Cochrane · systematic review · CD012835
Psychological interventions for treating foot ulcers, and preventing their recurrence, in people with diabetes
McGloin, H, Devane, D, McIntosh, CD, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
5
No studies
4
Included studies
NR
No studies 4 · 40%Ungraded 1 · 10%Very low 5 · 50%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Psychological intervention compared with standard care for treating and preventing recurrence of foot ulcers in people with diabetes
Population: adults with diabetes with current or previous foot ulceration
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of wounds completely healed at 3 months Psychological intervention vs standard care | RR 6.25 | 2 studies · 76 participants | Very low Downgraded: risk of bias, imprecision |
Proportion of wounds completely healed at 6 weeks Psychological intervention vs standard care | RR 0.59 | 2 studies · 76 participants | Very low Downgraded: risk of bias, imprecision |
Time to complete wound healing Psychological intervention vs standard care | no estimate extracted | NR | No studies |
Time to recurrence Psychological intervention vs standard care | no estimate extracted | NR | No studies |
Number of foot ulcer recurrences at 1 year Psychological intervention vs standard care | RR 0.67 | 2 studies · 54 participants | Very low Downgraded: risk of bias, imprecision |
Number of foot ulcer recurrences at 6 months Psychological intervention vs standard care | RR 0.63 | 2 studies · 54 participants | Very low Downgraded: risk of bias, imprecision |
Psychological intervention compared with another psychological intervention for treating and preventing recurrence of foot ulcers in people with diabetes
Population: adults with diabetes with current or previous foot ulceration
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of wounds completely healed at 3 months Psychological intervention vs another psychological intervention | RR 2.33 | 1 study · 16 participants | Very low Downgraded: risk of bias |
Time to complete wound healing Psychological intervention vs another psychological intervention | no estimate extracted | 2001 participants | Ungraded |
Time to foot ulcer recurrence Psychological intervention vs another psychological intervention | no estimate extracted | NR | No studies |
Number of foot ulcer recurrences Psychological intervention vs another psychological intervention | no estimate extracted | NR | No studies |