Plain English Summary
Background and study aims
Diabetes is a long-term health condition in which a person struggles to control their blood sugar. People with diabetes sometimes have problems with their feet which become serious and this makes getting around harder and life less enjoyable. It might be possible to avoid foot problems by having regular foot checks by doctors, podiatrists or nurses but at the moment it is not clear how useful this is or often it needs to be done. People who learn they might go on to have foot problems expect to be given treatment to stop the problem happening in the first place. But unfortunately the best way to avoid foot problems is not known and more research is needed. But before a large, expensive study called a clinical trial can be done there is a need to study the different ways people with diabetes can have foot care from the NHS. This study will look at how often people with diabetes should have their feet examined by NHS staff, what are the best things for patients and NHS staff to do to stop foot problems from happening, and whether a large clinical trial likely to produce information that is good value for money.
Who can participate?
Diabetic adults who can walk and don’t have foot ulcers
What does the study involve?
Routine health information and notes about any foot treatment are collected using electronic patient records. Patients are not required to attend any appointments. The information is then used to work out how often people with diabetes have their feet examined by NHS staff, what the best things for patients and NHS staff to do to stop foot problems from happening are and whether a study looking at this is likely to produce information that is good value for money.
What are the possible benefits and risks of participating?
There are no benefits or risks involved with participating.
Where is the study run from?
Perth Royal Infirmary (UK)
When is the study starting and how long is it expected to run for?
January 2016 to January 2019
Who is funding the study?
National Institute for Health Research, Health Technology Assessment Programme (UK)
Who is the main contact?
Dr Fay Crawford
Dr Fay Crawford
Research & Development department
Queen Margaret Hospital
+44 7985 009375
An evidence-based evaluation of the clinical and cost effectiveness of foot ulcer risk assessment and structured care interventions for people with diabetes
The aim of this study is to quantify the predictive value of clinical risk factors for foot ulceration in people with diabetes who are managed in community settings.
Scotland A Research Ethics Committee, 20/12/2016, ref: 16/SS/0213
Observational longitudinal cohort study
Primary study design
Secondary study design
Patient information sheet
Foot ulceration in diabetes
Participants of this study are from a previous (unregistered) cohort study, available via https://www.ncbi.nlm.nih.gov/pubmed/21186178. This involved among all 3969 patients who were registered with the podiatry service of NHS Tayside, Scotland, UK, 1270 consecutive eligible patients with a diagnosis of DM were first made aware of the study by letter before being invited to participate in the study by a follow-up telephone call and were offered an appointment at a podiatry clinic (based within a primary care medical centre), nearest to their home.
This study is a long term follow up of these patients to ascertain the incidence of foot ulceration after 10 years:
Routinely collected health data and the podiatry notes of participants from the 2011 cohort study who previously gave consent to have the presence of (present/absent) foot ulceration as observed by a health care professional are reviewed using electronic patient records. Patients are not required to attend any appointments.
Primary outcome measures
Foot ulceration is measured using routinely collected data and patient podiatry notes.
Secondary outcome measures
No secondary outcome measures
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Age 18 years or over
2. Diagnosis of diabetes mellitus
4. Free of foot ulceration
5. Able to give written informed consent
6. Having participating in previous cohort study (The risk of foot ulceration in people with diabetes screenedin community settings: findings from a cohort study), available to view via https://www.ncbi.nlm.nih.gov/pubmed/21186178
Target number of participants
n = 1192
Participant exclusion criteria
1. Unable to give informed consent
2. Non ambulant
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Perth Royal Infirmary
+44 1383 623623
National Institute for Health Research, Health Technology Assessment Programme
NIHR Health Technology Assessment Programme, HTA
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication of this long term follow-up study in a peer reviewed journal.
IPD Sharing plan:
The data will be held at the University of Edinburgh (UoE data protection registration number Z6426984),or in a SafeHaven facility.
Intention to publish date
Participant level data
Stored in repository
Results - basic reporting