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Table 1 Key management strategies identified from included literature with level of evidence

From: Off-loading and compression therapy strategies to treat diabetic foot ulcers complicated by lower limb oedema: a scoping review

 

Key Strategies identified and frequency in literature (some literature included more than one strategy)

Sources of evidence

Compression therapy

 Total no. of strategies = 3

Included in 24 pieces of literature

Compression bandaging 11 [2, 16, 19,20,21,22,23,24,25,26]

Compression hosiery/wrap devices 10 [20, 27,28,29,30,31,32,33,34,35]

Pneumatic compression devices 5 [34, 36,37,38,39]

Randomised controlled trial 2 [31, 36]

Prospective cohort study 1 [30]

Pilot randomised controlled trial 1 [35]

Scoping review 1 [16]

Case study 7 [19, 21, 22, 24, 26, 27, 37]

Foundational sourcesa12 [2, 20, 23, 25, 28, 29, 32,33,34, 38,39,40]

Off-loading

 Total no. of strategies = 7

Included in 13 pieces of literature

Total contact cast 5 [2, 41,42,43,44]

Knee high walking cast/boot 4 [28, 45,46,47]

Ankle-high walking cast/boot 2 [27, 48]

(Other devices 4) [28, 49,50,51]

Retrospective cohort study 1 [41]

Case study 3 [27, 42, 49]

Foundational sourcesa9 [1, 28, 43,44,45,46,47,48, 50, 51]

Compression therapy and off-loading in combination

 Total no of strategies = 3

Included in 3 pieces of literature

Ankle high boot + compression bandaging 1 [27]

Back slab cast + compression bandaging 1 [49]

General off-loading + compression bandaging 1 [25]

Case study2 [27, 49]

Foundational sourcesa1 [25]

Supplementary strategies

 Total no. of strategies = 16

Included in 20 pieces of literature

Integrated working 5 [20, 25, 52,53,54]

Patient specific care plans 2 [54, 55]

Wound/limb triage tools 2 [56, 57]

(Other strategies 13) [1, 2, 19, 20, 25, 27, 42, 45, 49, 58,59,60,61,62]

National guidance documents2 [52, 53]

[[52, 53]]

Observational study1 [59]

[[59]]

Case study 5 [19, 27, 42, 49, 62]

Foundational sourcesa12 [1, 2, 20, 25, 45, 54,55,56,57,58, 60, 61]

  1. a Foundational sources include: clinical audit and reviews, literature reviews, expert opinion pieces, conference abstracts, medical industry information