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An Analysis of Guideline Consensus for the Prevention, Diagnosis, and Management of Diabetic Foot Ulcers / Anthony B. Karabanow in Journal of the American Podiatric Medical Association, vol. 112, 02 (Avril-juin 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 02 (Avril-juin 2022)
Titre : An Analysis of Guideline Consensus for the Prevention, Diagnosis, and Management of Diabetic Foot Ulcers Type de document : article de périodique Auteurs : Anthony B. Karabanow ; Ina Zaimi ; Luis B. Suarez ; Mark D. Iafrati ; Geneve M. Allison Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / diagnostic
[Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Guide de bonnes pratiques
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Relations interprofessionnelles
[Thésaurus Mesh]Revue de la littératureRésumé : Background: Multiple organizations have issued guidelines to address the prevention, diagnosis, and management of diabetic foot ulcers (DFUs) based on evidence review and expert opinion. We reviewed these guidelines to identify consensus (or lack thereof) on the nature of these recommendations, the strength of the recommendations, and the level of evidence.
Methods: Ovid, PubMed, Web of Science, Cochrane Library, and Embase were searched in October 2018 using the MESH term diabetic foot, the key word diabetic foot, and the filters guideline or practice guideline. To minimize recommendations based on older literature, guidelines published before 2012 were excluded. Articles without recommendations characterized by strength of recommendation and level of evidence related specifically to DFU were also excluded. A manual search for societal recommendations yielded no further documents. Recommendations were ultimately extracted from 12 articles. Strength of evidence and strength of recommendation were noted for each guideline recommendation using the Grading of Recommendations Assessment, Development, and Evaluation system or the Centre for Evidence-Based Medicine system. To address disparate grading systems, we mapped the perceived level of evidence and strength of recommendations onto the American Heart Association guideline classification schema.
Results: Recommendations found in two or more guidelines were collected into a clinical checklist characterized by strength of evidence and strength of recommendation. Areas for future research were identified among recommendations based on minimal evidence, areas of controversy, or areas of clinical care without recommendations.
Conclusions: Through this work we developed a multidisciplinary set of DFU guidelines stratified by strength of recommendation and quality of evidence, created a clinical checklist for busy practitioners, and identified areas for future focused research. This work should be of value to clinicians, guideline-issuing bodies, and researchers. We also formulated a method for the review and integration of guidelines issued by multiple professional bodies.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire An explorative study on the efficacy and feasibility of the use of motivational interviewing to improve footwear adherence in persons with diabetes at high risk for foot ulceration / Sicco A. Bus in Journal of the American Podiatric Medical Association, vol. 108, 2 (Mars-avril 2018)
[article]
in Journal of the American Podiatric Medical Association > vol. 108, 2 (Mars-avril 2018) . - p. 90-99
Titre : An explorative study on the efficacy and feasibility of the use of motivational interviewing to improve footwear adherence in persons with diabetes at high risk for foot ulceration Type de document : article de périodique Auteurs : Sicco A. Bus ; [et al.] Année de publication : 2018 Article en page(s) : p. 90-99 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Chaussures
[Thésaurus Mesh]Entretien motivationnel
[Thésaurus Mesh]Observance thérapeutique
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]PodologieMots-clés : Diabetic foot foot ulcer/ prevention podiatry motivational interviewing shoes patient compliance Résumé : Background: In this explorative study, we assessed the effect and feasibility of using motivational interviewing to improve footwear adherence in persons with diabetes who are at high risk for foot ulceration and show low adherence to wearing prescribed custom-made footwear. Methods: Thirteen individuals with diabetes, ulcer history, and low footwear adherence (ie, ,80% of steps taken in prescription footwear) were randomly assigned to standard education (ie, verbal and written instructions) or to standard education plus two 45-min sessions of motivational interviewing. Adherence was objectively measured over 7 days using ankle- and shoe-worn sensors and was calculated as the percentage of total steps that prescribed footwear was worn. Adherence was assessed at home and away from home at baseline and 1 week and 3 months after the intervention. Feasibility was assessed for interviewer proficiency to apply motivational interviewing and for protocol executability. Results: Median (range) baseline, 1-week, and 3-month adherence at home was 49% (6%–63%), 84% (5%–98%), and 40% (4%–80%), respectively, in the motivational interviewing group and 35% (13%–64%), 33% (15%–55%), and 31% (3%–66%), respectively, in the standard education group. Baseline, 1-week, and 3-month adherence away from home was 91% (79%–100%), 97% (62%–99%) and 92% (86%–98%), respectively, in the motivational interviewing group and 78% (32%–97%), 91% (28%–98%), and 93% (57%–100%), respectively, in the standard education group. None of the differences were statistically significant. Interviewer proficiency was good, and the protocol could be successfully executed in the given time frame. Conclusions: Footwear adherence at home increases 1 week after motivational interviewing to clinically relevant but not statistically significant levels (ie, 80%) but then returns over time to baseline levels. Away from home, adherence is already sufficient at baseline and remains so over time. The use of motivational interviewing seems feasible for the given purpose and patient group. These findings provide input to larger trials and provisionally suggest that additional or adjunctive therapy may be needed to better preserve adherence. En ligne : http://www.japmaonline.org/doi/pdf/10.7547/16-171 Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Artériopathie chez le patient diabétique : dépister et traiter une population à haut risque cardiovasculaire et à haut risque de plaie du pied / Olivier Bourron in La revue du praticien, vol. 69, 6 (Juin 2019)
