Alessa Mariam, Clifford Rhonda, Murray Kevin, Nattabi Barbara, Younes Houssam K, Schoen Deborah
The University of Western Australia, Crawley WA, Australia.
Ministry of Health Kuwait, Kuwait City, Kuwait.
Epidemiol Rev. 2025 Jan 10;47(1). doi: 10.1093/epirev/mxaf012.
The Gulf Cooperation Council (GCC) countries face a substantial impact from the increasing prevalence of diabetes mellitus, which experts identify as a major public health challenge in the region. Despite the escalating burden of diabetes mellitus and its related complications, including diabetic foot disease (DFD), there are noteworthy knowledge gaps concerning the prevalence and trends of DFD in the GCC countries. Furthermore, there is insufficient understanding of the management of DFD within health care settings in this region. The objective of this scoping review is to comprehensively assess the extent and nature of DFD management across different health care settings in GCC countries. The study will use the population, concept, and context framework: the population of interest is individuals with DFD, the concept is the management or treatment of DFD or its complications, and the context includes the GCC countries. The review will include published articles and unpublished quantitative and qualitative research papers, from 1981 onward, aligning with the establishment of the first multidisciplinary team diabetic foot clinic at King's College Hospital, London. The scoping review will follow guidelines from Joanna Briggs Institute (JBI) and be reported following the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews Checklist. A comprehensive search will be conducted, across various databases including CINAHL, MEDLINE (Ovid), Embase, Scopus, Cochrane CENTRAL, PsycINFO, Global Health, and the Arabic database Al Manhal, and gray literature sources. Studies in Arabic and English language will be included. A data extraction tool will be used to extract the data and will enable a chronological narrative synthesis of results.
海湾合作委员会(GCC)国家正面临糖尿病患病率上升带来的重大影响,专家们将其视为该地区一项重大的公共卫生挑战。尽管糖尿病及其相关并发症(包括糖尿病足病,DFD)的负担不断加重,但关于GCC国家DFD的患病率和趋势仍存在显著的知识空白。此外,该地区对医疗环境中DFD的管理了解不足。本范围综述的目的是全面评估GCC国家不同医疗环境中DFD管理的程度和性质。该研究将使用人群、概念和背景框架:感兴趣的人群是患有DFD的个体,概念是DFD或其并发症的管理或治疗,背景包括GCC国家。该综述将包括自1981年起发表的文章以及未发表的定量和定性研究论文,这与伦敦国王学院医院首个多学科团队糖尿病足诊所的设立时间一致。范围综述将遵循乔安娜·布里格斯研究所(JBI)的指南,并按照系统评价和Meta分析扩展的范围综述清单的首选报告项目进行报告。将在包括CINAHL、MEDLINE(Ovid)、Embase、Scopus、Cochrane CENTRAL、PsycINFO、全球健康以及阿拉伯语数据库Al Manhal等各种数据库以及灰色文献来源中进行全面搜索。将纳入阿拉伯语和英语的研究。将使用数据提取工具来提取数据,并将实现按时间顺序对结果进行叙述性综合。