Early screening for foot problems in people with diabetes is the need of the hour: ‘Save the Feet and Keep Walking Campaign’ in India
Authors' conclusion
One-fourth of people with diabetes were found to have HR feet in India. The findings are suggestive of regular screening of people with diabetes for foot problems and strengthening of primary healthcare.
Study context
- Population
- People with diabetes aged >18 years visiting clinics of Research Society for the Study of Diabetes in India (RSSDI) member doctors across India, July 10–August 10, 2022complete information
- Participants
- 33,259 people
- Outcome
- Prevalence of high-risk (HR) feet, categorised by International Working Group on the Diabetic Foot guidelines 2023
Methodological detailsnational-level, multicentre, Around 10 000 RSSDI member doctors trained online in foot screening, given standardised monofilament; modified 3 min foot examination
- National-level
- Multicentre
- Around 10 000 RSSDI member doctors trained online in foot screening, given standardised monofilament; modified 3 min foot examination
Main finding
As reported in the abstract
HR feet
HR feet
25.2%
Observational data: associations, not effects.
Further findings
Factors associated with HR feet
| OR (95% CI) | ||
|---|---|---|
| Heel fissures | 4.6 (4.2–5.1) | |
| Callus or corns | 3.6 (3.3–4.0) | |
| 0.20.5125Odds ratio (log scale) |
Foot history and findings in participants
- History of foot ulcer
- 20%
- Lower limb amputation
- 15.3%
- Foot deformities
- 24.5%
- Absence of diminished dorsal pedis and posterior tibial pulses
- 26.4%
Diabetic complications in people with HR feet
- Diabetic kidney complications
- 70%
- Diabetic retinal complications
- 75.5%
Original publication
Early screening for foot problems in people with diabetes is the need of the hour: ‘Save the Feet and Keep Walking Campaign’ in India. BMJ Open Diabetes Res Care. Published 3 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →