CADTH is committed to supporting Canada’s health care decision-makers through this challenging and uncertain time.
For evidence, tools, and resources related to COVID-19, visit our COVID-19 Evidence Portal.

 

Begin main content

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

Last updated: November 20, 2019
Project Number: RC1219-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

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.