Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment
of Five Guidelines’ Recommendations

k 2021

Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations

VRBOVÁ, Tereza, Lucia KANTOROVÁ a Miloslav KLUGAR

Základní údaje

Originální název

Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations

Autoři

VRBOVÁ, Tereza (203 Česká republika, domácí), Lucia KANTOROVÁ (703 Slovensko, domácí) a Miloslav KLUGAR (203 Česká republika, domácí)

Vydání

GIN Conference 2021. 2021

Další údaje

Jazyk

angličtina

Typ výsledku

Prezentace na konferencích

Obor

30202 Endocrinology and metabolism

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/21:00122847

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Clinical Practice Guideline; Diabetic Foot Ulcer; diabetes

Změněno: 25. 11. 2021 11:31, Mgr. Bc. Alena Langaufová, Ph.D.

Anotace

V originále

Background The Clinical Practice Guidelines (CPGs) Project of the Czech Health Research Council is to support development of 40 CPGs at least. One of the approved guidelines focuses on diabetic foot ulcer (DFU). Objective The objective of this work is to present the adolopment of the DFU guideline and its methodological aspects. Methods At first, PICO questions were developed to define the content of the CPG on DFU. Secondly, a thorough literature search of existing guidelines was conducted in January 2020, when 11 databases were searched, web pages of organizations (45) and professional societies (15) that develop CPGs. Selected guidelines were assessed for quality by AGREE II. Majority of recommendations were adapted using ADAPTE approach. In case of three recommendations with insufficient evidence (hyperbaroxyc oxygen (HBO) therapy, autologuous cells (AC) therapy and low pressure therapy), an adolopment took place. Results In total, 34 prospective guidelines were identified, eight of them were assessed (by two clinitians and two methodologists) for quality. Their overall scores (domains 1–6) ranged from 62 % to 82 %. The CPG with the lowest score was excluded with threshold 66 %. Two CPGs were excluded because their content was covered in other CPGs. Finally, five guidelines were included. In order to get more information on HBO, AC and low pressure therapies, three umbrella reviews were developed. Discussion A high-quality international DFU guideline has been identified as a main source for adolopment. However, more CPGs and evidence were needed to cover the DFU issue in a complex way.

Návaznosti

LTC20031, projekt VaV

Název: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic, INTER-COST

Citovat

VRBOVÁ, Tereza, Lucia KANTOROVÁ a Miloslav KLUGAR. Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations. In GIN Conference 2021. 2021.

@proceedings{1803497,
   author = {Vrbová, Tereza and Kantorová, Lucia and Klugar, Miloslav},
   booktitle = {GIN Conference 2021.},
   keywords = {Clinical Practice Guideline; Diabetic Foot Ulcer; diabetes},
   language = {eng},
   title = {Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations},
   year = {2021}
}

TY  - CONF
ID  - 1803497
AU  - Vrbová, Tereza - Kantorová, Lucia - Klugar, Miloslav
PY  - 2021
TI  - Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations
KW  - Clinical Practice Guideline
KW  - Diabetic Foot Ulcer
KW  - diabetes
N2  - Background The Clinical Practice Guidelines (CPGs) Project of the Czech Health Research Council is to support development of 40 CPGs at least. One of the approved guidelines focuses on diabetic foot ulcer (DFU). Objective The objective of this work is to present the adolopment of the DFU guideline and its methodological aspects. Methods At first, PICO questions were developed to define the content of the CPG on DFU. Secondly, a thorough literature search of existing guidelines was conducted in January 2020, when 11 databases were searched, web pages of organizations (45) and professional societies (15) that develop CPGs. Selected guidelines were assessed for quality by AGREE II. Majority of recommendations were adapted using ADAPTE approach. In case of three recommendations with insufficient evidence (hyperbaroxyc oxygen (HBO) therapy, autologuous cells (AC) therapy and low pressure therapy), an adolopment took place. Results In total, 34 prospective guidelines were identified, eight of them were assessed (by two clinitians and two methodologists) for quality. Their overall scores (domains 1–6) ranged from 62 % to 82 %. The CPG with the lowest score was excluded with threshold 66 %. Two CPGs were excluded because their content was covered in other CPGs. Finally, five guidelines were included. In order to get more information on HBO, AC and low pressure therapies, three umbrella reviews were developed. Discussion A high-quality international DFU guideline has been identified as a main source for adolopment. However, more CPGs and evidence were needed to cover the DFU issue in a complex way.
ER  -

VRBOVÁ, Tereza, Lucia KANTOROVÁ a Miloslav KLUGAR. Clinical Practice Guideline on Diabetic Foot Ulcer: Adolopment of Five Guidelines’ Recommendations. In \textit{GIN Conference 2021.}. 2021.

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