Evidence map›Paper›PMID 29371890›Full record

GuidelineJournal of foot and ankle research2018

Diabetic Foot Australia guideline on footwear for people with diabetes.

Jaap J van Netten, Peter A Lazzarini, David G Armstrong, Sicco A Bus, Robert Fitridge, Keith Harding, Ewan Kinnear, Matthew Malone, Hylton B Menz, Byron M Perrin and 4 more

Open access · goldAbstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Journal of foot and ankle research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 7 pooled it
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 7 syntheses or guidelines pooled it, 157 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 4 countries.

Jaap J van Netten1School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD Australia.ORCID 0000-0002-6420-6046
Peter A Lazzarini1School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD Australia.
David G Armstrong5Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ USA.
Sicco A BusDepartment of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands.
Robert FitridgeDiabetic Foot Australia, Brisbane, QLD Australia.
Keith Harding8University Dean of Clinical Innovation, Professor of Wound Healing Research, Cardiff University, Cardiff, UK.
Ewan KinnearDiabetic Foot Australia, Brisbane, QLD Australia.
Matthew MaloneDiabetic Foot Australia, Brisbane, QLD Australia.
Hylton B Menz10Discipline of Podiatry, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, VIC Australia.
Byron M PerrinDiabetic Foot Australia, Brisbane, QLD Australia.
Klaas PostemaDepartment of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands.
Jenny PrenticeDiabetic Foot Australia, Brisbane, QLD Australia.
Karl-Heinz Schott14School of Health and Human Sciences (Pedorthics) Southern Cross University Gold Coast Campus, Bilinga, QLD Australia.
Paul R WraightDiabetic Foot Australia, Brisbane, QLD Australia.
La Trobe University · AUQueensland Health · AUAmsterdam UMC Location University of Amsterdam · NLCardiff University · GBLiverpool Hospital · AUQueensland University of Technology · AUSouthern Cross University · AUThe Royal Melbourne Hospital · AUThe University of Adelaide · AUUniversity Medical Center Groningen · NLUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this paper was to create an updated Australian guideline on footwear for people with diabetes.

methodsWe reviewed new footwear publications, (inter)national guidelines, and consensus expert opinion alongside the 2013 Australian footwear guideline to formulate updated recommendations.

resultWe recommend health professionals managing people with diabetes should: (1) Advise people with diabetes to wear footwear that fits, protects and accommodates the shape of their feet. (2) Advise people with diabetes to always wear socks within their footwear, in order to reduce shear and friction. (3) Educate people with diabetes, their relatives and caregivers on the importance of wearing appropriate footwear to prevent foot ulceration. (4) Instruct people with diabetes at intermediate- or high-risk of foot ulceration to obtain footwear from an appropriately trained professional to ensure it fits, protects and accommodates the shape of their feet. (5) Motivate people with diabetes at intermediate- or high-risk of foot ulceration to wear their footwear at all times, both indoors and outdoors. (6) Motivate people with diabetes at intermediate- or high-risk of foot ulceration (or their relatives and caregivers) to check their footwear, each time before wearing, to ensure that there are no foreign objects in, or penetrating, the footwear; and check their feet, each time their footwear is removed, to ensure there are no signs of abnormal pressure, trauma or ulceration. (7) For people with a foot deformity or pre-ulcerative lesion, consider prescribing medical grade footwear, which may include custom-made in-shoe orthoses or insoles. (8) For people with a healed plantar foot ulcer, prescribe medical grade footwear with custom-made in-shoe orthoses or insoles with a demonstrated plantar pressure relieving effect at high-risk areas. (9) Review prescribed footwear every three months to ensure it still fits adequately, protects, and supports the foot. (10) For people with a plantar diabetic foot ulcer, footwear is not specifically recommended for treatment; prescribe appropriate offloading devices to heal these ulcers.

conclusionsThis guideline contains 10 key recommendations to guide health professionals in selecting the most appropriate footwear to meet the specific foot risk needs of an individual with diabetes.

Indexed as

ShoesAustraliaDiabetic FootFoot OrthosesHumansPatient Education as TopicRisk AssessmentRisk FactorsTerminology as TopicDiabetes mellitusFoot ulcerFootwearGuidelinePrevention

Identifiers

PMID29371890
PMCPMC5769299
OpenAlexW2784296471

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.