Effects of evidence‐based care on diabetic foot ulcers: A meta‐analysis

Abstract

AbstractThis analysis systematically reviewed the efficacy of evidence‐based care on diabetic foot ulcers. A computerised literature search was conducted for randomised controlled studies (RCTs) of evidence‐based care interventions for the treatment of diabetic foot ulcers using the PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), China Biomedical Literature Database (CBM) and Wanfang databases from the date of inception of each database to June 2023. The articles were independently screened, data were extracted by two researchers, and the quality of each study was assessed using the Cochrane bias assessment tool. Meta‐analysis of the data was performed using RevMan 5.4 software. Twenty‐five RCTs with a total of 2272 patients were included. Meta‐analysis showed that, compared with other care methods, evidence‐based care significantly improved the treatment efficacy of diabetic foot ulcers (odds ratio: 3.91, 95% confidence interval [CI]: 2.76 to 5.53, p < 0.001) and significantly reduced their fasting plasma glucose (mean difference [MD]: −1.10, 95% CI: −1.24 to −0.96, p < 0.001), 2‐h postprandial glucose (2hPG) (MD: −1.69, 95% CI: −2.07 to −1.31, p < 0.001) and glycated haemoglobin (HbA1c) (MD: −0.71, 95% CI: −0.94 to −0.48, p < 0.001). Evidence‐based care intervention is effective at reducing FPG, 2hPG and HbA1c levels and improving treatment efficacy in patients with diabetic foot ulcers.