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A systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputation

2020Journal article Restricted access
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dc.contributor.authorMonteiro-Soares, Matilde
dc.contributor.authorVale-Lima, Jorge
dc.contributor.authorMartiniano, João
dc.contributor.authorPinheiro-Torres, Sofia
dc.contributor.authorDias, Vanessa
dc.contributor.authorBoyko, Edward J.
dc.date.accessioned2021-01-26T12:52:57Z
dc.date.available2021-01-26T12:52:57Z
dc.date.issued2020
dc.description.abstractAims: To assess the impact of diabetic foot care delivery in preventing lower extremity amputation (LEA). Methods:Wesystematically searched theMEDLINE database for research evaluating the association between any aspect of diabetic foot care delivery and risk of LEA. Meta-analysis was conducted by calculating a pooled odds ratio through a random effects model. Results: Our search retrieved 5093 articles. In total, 58 articles were included: 9 addressing healthcare access, 4 educating health professionals, 2 implementing guidelines, 6 receiving chiropody/podiatry care services and 37 implementing structured diabetic foot care services (SDFC). All of these aspects of diabetic foot care seemed to have a positive impact on preventing LEA. Only SDFC literature met criteria for performing a meta-analysis. For SDFC impact on preventing overall and major LEA but not for minor LEA compelling evidence was observed [aggregated odds ratio (OR) of 0.45 (95% CI 0.37–0.57), 0.40 (95% CI 0.32–0.51), and 0.87 (95% CI 0.67–1.14), respectively]. However, high heterogeneity (superior to 60%) was observed for all outcomes. Conclusions: Results support a reduction in diabetic LEA frequency in association with structured diabetic foot care, and, in particular, major LEA. Less evidence is available for the remaining aspects of diabetic foot care delivery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMonteiro-Soares, M., Vale-Lima, J., Martiniano, J., Pinheiro-Torres, S., Dias, V., Boyko, E. J. (2020). A systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputation. Journal of Diabetes and its Complicationspt_PT
dc.identifier.doi10.1016/j.jdiacomp.2020.107837pt_PT
dc.identifier.issn1056-8727
dc.identifier.urihttp://hdl.handle.net/10400.14/31769
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectDiabetic footpt_PT
dc.subjectFoot ulcerpt_PT
dc.subjectLower Extremity Amputationpt_PT
dc.subjectMeta-analysispt_PT
dc.subjectRiskpt_PT
dc.subjectSystematic reviewpt_PT
dc.titleA systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of Diabetes and its Complicationspt_PT
person.familyNameMonteiro-Soares
person.familyNameBoyko
person.givenNameMatilde
person.givenNameEdward
person.identifierR-000-T9A
person.identifier.ciencia-idC81A-832B-3459
person.identifier.orcid0000-0002-4586-2910
person.identifier.orcid0000-0002-3695-192X
person.identifier.ridF-7192-2013
person.identifier.ridG-2484-2017
person.identifier.scopus-author-id35772752800
person.identifier.scopus-author-id7005703432
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2507c49e-29db-4d96-8f64-6f46ab94211d
relation.isAuthorOfPublicationc2b5e138-51c0-41f9-9906-c99dafa7dc80
relation.isAuthorOfPublication.latestForDiscoveryc2b5e138-51c0-41f9-9906-c99dafa7dc80

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