Systematic Reviews
Copyright ©The Author(s) 2022.
World J Methodol. Jul 20, 2022; 12(4): 285-292
Published online Jul 20, 2022. doi: 10.5662/wjm.v12.i4.285
Table 1 Characteristics of the included studies
Study type
Objective of the study
Sample size
Key outcomes
Rastogi et al[13]India, United KingdomObservational cohortVirtual monitoring of DF complications during COVID-191199Virtual healthcare has similar ulcer/limb outcomes as face-to-face care
Shankhdhar et al[16]IndiaCase reportDF amputation prevention via telemedicine1Complete healing was achieved in 4 wk
Rasmussen et al[19]Randomized controlled trialComparison between outpatient vs telemedical monitoring in DFU401Similar healing, amputation rates between both groups, higher mortality in telemedicine
Kilic et al[22]TurkeyRandomized prospectiveDeveloping and evaluating a mobile foot care application for persons with DM88Both groups increased knowledge (test group significantly more so), behavior, and self-efficacy
Téot et al[14]FranceRandomized Control TrialComplex Wound Healing Outcomes for Outpatients Receiving Care via Telemedicine, Home Health, or Wound Clinic173Healing time marginally faster for in-person patients. Mortality comparable
Iacopi et al[23]ItalySurveyA survey on patients' perception of a telemedicine service for DF206Patients thought telemonitoring to be useful during and after the pandemic. Pts with complications worry more about DF than COVID-19
Kavitha et al[17]IndiaCase ReportsApplication of tele-podiatry in diabetic foot management3Telemedicine effective in low-risk cases of DFU and for referral of higher-risk. Also effective for follow up
Ratliff et al[18]United StatesCase ReportsTelehealth for Wound Management During the COVID-19 Pandemic 2 Improved healing outcomes with implemented telemedicine
Meloni et al[15]ItalyCohort Management of DFU during COVID-19: Effectiveness of a new triage pathway151 Effective telemedical care with negated hospital transmission
Fasterholdt et al[24]DenmarkRandomized Control TrialCost-effectiveness of telemonitoring of diabetic foot ulcer patients374Telemedicine cost is €2039 less per patient treated vs standard care; not statistically significant. Amputation rates were similar
Smith-Strøm et al[21]NorwayCluster Randomized Control TrialEffect of Telemedicine Follow-up Care on Diabetes-Related Foot Ulcers182No significant difference in healing time, deaths, number of consultations, or patient satisfaction between standard care vs telemedicine. TM group had significantly fewer amputations
van Netten et al[20]AustraliaCohortThe validity and reliability of remote diabetic foot ulcer assessment using mobile phone images50Mobile phone images should not be used as a stand-alone diagnostic instrument for remote assessment of diabetic foot ulcers due to low reliability