Majid et al. 2017
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Majid U, Argáez C. Off-Loading Devices for People with Diabetic Neuropathic Foot Ulcers: A Rapid Qualitative Review [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2020 Jun 17. PMID: 33296155.
Design: Rapid Qualitative Review Methods: • The main search concepts were the use of offloading devices for diabetic foot ulcers in community or care institutions (hospital, care home, retirement home etc.) Outcomes included: • People’s (and their care providers’) understandings and experiences of living with offloading devices for diabetic foot ulcers (inclusive of how these devices are accessed); Results: • 12 studies were included. • Patients across studies believed that offloading devices were integral to successfully treating their ulcers, as well as preventing future foot-related complications. • The cost of offloading devices was an important determinant for patients in device decision-making and everyday use. • In general, patients preferred removable offloading devices ( specifically the AirCast ) because it enabled them to continue their everyday lives. • Removable cast walkers were perceived as easier to apply and remove and did not require regular appointments with healthcare professionals for removal. • However, patients expressed challenged interacting with certain device mechanics and some perceived that walkers were ineffective because they did not fully immobilise the feet.
Key message: There are many barriers to offloading device adherence for diabetic foot ulcers, including the effectiveness of footwear, the cost of the device and how it fits with patients’ everyday activities. Some preference was stated towards Aircast walkers as it enabled participants to continue their everyday lives.
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