Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Adoption of Iwgdf Guidance on Prevention and Management of Foot Problems in Diabetes for Local Use in Iran by Adapte Methodology: A Step Toward Best Practice Publisher



Nomali M1, 2 ; Amini MR3 ; Aalaa M4, 5 ; Sanjari M3, 6 ; Mohajeritehrani MR2 ; Adibi H6 ; Yarahmadi M2 ; Alijani N7 ; Saeidi H8 ; Molavi B9 ; Kazemi M10 ; Mansoori P11 ; Nasliesfahani E3 ; Larijani B2 Show All Authors
Authors
  1. Nomali M1, 2
  2. Amini MR3
  3. Aalaa M4, 5
  4. Sanjari M3, 6
  5. Mohajeritehrani MR2
  6. Adibi H6
  7. Yarahmadi M2
  8. Alijani N7
  9. Saeidi H8
  10. Molavi B9
  11. Kazemi M10
  12. Mansoori P11
  13. Nasliesfahani E3
  14. Larijani B2
  15. Mehrdad N12, 13, 14

Source: Journal of Diabetes and Metabolic Disorders Published:2023


Abstract

Purpose: Adoption of international working group on the diabetic foot (IWGDF) guidance on prevention and management of foot problems in patients with diabetes was the study aim. Methods: The ADAPTE process consisted of three main phases of set-up, adoption, and finalization with overall 24 steps was used. In set- up phase, organizing committee by a multidisciplinary approach was established. In adoption phase, comprehensive search in databases and guideline resources was done. According to the inclusion criteria, the 2015IWGDF guidance was selected for adoption process. Quality, currency, content and consistency of the guidance were assessed. Also, consensus on different level of agreement for each recommendation were reported. On finalization phase, the adopted version was reviewed by the guidance developer and the final guidance for local use in Iran was disseminated. Results: The 2015 IWGDF guidance with 77 recommendations was adopted after screening of 1760 documents retrieved from Jan. 2006 to Nov. 2016. An organizing committee was established according to a multidisciplinary approach including 73 members with endocrinology, orthopedic & vascular surgery, dermatology, infectious diseases, physical medicine and rehabilitation specialties, general practitioners and nurses. This guidance obtained a good quality in all six domains of AGREE II instrument (Score ≥ 80%), good currency, content, and consistency. Also, during the third round of Delphi, the consensus on the agreement level of each recommendation were greater than 80% and 77 recommendations of the original guidance were kept in the adopted version. Conclusion: The 2015 IWGDF guidance with 77 recommendations adopted for local use in different health care settings of Iran. © 2022, The Author(s), under exclusive licence to Tehran University of Medical Sciences.
Other Related Docs
8. A Multidisciplinary Team Approach in Iranian Diabetic Foot Research Group, Journal of Diabetes and Metabolic Disorders (2019)
11. Iran Diabetes Research Roadmap (Idrr): The Study Protocol, Journal of Diabetes and Metabolic Disorders (2016)
12. Diabetic Foot Workshop: A Strategy for Improving the Knowledge of Diabetic Foot Care Providers, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2022)
14. Diabetic Foot Workshop: Improving Technical and Educational Skills for Nurses, Medical Journal of the Islamic Republic of Iran (2017)
20. Epidemiological Insights Into Diabetic Foot Amputation and Its Correlates: A Provincial Study, Clinical Medicine Insights: Endocrinology and Diabetes (2024)