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Journal articles on the topic 'High Risk Foot'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Padanilam, Thomas G., and Brian G. Donley. "High-risk foot and ankle patients." Foot and Ankle Clinics 8, no. 1 (2003): 149–57. http://dx.doi.org/10.1016/s1083-7515(03)00002-0.

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2

LaPorta, Guido A., Ellianne M. Nasser, and Jennifer L. Mulhern. "Tibiocalcaneal Arthrodesis in the High-Risk Foot." Journal of Foot and Ankle Surgery 53, no. 6 (2014): 774–86. http://dx.doi.org/10.1053/j.jfas.2014.06.027.

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3

LoGerfo, Frank. "The high risk foot in diabetes mellitus." Journal of Vascular Surgery 15, no. 5 (1992): 942. http://dx.doi.org/10.1016/0741-5214(92)90768-4.

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4

&NA;. "Screening for the High-Risk Diabetic Foot." Advances in Skin & Wound Care 25, no. 10 (2012): 477–78. http://dx.doi.org/10.1097/01.asw.0000421459.83654.ac.

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5

Sibbald, R. Gary, Elizabeth A. Ayello, Afsaneh Alavi, et al. "Screening for the High-Risk Diabetic Foot." Advances in Skin & Wound Care 25, no. 10 (2012): 465–76. http://dx.doi.org/10.1097/01.asw.0000421460.21773.7b.

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6

Zhang, Miaomiao, Ye'e Kang, Xiaoling Wang, Lijuan Li, and Peiying Song. "Evidence Summary on Foot Management for High Risk Diabetic Foot Patients." Advanced Journal of Nursing 5, no. 4 (2025): 104. https://doi.org/10.32629/ajn.v5i4.3239.

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Objective: To retrieve, appraise and summarize evidence for high risk diabetic foot patients. Methods: The computer system searched CNKI, JBI database, Australian Diabetic Foot Network (ADFN), IWGDF, NICE, PubMed and other databases for all the evidence on foot management in patients with high-risk foot diabetic. Results: Finally, 12 articles were screened, including 5 evidence summaries, 4 clinical practice guidelines, 2 expert consensuses, and 1 systematic review. Sixteen pieces of best evidence were summarized in five aspects: risk assessment, screening, prevention, glycemic control, and fo

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Dr., Shereen Ahmed Qalawa, and Nahed Abdelazem Abdelslam Dr. "Suggested Preventive Guidelines for Diabetic Foots among High Risk Patients in Port Said City." International Journal of Trend in Scientific Research and Development 1, no. 6 (2017): 163–75. https://doi.org/10.31142/ijtsrd2487.

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Diabetic foot is one of the most incapacitating chronic complications resulting from poor disease management. It has a social and economic impact on families, health system, and society as a whole in both developing and developed countries. Aim The present study was carried to Suggested guidelines for preventive measures of diabetic foots among diabetic patients Subject and Methods A descriptive exploratory research study was carried out on convenience sampling of 200 diabetic patients from the govermental hospitals and Health Care centers in port Said city were included in this study during s

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8

Ledoux, William R., Jane B. Shofer, Douglas G. Smith, et al. "Relationship between foot type, foot deformity, and ulcer occurrence in the high-risk diabetic foot." Journal of Rehabilitation Research and Development 42, no. 5 (2005): 665. http://dx.doi.org/10.1682/jrrd.2004.11.0144.

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9

Li, Gaoqiang, Qian Lu, Bing Wen, Huijuan Li, Jin Liu, and Yanming Ding. "Analysis of the incidence and influencing factors of high-risk foot in elderly patients with type 2 diabetes in a community in Beijing." PLOS ONE 20, no. 3 (2025): e0313794. https://doi.org/10.1371/journal.pone.0313794.

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Background Diabetic foot is one of the important causes of disability and death in diabetic patients, and effective measures can reduce or prevent the occurrence of diabetic foot, among which, the screening of diabetic high-risk foot helps to identify the risk groups that may progress to diabetic foot, and targeted intervention for this group of people can effectively reduce the prevalence of diabetic foot and the incidence of adverse consequences. Objective To investigate the occurrence of high-risk foot with type 2 diabetes in elderly people in a community in Beijing and analyze its influenc

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10

Souza Júnior, Eli Ávila, Raul Silva Simões de Camargo, Tiago Soares Baumfeld, Daniel Soares Baumfeld, and Benjamin Dutra Macedo. "Diabetic foot and its serial treatment in high-risk patients: focusing on the individual." Revista da Associação Médica Brasileira 66, no. 11 (2020): 1542–47. http://dx.doi.org/10.1590/1806-9282.66.11.1542.

