Lockhart Michael, Dinneen Sean F, O'Keeffe Derek T
Center for Endocrinology, Diabetes and Metabolism, Galway University Hospitals, Galway, Ireland.
Health Innovation via Engineering (HIVE) Laboratory, Lambe Institute, University of Galway, Galway, Ireland.
J Diabetes Investig. 2024 Aug;15(8):990-999. doi: 10.1111/jdi.14215. Epub 2024 Apr 18.
AIMS/INTRODUCTION: Patients with a healed diabetic foot ulcer (DFU) have a 40% risk of ulcer recurrence within a year. New and effective measures to prevent DFU recurrence are essential. We aimed to highlight emerging trends and future research opportunities in the use of plantar pressure measurement to prevent DFU recurrence.
Our scoping review protocol was drafted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis - Scoping Review protocol. Peer-reviewed, English-language papers were included that addressed both plantar pressure measurement and diabetic foot disease, either as primary studies that have advanced the field or as review papers that provide summaries and/or opinion on the field as a whole, as well as specific papers that provide guidelines for future research and advancement in the field.
A total of 24 eligible publications were identified in a literature search using PubMed. A further 36 eligible studies were included after searching the references sections of these publications, leaving a total of 60 publications included in this scoping review.
Plantar pressure measurement can and will play a major role in the prevention of DFU. There is already a strong, albeit limited, evidence base in place to prove its benefit in reducing DFU recurrence. More research is required in larger populations, using remote monitoring in real-world settings, and with improved technology.
目的/引言：已愈合的糖尿病足溃疡（DFU）患者在一年内有40%的溃疡复发风险。采取新的有效措施预防DFU复发至关重要。我们旨在突出足底压力测量在预防DFU复发方面的新趋势和未来研究机会。
我们的范围综述方案是根据系统评价和Meta分析的首选报告项目——范围综述方案起草的。纳入经过同行评审的英文论文，这些论文涉及足底压力测量和糖尿病足疾病，既包括推动该领域发展的主要研究，也包括对整个领域进行总结和/或发表意见的综述论文，以及为该领域未来研究和进展提供指导方针的特定论文。
使用PubMed进行文献检索共确定了24篇符合条件的出版物。在检索这些出版物的参考文献部分后，又纳入了36项符合条件的研究，本范围综述共纳入60篇出版物。
足底压力测量能够且将会在预防DFU中发挥重要作用。已有有力的（尽管有限）证据基础证明其在降低DFU复发方面的益处。需要在更大规模人群中进行更多研究，在实际环境中使用远程监测，并采用改进的技术。
