Evaluating and mapping the evidence that screening for diabetic foot disease meets the criteria for population-wide screening: a scoping review

Jennifer A. Pallin, Lauren Connell, Caroline McIntosh, Paul M. Kavanagh, S. F. Dinneen, Patricia M. Kearney, C. Buckley
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Abstract

To evaluate and map the evidence around diabetes-related foot screening using the World Health Organisation screening principles, which set the gold standard for determining the appropriateness of introducing population-wide screening programmes internationally.A scoping review methodology in line with Arksey and O’Malley and the Joanna Briggs Institute.Medline (EBSCO), Scopus, ScienceDirect and EMBASE between 24 May 2022 and 12 July 2022. Reference lists of the selected studies, and ‘Google’ and ‘Google Scholar’ were also searched.Inclusion criteria were informed by the principles of screening. Articles, published in English since 2000, reporting on the impact of the diabetes-related foot ulcers, effectiveness of treatment available for those identified as being at risk, reliability of screening tests for screening for the at-risk foot and the effectiveness, cost-effectiveness, safety and ethics of diabetes-related foot screening programmes were included.Data were extracted by one reviewer, with data extraction headings relating to the principles of screening. A narrative synthesis approach was used to report the information from included studies.46 articles were deemed eligible for inclusion. Diabetes-related foot ulcers are an important health condition associated with increased risk of mortality and poorer quality of life. However, there is insufficient evidence on the effectiveness of treatments to prevent disease development. Moreover, while consensus exists on what screening tools should be used to screen for risk factors, there is no agreement on threshold values. Finally, there is no available information on the potential budgetary, organisational or societal implications of a whole-population diabetes-related foot screening programme.Existing evidence does not support the introduction of an organised population-wide screening programme in the context of World Health Organisation screening principles. Further research on treatment and management strategies for the at-risk foot and of whole-population screening programmes is required.
糖尿病足病筛查符合全民筛查标准的证据评估与绘图:范围界定审查
根据 Arksey 和 O'Malley 以及 Joanna Briggs Institute.Medline (EBSCO)、Scopus、ScienceDirect 和 EMBASE,在 2022 年 5 月 24 日至 2022 年 7 月 12 日期间采用范围界定综述方法对与糖尿病相关的足部筛查证据进行评估和绘图。此外,还搜索了所选研究的参考文献列表以及 "谷歌 "和 "谷歌学术"。纳入的文章均为 2000 年以来发表的英文文章,内容涉及与糖尿病相关的足部溃疡的影响、为被确定为高危人群提供治疗的有效性、筛查高危足部的筛查测试的可靠性,以及与糖尿病相关的足部筛查计划的有效性、成本效益、安全性和伦理。46篇文章被认为符合纳入条件。与糖尿病相关的足部溃疡是一种重要的健康问题,会增加死亡风险并降低生活质量。然而,目前还没有足够的证据表明预防疾病发展的治疗方法是有效的。此外,虽然在使用何种筛查工具筛查风险因素方面已达成共识,但在阈值方面尚未达成一致。最后,关于全民糖尿病足筛查计划可能对预算、组织或社会产生的影响,目前尚无相关信息。现有证据并不支持根据世界卫生组织的筛查原则,有组织地开展全民筛查计划。需要进一步研究高危足部的治疗和管理策略以及全人群筛查计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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