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 and Miloslav KLUGAR

Basic information

Original name

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

Authors

VRBOVÁ, Tereza (203 Czech Republic, belonging to the institution), Lucia KANTOROVÁ (703 Slovakia, belonging to the institution) and Miloslav KLUGAR (203 Czech Republic, belonging to the institution)

Edition

GIN Conference 2021. 2021

Other information

Language

English

Type of outcome

Prezentace na konferencích

Field of Study

30202 Endocrinology and metabolism

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/21:00122847

Organization unit

Faculty of Medicine

Keywords in English

Clinical Practice Guideline; Diabetic Foot Ulcer; diabetes

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

Abstract

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.

Links

LTC20031, research and development project

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

Investor: Ministry of Education, Youth and Sports of the CR, INTER-COST

Citovat

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

Detailed Information on Publication Record