Prevention of foot ulcers recurrence in patients with diabetes: a systematic review and meta-analysis of randomized controlled trials for the development of the italian guidelines for the treatment of diabetic foot syndrome.
Diabetes mellitus
Diabetic foot syndrome
Prevention
Ulcer recurrence
Journal
Acta diabetologica
ISSN: 1432-5233
Titre abrégé: Acta Diabetol
Pays: Germany
ID NLM: 9200299
Informations de publication
Date de publication:
05 Sep 2024
05 Sep 2024
Historique:
received:
07
04
2024
accepted:
05
08
2024
medline:
5
9
2024
pubmed:
5
9
2024
entrez:
5
9
2024
Statut:
aheadofprint
Résumé
To compare the effectiveness of preventive interventions in reducing reccurrent diabetic foot ulcers. Meta-analysis (MA) was conducted to address clinical questions on this topic of the Italian guidelines on diabetic foot. This MA includes randomized controlled trials evaluating the effectiveness of various preventive interventions, namely: treatment of pre-ulcerative foot lesions, structured educational programs, psychological interventions and the use of therapeutic footwear to relieve plantar pressure in people with diabetes mellitus and a history of previous ulcers. A total of 731 studies were identified and 14 were considered eligible for the analysis. We found that treatments of pre-ulcerative foot lesions did not provide any statistically significant effects (MH-OR: 0.84 [0.31, 2.33], p = 0.74, I The study provides low-certainty evidence that, among preventive strategies in patients with previous DFU, rigid-sole therapeutic footwear and structured education programs are capable of reducing the risk of foot re-ulceration.
Identifiants
pubmed: 39235481
doi: 10.1007/s00592-024-02353-7
pii: 10.1007/s00592-024-02353-7
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Cristina Cappella
(C)
Alessandro De Cassai
(A)
Marco Falcone
(M)
Mauro Gargiulo
(M)
Valentina Lorenzoni
(V)
Gerardo Medea
(G)
Germano Scevola
(G)
Eugenio Stabile
(E)
Laura Stefanon
(L)
Informations de copyright
© 2024. Springer-Verlag Italia S.r.l., part of Springer Nature.
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