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Review: inadequate data exist on prevention and treatment strategies for foot ulcer in diabetes mellitus

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 QUESTION: What strategies are effective in the prevention and treatment of foot ulcer in patients with diabetes mellitus?

Data sources

Studies from 1983 to 1998 were identified from the Cochrane Trials Register, Medline, EMBASE/Excerpta Medica, CINAHL, HealthStar, PsycLIT, Science Citation Index, Social Science Citation Index, Index to Scientific and Technical Conference Proceedings, the HMIC database, and SIGLE.

Study selection

Studies were selected if they concerned screening, management, prevention, or education relating to the foot care of people with type 1 or type 2 diabetes.

Data extraction

Data were extracted on study design, interventions, and outcomes.

Main results

In relation to the prevention of diabetic foot ulcer, the search identified 5 randomised controlled trials (RCTs) of shared care by specialists and general practitioners, care by a hospital diabetes clinic, and care by general practitioners for patients without foot complications; 6 RCTs of foot care education (foot hygiene, treatment …

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  • Sources of funding: NHS Executive and the British Diabetic Association.

  • For correspondence: Dr J Mason, Medicines Evaluation Group, Centre for Health Economics, University of York, Heslington, York YO1 5DD, UK. Fax +44 (0)1904 433644.