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- W1905928909 abstract "Footwear and offloading techniques are commonly used in clinical practice for preventing and healing of foot ulcers in persons with diabetes. The goal of this systematic review is to assess the medical scientific literature on this topic to better inform clinical practice about effective treatment.We searched the medical scientific literature indexed in PubMed, EMBASE, CINAHL, and the Cochrane database for original research studies published since 1 May 2006 related to four groups of interventions: (1) casting; (2) footwear; (3) surgical offloading; and (4) other offloading interventions. Primary outcomes were ulcer prevention, ulcer healing, and pressure reduction. We reviewed both controlled and non-controlled studies. Controlled studies were assessed for methodological quality, and extracted key data was presented in evidence and risk of bias tables. Uncontrolled studies were assessed and summarized on a narrative basis. Outcomes are presented and discussed in conjunction with data from our previous systematic review covering the literature from before 1 May 2006.We included two systematic reviews and meta-analyses, 32 randomized controlled trials, 15 other controlled studies, and another 127 non-controlled studies. Several randomized controlled trials with low risk of bias show the efficacy of therapeutic footwear that demonstrates to relief plantar pressure and is worn by the patient, in the prevention of plantar foot ulcer recurrence. Two meta-analyses show non-removable offloading to be more effective than removable offloading for healing plantar neuropathic forefoot ulcers. Due to the limited number of controlled studies, clear evidence on the efficacy of surgical offloading and felted foam is not yet available. Interestingly, surgical offloading seems more effective in preventing than in healing ulcers. A number of controlled and uncontrolled studies show that plantar pressure can be reduced by several conservative and surgical approaches.Sufficient evidence of good quality supports the use of non-removable offloading to heal plantar neuropathic forefoot ulcers and therapeutic footwear with demonstrated pressure relief that is worn by the patient to prevent plantar foot ulcer recurrence. The evidence base to support the use of other offloading interventions is still limited and of variable quality. The evidence for the use of interventions to prevent a first foot ulcer or heal ischemic, infected, non-plantar, or proximal foot ulcers is practically non-existent. High-quality controlled studies are needed in these areas." @default.
- W1905928909 created "2016-06-24" @default.
- W1905928909 creator A5003451476 @default.
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- W1905928909 creator A5064529220 @default.
- W1905928909 creator A5069846460 @default.
- W1905928909 date "2016-01-01" @default.
- W1905928909 modified "2023-10-14" @default.
- W1905928909 title "Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review" @default.
- W1905928909 cites W1504550144 @default.
- W1905928909 cites W1519543872 @default.
- W1905928909 cites W1539692566 @default.
- W1905928909 cites W1599351718 @default.
- W1905928909 cites W171731147 @default.
- W1905928909 cites W1798671961 @default.
- W1905928909 cites W1820088298 @default.
- W1905928909 cites W1831736594 @default.
- W1905928909 cites W1892750227 @default.
- W1905928909 cites W1905928909 @default.
- W1905928909 cites W1941500241 @default.
- W1905928909 cites W1962146768 @default.
- W1905928909 cites W1963338846 @default.
- W1905928909 cites W1963536966 @default.
- W1905928909 cites W1964096979 @default.
- W1905928909 cites W1965276655 @default.
- W1905928909 cites W1968753668 @default.
- W1905928909 cites W1970182131 @default.
- W1905928909 cites W1971283338 @default.
- W1905928909 cites W1972280264 @default.
- W1905928909 cites W1973189538 @default.
- W1905928909 cites W1974326264 @default.
- W1905928909 cites W1977342052 @default.
- W1905928909 cites W1983550958 @default.
- W1905928909 cites W1984763751 @default.
- W1905928909 cites W1987264532 @default.
- W1905928909 cites W1988354642 @default.
- W1905928909 cites W1989557425 @default.
- W1905928909 cites W1991974656 @default.
- W1905928909 cites W1993552188 @default.
- W1905928909 cites W1994998485 @default.
- W1905928909 cites W1996014502 @default.
- W1905928909 cites W1998294992 @default.
- W1905928909 cites W1998338974 @default.
- W1905928909 cites W1999939891 @default.
- W1905928909 cites W2001203849 @default.
- W1905928909 cites W2004950040 @default.
- W1905928909 cites W2004957605 @default.
- W1905928909 cites W2008318743 @default.
- W1905928909 cites W2009313296 @default.
- W1905928909 cites W2009765005 @default.
- W1905928909 cites W2010155717 @default.
- W1905928909 cites W2014149836 @default.
- W1905928909 cites W2015278131 @default.
- W1905928909 cites W2017854677 @default.
- W1905928909 cites W2018242190 @default.
- W1905928909 cites W2019360964 @default.
- W1905928909 cites W2020812459 @default.
- W1905928909 cites W2021618498 @default.
- W1905928909 cites W2024918966 @default.
- W1905928909 cites W2026961112 @default.
- W1905928909 cites W2027123203 @default.
- W1905928909 cites W2027697905 @default.
- W1905928909 cites W2028899251 @default.
- W1905928909 cites W2031052233 @default.
- W1905928909 cites W2032437930 @default.
- W1905928909 cites W2032488253 @default.
- W1905928909 cites W2033525114 @default.
- W1905928909 cites W2034388478 @default.
- W1905928909 cites W2034912375 @default.
- W1905928909 cites W2036840974 @default.
- W1905928909 cites W2037745642 @default.
- W1905928909 cites W2039310395 @default.
- W1905928909 cites W2040461224 @default.
- W1905928909 cites W2040537534 @default.
- W1905928909 cites W2041542424 @default.
- W1905928909 cites W2043423513 @default.
- W1905928909 cites W2044773536 @default.
- W1905928909 cites W2049926856 @default.
- W1905928909 cites W2051530958 @default.
- W1905928909 cites W2052392611 @default.
- W1905928909 cites W2054341049 @default.
- W1905928909 cites W2055225852 @default.
- W1905928909 cites W2059045599 @default.
- W1905928909 cites W2060595264 @default.
- W1905928909 cites W2062861147 @default.
- W1905928909 cites W2063317711 @default.
- W1905928909 cites W2066137569 @default.
- W1905928909 cites W2066354341 @default.
- W1905928909 cites W2069776997 @default.
- W1905928909 cites W2069834771 @default.
- W1905928909 cites W2073823925 @default.
- W1905928909 cites W2075691996 @default.
- W1905928909 cites W2076032295 @default.
- W1905928909 cites W2077893907 @default.
- W1905928909 cites W2081069698 @default.
- W1905928909 cites W2081341627 @default.