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SUMMARY Objectives: To assess knowledge about diabetic foot, care measures, and the importance attached to serial treatment in a group of high-risk diabetic foot patients. METHODS: This is a cross-sectional study, carried out in a tertiary hospital, with 25 patients undergoing serial treatment for diabetic foot. The tabulation of the data occurred through the use of three methodological figures: core idea, key expressions, and the collective subject discourse. RESULTS: It became evident that even among high-risk patients with diabetic foot, there is no complete knowledge about the definition o

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11

Rose, Jessica F., Nicholas Giovinco, Joseph L. Mills, Bijan Najafi, Jennifer Pappalardo, and David G. Armstrong. "Split-thickness skin grafting the high-risk diabetic foot." Journal of Vascular Surgery 59, no. 6 (2014): 1657–63. http://dx.doi.org/10.1016/j.jvs.2013.12.046.

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12

Palialexi, L., A. Makris, A. Tsirogianni, V. Zisopoulou, and Th Mania. "Ankle block for foot surgery in high-risk patients." Regional Anesthesia and Pain Medicine 32, Suppl. 1 (2007): 121. http://dx.doi.org/10.1097/00115550-200709001-00233.

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13

Kaye, Robert A. "Book Review: The High Risk Foot in Diabetes Mellitus." Foot & Ankle 12, no. 2 (1991): 130. http://dx.doi.org/10.1177/107110079101200213.

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14

Armstrong, David G., Lawrence A. Lavery, Paul J. Liswood, William F. Todd, and Jeffrey A. Tredwell. "Infrared Dermal Thermometry for the High-Risk Diabetic Foot." Physical Therapy 77, no. 2 (1997): 169–75. http://dx.doi.org/10.1093/ptj/77.2.169.

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15

Hunt, D. "Foot temperature monitoring at home reduced foot complications in high risk patients with diabetes." Evidence-Based Medicine 10, no. 3 (2005): 86. http://dx.doi.org/10.1136/ebm.10.3.86.

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16

Chyun, D. "At-home foot temperature monitoring reduced foot complications in high risk patients with diabetes." Evidence-Based Nursing 8, no. 3 (2005): 80. http://dx.doi.org/10.1136/ebn.8.3.80.

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17

Reema Devi Nabajani, Wahengbam. "A Descriptive Study on the Prevalence of High Risk Foot and Self Foot Care Practices among Diabetic Individuals in Selected Hospitals of Guwahati, Assam." International Journal of Science and Research (IJSR) 12, no. 4 (2023): 1352–58. http://dx.doi.org/10.21275/mr23419234054.

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18

Srass, Hadia, J. Karim Ead, and David G. Armstrong. "Adherence and the Diabetic Foot: High Tech Meets High Touch?" Sensors 23, no. 15 (2023): 6898. http://dx.doi.org/10.3390/s23156898.

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Diabetic foot ulcers, which are a common complication of diabetes, can have a negative impact on a person’s physical and mental health, including an increased risk of depression. Patients suffering from depression are less likely to keep up with diabetic foot care, thus increasing the risk of developing ulcers. However, with the use of artificial intelligence (AI), at-home patient care has become easier, which increases adherence. To better understand how new technologies, including machine learning algorithms and wearable sensors, might improve patient adherence and outcomes, we conducted a l

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19

Mineoka, Yusuke, Michiyo Ishii, Yoshitaka Hashimoto, et al. "Nutritional Status Assessed with Objective Data Assessment Correlates with a High-Risk Foot in Patients with Type 2 Diabetes." Journal of Clinical Medicine 11, no. 5 (2022): 1314. http://dx.doi.org/10.3390/jcm11051314.

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Malnutrition and diabetes are likely to co-occur. There are few reports on the association between nutritional status and foot risk in patients with type 2 diabetes (T2D). Therefore, we aimed to investigate this relationship in this cross-sectional study. We investigated the relationships between objective data assessment (ODA), especially Controlling Nutritional Status (CONUT) score and foot risk, evaluated by the International Working Group on the Diabetic Foot (IWGDF), in consecutive patients with T2D. Patients were divided into groups 0 to 3 by IWGDF, and groups 1 to 3 were defined as high

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20

Sampathkumar, P., and S. Amudha Devi. "A study on new-born foot length measurement to identify high risk neonate." International Journal of Contemporary Pediatrics 5, no. 3 (2018): 1078. http://dx.doi.org/10.18203/2349-3291.ijcp20181546.

