Preventative Foot Care for Patients with Diabetes: A Review of Clinical Effectiveness and Cost-Effectiveness

Details

Files
Project Status:
Completed
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC1219-000

Question

  1. What is the clinical effectiveness of providing preventative foot care for patients with diabetes and asymptomatic feet?
  2. What is the cost-effectiveness of providing preventative foot care for patients with diabetes and asymptomatic feet?

Key Message

One relevant systematic review of critically low-quality was identified regarding the clinical effectiveness of providing preventative foot care for patients with diabetes and asymptomatic feet. The systematic review included two relevant primary studies; one of which found motivational interviewing had no effect on the incidence of ulceration and the other which found motivational coaching along with self-management education and diabetes care monitoring decreased foot risk and amputations at one year. Overall, the systematic review suggested that there is insufficient evidence on the effectiveness of motivational interviewing to enhance adherence to behaviors to prevent diabetic foot ulceration compared to control. No evidence regarding the cost-effectiveness of providing preventative foot care for patients with diabetes and asymptomatic feet was identified.