[article]
in La revue du praticien > vol. 69, 6 (Juin 2019) . - p. 620-625
Titre : Artériopathie chez le patient diabétique : dépister et traiter une population à haut risque cardiovasculaire et à haut risque de plaie du pied Type de document : article de périodique Auteurs : Olivier Bourron Année de publication : 2019 Article en page(s) : p. 620-625 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:M:Maladie artérielle périphérique:Maladie artérielle périphérique / prévention et contrôle
[Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Maladie artérielle périphérique
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Prise en charge de la maladie
[Thésaurus Mesh]Ulcère du piedMots-clés : Pied diabétique Ulcère du pied Ulcère du pied / prévention et contrôle Maladie artérielle périphérique / prévention et contrôle Prise en charge de la maladie Résumé : L’artérite des membres inférieurs est une complication fréquente et potentiellement grave du diabète. En effet, elle explique en grande partie l’incidence élevée des amputations des membres inférieurs chez les patients diabétiques ainsi qu’une altération importante de la qualité de vie en cas de claudication intermittente ou de douleurs de décubitus. La gravité de la maladie repose également sur la morbi-mortalité cardiovasculaire associée. Le diagnostic est porté avant tout par l’examen clinique, complété par des tests hémodynamiques fonctionnels (indice de pression systolique à la cheville, pression transcutanée en oxygène et pression d’orteil) et éventuellement des examens d’imagerie (Doppler artériel des membres inférieurs et artériographie). Le traitement de l’artériopathie dépend de la symptomatologie vasculaire, de la sévérité des lésions vasculaires évaluée par les tests hémodynamiques fonctionnels et par les caractéristiques anatomiques des lésions vasculaires. Note de contenu : Cet article fait partie du dossier « pied du diabétique » Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité R Périodique Erasme - périodiques Périodiques Disponible Characteristics predicting the outcome in individuals with diabetic foot ulcerations / Lourdes Vella in Journal of the American Podiatric Medical Association, vol. 107, 3 (Mai-juin 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 3 (Mai-juin 2017) . - p. 180-191
Titre : Characteristics predicting the outcome in individuals with diabetic foot ulcerations Type de document : article de périodique Auteurs : Lourdes Vella, Auteur ; Cynthia Formosa, Auteur Année de publication : 2017 Article en page(s) : p. 180-191 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Pied diabétiqueMots-clés : diabetic foot foot ulcer prevention Résumé : Background: We sought to determine patient and ulcer characteristics that predict wound healing in patients living with diabetes. Methods: A prospective observational study was conducted on 99 patients presenting with diabetic foot ulceration. Patient and ulcer characteristics were recorded. Patients were followed up for a maximum of 1 year. Results: After 1 year of follow-up, ulcer characteristics were more predictive of ulcer healing than were patient characteristics. Seventy-seven percent of ulcers had healed and 23% had not healed. Independent predictors of nonhealing were ulcer stage (P ¼ .003), presence of biofilm (P ¼ .020), and ulcer depth (P ¼ .028). Although this study demonstrated that the baseline hemoglobin A1c reading at the start of the study was not a significant predictor of foot ulcer outcome (P ¼ .603, resolved versus amputated), on further statistical analyses, when hemoglobin A1c was compared with the time taken for complete ulcer healing (n ¼ 77), it proved to be significant (P ¼ .009). Conclusions: The factors influencing healing are ulcer stage, presence of biofilm, and ulcer depth. These findings have important implications for clinical practice, especially in an outpatient setting. Prediction of outcome may be helpful for health-care professionals in individualizing and optimizing clinical assessment and management of patients. Identification of determinants of outcome could result in improved health outcomes, improved quality of life, and fewer diabetes-related foot complications. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Combined Utility of the Semmes-Weinstein Monofilament and the Timed Vibration Test in the Prediction of Diabetic Foot Ulcers / Todd O’Brien in Journal of the American Podiatric Medical Association, vol. 112, 01 (Janvier - mars 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 01 (Janvier - mars 2022)
Titre : Combined Utility of the Semmes-Weinstein Monofilament and the Timed Vibration Test in the Prediction of Diabetic Foot Ulcers Type de document : article de périodique Auteurs : Todd O’Brien ; Joseph Karem Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Prévention
[Thésaurus Mesh]:P:Pied diabétique:Pied diabétique / complications
[Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]Infection
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Statistiques
[Thésaurus Mesh]Susceptibilité à une maladieMots-clés : tests de dépistage neurologique Résumé : Background: Neurologic screening tests are often used to identify and stratify patients at risk for diabetic foot complications such as infections, ulcers, and amputations. Two of the most commonly cited methods are the 5.07 Semmes-Weinstein monofilament (SWM) for loss of protective sensation and vibratory sensation testing. The aim of this study was to determine whether combined SWM and the timed vibration test (TVT) more effectively predicts diabetic foot ulcer (DFU) development compared with each test alone.