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Background: In India, most of the neonatal mortality is due to low birth weight and prematurity. Since the majority of deliveries were conducted at the peripheral level, logistic constraints make it difficult for early and reliable identification of low birth weight babies who require extra care. There are so many studies have been conducted to find out an alternative anthropometric measurement for birth weight and Gestational age. One such innovation is the Foot length measurement. Various studies have been conducted on foot length reliability as a proxy measurement. The aim of the present st

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21

Mahfouz, Noura, Taghreed Shakweer, and Marwa Abd-Elaziz. "Relation between knowledge, foot self-care and health status for diabetic foot high-risk patients." Mansoura Nursing Journal 8, no. 3 (2021): 203–11. http://dx.doi.org/10.21608/mnj.2021.213202.

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22

Ward, Aileen, Louise Metz, Eugene Z. Oddone, and David Edelman. "Foot Education Improves Knowledge and Satisfaction Among Patients at High Risk for Diabetic Foot Ulcer." Diabetes Educator 25, no. 4 (1999): 560–67. http://dx.doi.org/10.1177/014572179902500408.

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23

Veves, A., H. J. Murray, M. J. Young, and A. J. M. Boulton. "The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study." Diabetologia 35, no. 7 (1992): 660–63. http://dx.doi.org/10.1007/bf00400259.

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24

Lavery, L. A., N. A. Hunt, J. LaFontaine, C. L. Baxter, A. Ndip, and A. J. M. Boulton. "Diabetic Foot Prevention: A neglected opportunity in high-risk patients." Diabetes Care 33, no. 7 (2010): 1460–62. http://dx.doi.org/10.2337/dc10-0310.

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25

Palialexi, L., A. Makris, A. Tsirogianni, V. Zisopoulou, and Th Mania. "105. Ankle block for foot surgery in high-risk patients." Regional Anesthesia & Pain Medicine 32, Suppl 1 (2007): 121.2–121. http://dx.doi.org/10.1136/rapm-00115550-200709001-00233.

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PALIALEXI, L., A. MAKRIS, A. TSIROGIANNI, V. ZISOPOULOU, and T. MANIA. "105: Ankle block for foot surgery in high-risk patients." Regional Anesthesia and Pain Medicine 32, no. 5 (2007): 121. http://dx.doi.org/10.1016/j.rapm.2007.06.252.

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27

JI, Congying. "High risk factors of diabetic foot and related nursing interventions." Chinese Journal of Integrative Nursing 8, no. 12 (2022): 138–43. http://dx.doi.org/10.55111/j.issn2709-1961.202209038.

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28

Pinzur, Michael S., Rodney Stuck, Ronald Sage, et al. "Benchmark Analysis on Diabetics at High Risk For Lower Extremity Amputation." Foot & Ankle International 17, no. 11 (1996): 695–700. http://dx.doi.org/10.1177/107110079601701109.

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After the 1990 establishment of a multidisciplinary foot salvage clinic, 1346 diabetic patients, at high risk for the development of foot ulcers and eventual lower limb amputation, were followed for 4 years. Of the 224 high-risk patients admitted to the hospital, 74 amputations (5.5%) of all or part of a lower limb were performed. Patients undergoing amputation were younger, more severely ill, and required more frequent hospitalizations because of greater organ system involvement. They were also more likely to be institutionalized after discharge. Overall, patients with long-standing adult-ons

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29

Weinsier, Stephanie Thatcher. "Diabetic Foot Examination." Workplace Health & Safety 61, no. 3 (2013): 136. http://dx.doi.org/10.1177/216507991306100307.

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The 60-second tool (2012)© uses a cost-effective, simple, standardized approach to identifying, in a timely fashion, which individuals are at high risk for diabetic foot complications. Using this tool, occupational health nurses can screen for diabetic foot complications in varied clinical settings.

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30

McEwen, Laura N., Kelly R. Ylitalo, Michael Munson, William H. Herman, and James S. Wrobel. "Foot Complications and Mortality." Journal of the American Podiatric Medical Association 106, no. 1 (2016): 7–14. http://dx.doi.org/10.7547/14-115.

