Risk assessments and structured care interventions for prevention of foot ulceration in diabetes: development and validation of a prognostic model

Crawford F, Chappell F M, Lewsey J, Riley R, Hawkins N, Nicolson D, Heggie R, Smith M, Horne M, Amanna A, Martin A, Gupta S, Gray K, Weller D, Brittenden J, Leese G
Record ID 32017000098
Authors' objectives: People with diabetes sometimes have problems with their feet which become serious and this makes getting around harder and life less enjoyable. It might be possible to avoid foot problems by having regular foot checks by doctors, podiatrists or nurses but at the moment it is not clear how useful this is or often it needs to be done. People who learn they might go on to have foot problems expect to be given treatment to stop the problem happening in the first place. But unfortunately the best way to avoid foot problems is not known and more research is needed. But before a large, expensive study called a clinical trial can be done there is a need to study the different ways people with diabetes can have foot care from the NHS. We have begun to research this area and have found 3 simple things will identify people who are likely to develop a foot ulcer. We now plan to build on this work by making our research results easier for doctors and nurses and podiatrists to use. Then we will look at published articles to see whether certain treatments or care plans stop foot problems from developing and which treatments are of most value to patients and the NHS. Finally we want to know if any more research, particularly a large clinical trial would be good value for money. We want to know; 1. How often should people with diabetes have their feet examined by NHS staff? 2. What are the best things for patients and NHS staff to do to stop foot problems from happening? 3. Is a large clinical trial likely to produce information that is good value for money? Our research will culminate in recommendations for clinical practice and future research.
Project Status: Completed
Year Published: 2020
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England
MeSH Terms
  • Models, Economic
  • Cost-Benefit Analysis
  • Diabetic Foot
  • Foot Ulcer
  • Risk Assessment
  • Preventive Health Services
Organisation Name: NIHR Health Technology Assessment programme
Contact Address: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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