Priority 9 from the Foot Health PSP
|UNCERTAINTY:How do health professionals prevent/reduce the risk of foot ulceration occurring or getting worse, in patients with diabetes? (JLA PSP Priority 9)
|JLA question ID
|Strategies to facilitate the reduction of ulcer recurrence, effective ulcer healing interventions and prevention of intial foot ulceration in patients who are high risk, currently have a limited evidence base. In order to understand the complex interventions required and develop more effective prevention strategies, there is a need for studies of higher quality
CD007610 – Hoogeveen et al (2015). Complex interventions for preventing diabetic foot ulceration. Insufficient evidence to show that complex interventions are effective in the prevention of diabetic foot ulceration. CD001488 – Dorresteijn et al (2014). Patient education for preventing diabetic foot ulceration. Review found limited evidence that patient education alone in the reduction of ulcer and amputation rate. CD012835 – McGloin et al (2017). Psychological interventions for treating and preventing recurrence of foot ulcers in people with diabetes. To evaluate the effects of psychological interventions on healing and prevention of recurrence of diabetic foot ulceration.
|Health Research Classification System category
|Generic health relevance
|Extra information provided by this PSP
|Original uncertainty examples
|How do we effectively manage and treat active ulcers in diabetic patients? ~ Will a community podiatrist in a high risk clinic who is more of an orthotist help prevent ulcers? eseentially, what is the relations ship between a service where orthotic advice and appliance are readily available and DFUs?
|Healthcare Professional x 14, Patient x 7
|PSP unique ID
|Total number of uncertainties identified by this PSP.
|30 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
|Date of priority setting workshop
|26 September 2019