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Background: We sought to study the impact of foot complications on 10-year mortality independent of other demographic and biological risk factors in a racially and socioeconomically diverse managed-care population with access to high-quality medical care. Methods: We studied 6,992 patients with diabetes in Translating Research Into Action for Diabetes (TRIAD), a prospective observational study of diabetes care in managed care. Foot complications were assessed using administrative claims data. The National Death Index was searched for deaths across 10 years of follow-up (2000-2009). Results: Ch

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31

Yunir, Em, Canggih Dian Hidayah, Kuntjoro Harimurti, and Ida Ayu Made Kshanti. "Three Years Survival and Factor Predicting Amputation or Mortality in Patients with High Risk for Diabetic Foot Ulcer in Fatmawati General Hospital, Jakarta." Journal of Primary Care & Community Health 13 (January 2022): 215013192110637. http://dx.doi.org/10.1177/21501319211063707.

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Background: Diabetic foot is one of major complication in diabetes patients with unfavorable outcome. Survival study in outpatients is limited and factors related are inconsistent. Survival and its modifiable risk factors should be identified early since the foot at risk status to reduce amputation/mortality in type 2 diabetes mellitus (T2DM). Objective: The aims of this study were to investigate survival probability for amputation or mortality, compare different ulcer risk classification, and figure out the relation of status of ulcer risk, age, gender, diabetes duration, body mass index, fas

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32

Armstrong, David G., Katherine Holtz-Neiderer, Christopher Wendel, M. Jane Mohler, Heather R. Kimbriel, and Lawrence A. Lavery. "Skin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-risk Patients." American Journal of Medicine 120, no. 12 (2007): 1042–46. http://dx.doi.org/10.1016/j.amjmed.2007.06.028.

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33

Kraskovsky, F. Y. "DIABETIC FOOT: FOCUS ON REPARATIVE AGENTS." DRUGS AND RATIONAL PHARMACOTHERAPY 11, no. 2 (2024): 51–54. http://dx.doi.org/10.56356/27827259_2024_11_51.

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Patients with diabetes are at high risk of developing foot ulcers, which often become infected. Diabetic foot ulcers are a serious complication of the disease, which carries a high risk of mortality and is associated with significant financial costs. Wound management should be aimed at relieving symptoms, promoting healing, and preventing adverse outcomes, especially lower extremity amputations.

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34

Lavery, L. A., S. A. Vela, D. C. Lavery, and T. L. Quebedeaux. "Reducing Dynamic Foot Pressures in High-Risk Diabetic Subjects With Foot Ulcerations: A comparison of treatments." Diabetes Care 19, no. 8 (1996): 818–21. http://dx.doi.org/10.2337/diacare.19.8.818.

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35

Gopal Singh and Amit Agarwal. "To evaluate the role of microvascular procedure in diabetic foot using diabetic foot score." Asian Journal of Medical Sciences 16, no. 4 (2025): 146–53. https://doi.org/10.71152/ajms.v16i4.4432.

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Background: Diabetic foot ulcers (DFUs) pose significant medical and socioeconomic challenges, being a leading cause of non-traumatic lower-limb amputations. Microvascular reconstructive procedures have emerged as vital interventions for limb salvage, but their role in achieving optimal outcomes in DFU management remains underexplored, particularly in northern India. Aims and Objectives: This study aimed to evaluate the efficacy of microvascular procedures in DFU management using a diabetic foot scoring system. Objectives included protocol development for surgical management, standardizing pra

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36

Lim, Krizia Marie, Denise Joy Lopez, Carmela Veronica Bautista, and Oliver Allan Dampil. "THE PROFILE AND ASSOCIATED RISK FACTORS OF DIABETIC FOOT DISEASE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS SEEN AT PRIVATE SPECIALTY CLINICS AT ST. LUKE’S MEDICAL CENTER." Journal of the ASEAN Federation of Endocrine Societies 38, S3 (2023): 19. https://doi.org/10.15605/jafes.038.afes.19.

