Report in Brief
- What is the clinical effectiveness of screening programs for preventing foot ulcerations in adults with diabetes?
- What is the cost-effectiveness of screening programs for preventing foot ulcerations in adults with diabetes?
- What are the evidence-based guidelines on screening and risk stratification of foot ulcers in adults with diabetes?
This report presents evidence that support the efficacy of screening programs to reduce diabetic foot ulcer occurrence and related complications in high-risk populations. The identified evidence is of uncertain applicability to a screening program of a general diabetic population in a primary care setting. The identified guidelines unanimously recommend assessment of diabetic patients for diabetic foot ulcer risk factors. While the recommendations are consistent, the strength of similar recommendations varies significantly between the identified guidelines. Five of the eight included guidelines, two of which are Canadian, recommend secondary care referral for diabetic patients identified as high-risk for foot ulceration. There was no cost-effectiveness studies identified and cost and benefit analysis of relevant guideline implementation was lacking.
programs, diabetic foot, wounds and injuries, diabetes, Prevention, Assessment, Program