to achieve the best clinic...
متن کاملUse of Pressure Offloading Devices in Diabetic Foot Ulcers
OBJECTIVE Pressure mitigation is crucial for the healing of plantar diabetic foot ulcers. We therefore discuss characteristics and considerations associated with the use of offloading devices. RESEARCH DESIGN AND METHODS A diabetic foot ulcer management survey was sent to foot clinics in all 50 states and the District of Columbia in 2005. A total of 901 geographically diverse centers responde...
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عنوان ژورنال
دوره 24 شماره 1
صفحات 57- 68
تاریخ انتشار 2022-01
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