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INTRODUCTIONDiabetic foot disease is a debilitating complication of diabetes mellitus and is a major source of morbidity, mortality,and reduced quality of life. Determining the risk factors for diabetic foot ulcers is important to prevent the devastatingconsequences among patients with diabetes. This study aims to determine the profile and associated risk factors of diabeticfoot disease among patients diagnosed with type 2 diabetes mellitus being seen in private specialty clinics. METHODOLOGYA single-center, analytical cross-sectional study was conducted at St. Luke’s Medical Center, Quezon Ci

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37

Nduati, James Ngoyo, Samwel Maina Gatimu, and Yeri Kombe. "Diabetic Foot Risk Assessment among Patients with Type 2 Diabetes in Kenya." East African Health Research Journal 6, no. 2 (2022): 196–202. http://dx.doi.org/10.24248/eahrj.v6i2.698.

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Background: Screening for diabetic foot complications is often neglected, especially during routine and/or annual diabetes check-ups. We assessed the risk of diabetic foot complications among patients with type 2 diabetes in Kenya using the International Working Group on Diabetic Foot risk stratification guidelines to highlight the need for improved foot care. Methods: We conducted a descriptive cross-sectional study in Mathari National Teaching and Referral Hospital in Kenya between July and October 2015. Seven hundred patients with type 2 diabetes were identified and 147 were systematically

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38

Ameersing, Luximon, Ganesan Balasankar, and Younus Abida. "Diabetic Foot and Footwear." Research Journal of Textile and Apparel 19, no. 1 (2015): 1–10. http://dx.doi.org/10.1108/rjta-19-01-2015-b001.

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Diabetes mellitus is one of the most common diseases around the world, and mainly affects the foot among the human body parts. The main causes of the diabetic foot are neuropathy, peripheral arterial disease and foot deformities; it leads to foot ulceration. Generally, sensory loss, high plantar pressure, foot deformities, inappropriate footwear, blindness, and age are the causing risk factors for developing foot ulceration in diabetic patients. Foot ulceration will result in prolonged hospitalization, high medical expenses, and serious complications with lower extremity amputation. For a long

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39

Rasool, Muhammad Imtiaz, Hunza binte Ather, Fakiha Wahla, Madeeha Maqbool, and Majid Khushi. "A STUDY OF RISK FACTORS IN DIABETIC FOOT ULCER IN A TERTIARY CARE HOSPITAL AND STRATEGYOF PREVENTION." Journal of Akhtar Saeed Medical & Dental College 01, no. 01 (2021): 24–28. https://doi.org/10.51127/jamdcv01i01oa05.

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Objective: To identify common risk factorsin diabetic patients who presented with foot ulceration and present a programme for their prevention.Methodology: This is a hospital based descriptive study. This study was conducted in the department of surgery Unit –I from Jan, 2015 to July, 2017 at Akhtar Saeed Trust Hospital Lahore 150 consecutive patients with a diabetic foot ulcer (DFU) were included in the study. Various risk factors such as age; gender; peripheral arterial disease; peripheral neuropathy; duration, control and type of diabetes; smoking and education about foot care were noted.Du

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40

Diab, Jason, Miranda Pye, Christine Parker, Justine O'Hara, Peter KM Maitz, and Andrea C. Issler-Fisher. "Management of foot burns with an emphasis on high-risk groups." Australian Journal of General Practice 50, no. 9 (2021): 641–46. http://dx.doi.org/10.31128/ajgp-07-20-5508.

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41

Imhof, L., and A. Keller-Senn. "NURSING INTERVENTION FOR ELDERLY HIGH-RISK PATIENTS WITH DIABETIC FOOT ULCERATION." Innovation in Aging 1, suppl_1 (2017): 320. http://dx.doi.org/10.1093/geroni/igx004.1182.

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42

Fisherman, Rebeca, Dora Fox, Susana Gandini, Virginia Visco, Ricardo Serra, and Carlos Markmann. "Diabetic foot and high risk of lower limb amputation: Screening protocol." Diabetes Research and Clinical Practice 50 (September 2000): 276. http://dx.doi.org/10.1016/s0168-8227(00)80940-7.

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43

Leymarie, F., JL Richard, and D. Malgrange. "Factors associated with diabetic patients at high risk for foot ulceration." Diabetes & Metabolism 31, no. 6 (2005): 603–5. http://dx.doi.org/10.1016/s1262-3636(07)70238-0.

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44

Kohler Brown, Carolyn, Celestine Kejeh, Christel Limnyuy, et al. "Assessing the Knowledge of Patients With Diabetes About Foot Care and Prevention of Foot Complications in Cameroon, West Africa." Wounds: a compendium of clinical research and practice 37, no. 2 (2025): 51–55. https://doi.org/10.25270/wnds/24160.

