Effect of thermometry on the prevention of diabetic foot ulcers: a systematic review with meta-analysis
DOI:
https://doi.org/10.1590/1518-8345.5663.3567Keywords:
Diabetes Mellitus; Thermometry; Diabetic Foot; Prevention; Nursing; Systematic Review.Abstract
Objective: to analyze the effect of cutaneous foot thermometry in
people with Diabetes Mellitus, compared with the standard prevention
of foot ulcers adopted in these patients. Method: a systematic
review with meta-analysis. Protocol registered with PROSPERO
(CRD42020202686). The recommendations of the Preferred Reporting
Items for Systematic Reviews and Meta-Analyses (PRISMA) were
followed. The search was performed in the following data sources:
SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO,
MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane
Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar,
Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses
& Dissertações-Capes, Open Grey and ProQuest Dissertations and
Theses. The risk of bias was assessed by the Cochrane Collaboration
Risk of Bias Tool (RoB 2), the meta-analysis was performed in the
Review Manager 5.4 software and the Certainty of evidence in
the Grading of Recommendations Assessment, Development and
Evaluation system. Results: of the 670 records, five articles were
eligible. The meta-analysis was calculated for the prevention of the
incidence of diabetic foot ulcers outcome, with effect summarization
(RR 0.53; 95%CI 0.29-0.96; p=0.02), with certainty of moderate
evidence. Conclusion: thermometry showed a protective effect on the
incidence of diabetic foot ulcers when compared to standard foot care.
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