Methods: An electronic medical record database search was performed restricted to podiatric medical clinic patients with diabetes and DFU ICD-10 diagnosis codes. Of 200 patients who met the criteria, 24 developed DFUs. A statistical analysis was performed comparing the SWM and TVT at various cutoff times and the combined SWM/TVT in their ability to predict DFUs.
Results: Statistical analysis revealed that the TVT cutoff time of less than 4 sec was superior to the other times for prediction of DFUs. The combined SWM/TVT results at less than 4 sec were superior to each test individually: sensitivity, 87.5%; specificity, 84.7%; positive predictive value, 43.8%; and receiver operating characteristics area under the curve, 0.86.
Conclusions: The SWM combined with TVT was shown to be superior compared with either test alone in discriminating DFU risk. In addition, the TVT cutoff time of less than 4 sec proved to have greater diagnostic yield than other times, including 0 sec. This unexpected finding might impact providers relying on the absence of vibration sensation via tuning fork testing as an optimal marker of DFU risk.Note de contenu : DOI: https://doi.org/10.7547/20-174 Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Do Basic Neurologic Assessments Tell Us More Than We Realize? / Emma Baker in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
PermalinkDosing Activity and Return to Preulcer Function in Diabetes-Related Foot Ulcer Remission : Patient Recommendations and Guidance from the Limb Preservation Consortium at USC and the Rancho Los Amigos National Rehabilitation Center / Malindu E. Fernando in Journal of the American Podiatric Medical Association, vol.111,05 (septembre-octobre 2021)
PermalinkFoot Shape and Asymmetry in the Charcot Foot: Assessment Using the Foot Posture Index / Joshua Young in Journal of the American Podiatric Medical Association, vol. 110, 01 (Janvier-février 2020)
PermalinkFragile Feet and Trivial Trauma Communicating the Etiology of Diabetic Foot Ulcers to Patients / Gustav Jarl in Journal of the American Podiatric Medical Association, vol. 113, 01 (Janvier 2023)
PermalinkHow temperature monitoring can prevent diabetic foot ulcers / Alexander Reyzelman in Podiatry today, vol. 31, 12 (Décembre 2018)
PermalinkHow to create a hot foot line to prevent diabetes-related amputations instant triage for emergency department and inpatient consultations / John D. Miller in Journal of the American Podiatric Medical Association, vol. 109, 02 (Mars-avril 2019)
PermalinkKey principles in preventing infection in podiatry offices / Kevin McDonald in Podiatry today, vol. 31, 10 (Octobre 2018)
PermalinkPermalinkSociété Francophone Du Diabète : focus sur le pied diabétique: nouvelles approches thérapeutiques / Jean-Yves Hindlet in Medi-sphere le journal du généraliste, 710 (29 juin 2022)
PermalinkA Technical Review of Foot Temperature Measurement Systems / Josef Grech in Journal of the American Podiatric Medical Association, vol. 112, 02 (Avril-juin 2022)
PermalinkTemperature as a Causative Factor in Diabetic Foot Ulcers: A Call to Revisit Ulceration Pathomechanics / Metin Yavuz in Journal of the American Podiatric Medical Association, vol. 109, 05 (Septembre-décembre 2019)
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