Recommendations for research

The guideline committee has made the following recommendations for research.

Key recommendations for research

1 Intensive monitoring for people at risk of diabetic foot problems

Does intensive monitoring of people at risk of diabetic foot disease reduce the morbidity associated with developing the disease and is such monitoring cost effective?

2 Referral criteria for the foot protection service and the multidisciplinary foot care service

When and with what criteria should people with diabetes be referred to the foot protection service or the multidisciplinary foot care service?

3 Education and psycho-behavioural interventions for prevention

What is the role of educational models and psycho-behavioural interventions in prevention of diabetic foot complications?

4 Prevention strategies for Charcot arthropathy

What strategies may be useful in the prevention of Charcot arthropathy?

5 Diabetic ulcer dressings

What is the clinical effectiveness of different dressing types in treating diabetic foot problems?

Other recommendations for research

Referral of people who have diabetic foot problems

Within the hospital multidisciplinary team, when is it appropriate and effective to refer people with diabetes who have foot problems to specialist services such as investigative or interventional radiology, orthopaedic or vascular services, specialist pain management and specialist orthotics?

Prevention of diabetic foot problems

What is the effectiveness of different footwear, insoles and orthoses in the prevention of foot problems?

Review of people with diabetic foot problems

How often should people with diabetic foot problems (foot ulcers, soft tissue infections, osteomyelitis or gangrene) be reviewed?

Diabetic foot ulcer

What is the clinical effectiveness of negative pressure wound therapy in the treatment of diabetic foot ulcers?

Diabetic foot ulcer

What is the clinical effectiveness of maggot debridement therapy in the debridement of diabetic foot ulcers?

Charcot arthropathy

Which risk stratification tools can be used to predict the likelihood of Charcot arthropathy?

Charcot arthropathy

When is it safe to stop contact casting in the treatment of acute Charcot arthropathy?

  • Public Health England
  • National Institute for Health and Care Excellence (NICE)