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Background. As the incidence of diabetes continues to rise throughout the world, including Africa, diabetic foot complications are a significant factor in morbidity, hospital length of stay, and health care costs. An emphasis on prevention through patient education may reverse this trend. Objective. To survey patients with diabetes in Cameroon, West Africa, to assess their knowledge about foot care and prevention of complications, with the goal of improving diabetic foot education across a hospital system. Methods. The sample included 130 patients with diabetes at 2 hospitals within the Camero

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45

Dòria, Montserrat, Verónica Rosado, Linda Roxana Pacheco, et al. "Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain." BioMed Research International 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/7217586.

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Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain.Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examination, we explored the presence of cardiovascular risk factors, late diabetes complications, including peripheral neuropathy, atherosclerotic disease, and peripheral artery disease. We assessed risk factors for foot ulceration and amputation by logistic regression.Results. Prevalent diabetic foot was fou

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46

Kalker, Alan J., John D. Pirsch, Dennis Heisey, et al. "Foot problems in the diabetic transplant recipient." Clinical Transplantation 10, no. 6pt1 (1996): 503–10. http://dx.doi.org/10.1111/j.1399-0012.1996.tb00736.x.

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AbstractDiabetic transplant recipients are at a high risk for foot pathology leading to amputation. This retrospective study from 1/85 to 2/92 examines the risk of foot complications in a population (n=340) of diabetic renal and combined renal/pancreas transplant recipients. All groups suffered high lower extremity amputation and foot fracture rates. Patients with better circulation and protective sensation intact fared better. Smoking had a profoundly negative effect on the amputation rate as did an amputation prior to the transplant. Patients with pretransplant dialysis were at a higher risk

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47

Allen, Latricia, Anjali Khakharia, Lawrence Phillips, et al. "Annual Foot Exams and Incident Amputation." Innovation in Aging 4, Supplement_1 (2020): 224. http://dx.doi.org/10.1093/geroni/igaa057.723.

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Abstract Diabetes-related lower extremity amputations (LEA) are high cost and high prevalence. Individuals with complications such as neuropathy, foot deformity, history of diabetic foot ulcer or LEA increased morbidity and mortality.1 Current national recommend a foot exam for individuals with diabetes annually or more often depending on risk for LEA.2, The purpose of this pilot study was to examine the relationship between annual foot exams and incident lower extremity amputation in a large Veteran cohort. We conducted a secondary analysis of a national VA Diabetes administrative dataset reg

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48

Monami, Matteo, Stefania Zannoni, Marianna Gaias, Besmir Nreu, Niccolò Marchionni, and Edoardo Mannucci. "Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial." International Journal of Endocrinology 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/615680.

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Background. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the study is to assess the feasibility and efficacy of a brief educational program for the prevention of diabetic foot ulcers in high-risk patients.Methods. The study was performed on type 2 diabetic patients, randomized in a 1 : 1 ratio either to intervention or to control group. The principal endpoint wa

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49

Harwell, Todd S., Steven D. Helgerson, Dorothy Gohdes, Michael J. McInerney, Louise P. Roumagoux, and Jane G. Smilie. "Foot Care Practices, Services and Perceptions of Risk among Medicare Beneficiaries with Diabetes at High and Low Risk for Future Foot Complications." Foot & Ankle International 22, no. 9 (2001): 734–38. http://dx.doi.org/10.1177/107110070102200909.

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50

Li, Meilan, Tongping Gu, Jie Ji, and Lifeng Ma. "Application of the External Treatment Method of Traditional Chinese Medicine in the Elderly Diabetic High-Risk Foot Based on the Theory of “Preventive Treatment of Disease”." Journal of Clinical and Nursing Research 9, no. 5 (2025): 47–59. https://doi.org/10.26689/jcnr.v9i5.10668.

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Diabetic foot (DF) has emerged as one of the most common chronic consequences of diabetes mellitus, characterized by prolonged disease duration, high treatment costs, a poor prognosis, and a high disability rate. Diabetic high-risk foot is the early stage of diabetic foot, the “disease prevention” of “treating no disease”, which provides a critical window for clinical prevention and treatment. Traditional Chinese medicine (TCM) has emphasized the importance of preventive health care since ancient times. External therapies such as acupuncture, massage, acupoint injection, foot bath fumigation,

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