Hyperbaric oxygen therapy for diabetic foot: an overview of systematic reviews_Chinese Journal of Evidence-Based Medicine

Authors：

DAI Xinyue , ZHANG Wantong , LIU Yanfei ,  GAO Rui

Xiyuan Hospital CACMS, Beijing 100091, P.R.China;

Corresponding author：

GAO Rui, Email: ruigao@126.com

Keywords：

Diabetic foot; Hyperbaric oxygen; Overview of systematic reviews; AMSTAR 2; PRISMA

DOI：

10.7507/1672-2531.201912090

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To overview the systematic reviews on efficacy and safety of hyperbaric oxygen in treatment of diabetic foot.Methods CNKI, CBM, VIP, WanFang Data, The Cochrane Library, PubMed and EMbase databases were searched to collect systematic reviews or meta-analyses on the efficacy and safety of hyperbaric oxygen therapy for diabetic foot from inception to November 17^th, 2019. Two researchers independently screened literature and extracted data. Then, AMSTAR 2 tool and PRISMA statement were used to evaluate the methodological quality and reporting quality of included systematic reviews, and the outcome indicators were comprehensively analyzed.Results A total of 10 systematic reviews were included. The results of AMSTAR 2 suggested that 6 systematic reviews were of extremely low quality, 3 of low quality, and 1 of high quality. The PRISMA score ranged from 16.5 to 27. The results of the included systematic reviews showed that hyperbaric oxygen therapy might be superior to other interventions in ulcer healing rate and large amputation rate without increasing the risk of adverse events. Conclusions The existing systematic reviews/meta-analysis evidence shows that hyperbaric oxygen therapy may have certain curative effect on diabetic foot, however, its methodology and report quality evaluation are insufficient.

Citation： DAI Xinyue, ZHANG Wantong, LIU Yanfei, GAO Rui. Hyperbaric oxygen therapy for diabetic foot: an overview of systematic reviews. Chinese Journal of Evidence-Based Medicine, 2020, 20(7): 809-816. doi: 10.7507/1672-2531.201912090 Copy

1.	Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2.	Ibrahim A. IDF clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3.	Wanger Jr WJ. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅱ). 中华糖尿病杂志, 2019, 11(3): 161-189.
5.	Liu ZJ, Velazquez OC. Hyperoxia, endothelial progenitor cell mobilization, and diabetic wound healing. Antioxid Redox Signal, 2008, 10(11): 1869-1882.
6.	Rodriguez PG, Felix FN, Woodley DT, et al. The role of oxygen in wound healing: a review of the literature. Dermatol Surg, 2008, 34(9): 1159-1169.
7.	高春锦, 杨捷云, 翟晓辉, 主编. 高压氧医学基础与临床(第 1 版). 北京: 人民卫生出版社, 2008: 105-109.
8.	Fedorko L, Bowen JM, Jones W, et al. Hyperbaric oxygen therapy does not reduce indications for amputation in patients with diabetes with nonhealing ulcers of the lower limb: a prospective, double-blind, randomized controlled clinical trial. Diabetes Care, 2016, 39(3): 392-399.
9.	中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
10.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11.	何继东, 伍晓华, 刘莉, 等. 高压氧辅助治疗糖尿病足溃疡的系统评价. 中国循证医学杂志, 2014, 14(12): 1476-1481.
12.	黄荣曦, 杨刚毅, 李伶, 等. 高压氧辅助治疗糖尿病足溃疡有效性及安全性的 Meta 分析. 中国糖尿病杂志, 2013, 21(12): 1081-1087.
13.	李亚范, 龚艺贞, 庞进军, 等. 高压氧治疗糖尿病足溃疡临床疗效及安全性的 Meta 分析. 中国全科医学, 2013, 16(20): 2369-2373.
14.	王丽静, 唐琳, 王培嵩, 等. 我国高压氧联合药物治疗糖尿病足的 Meta 分析. 中华航海医学与高气压医学杂志, 2019, 26(3): 244-246.
15.	Zhao D, Luo S, Xu W, et al. Efficacy and safety of hyperbaric oxygen therapy used in patients with diabetic foot: a meta-analysis of randomized clinical trials. Clin Ther, 2017, 39(10): 2088-2094.
16.	Liu R, Li L, Yang M, et al. Systematic review of the effectiveness of hyperbaric oxygenation therapy in the management of chronic diabetic foot ulcers. Mayo Clin Proc, 2013, 88(2): 166-175.
17.	Lalieu RC, Brouwer RJ, Ubbink DT, et al. Hyperbaric oxygen therapy for nonischemic diabetic ulcers: a systematic review. Wound Repair Regen, 2020, 28(2): 266-275.
18.	O'Reilly D, Pasricha A, Campbell K, et al. Hyperbaric oxygen therapy for diabetic ulcers: systematic review and meta-analysis. Int J Technol Assess Health Care, 2013, 29(3): 269-281.
19.	Stoekenbroek RM, Santema TB, Legemate DA, et al. Hyperbaric oxygen for the treatment of diabetic foot ulcers: a systematic review. Eur J Vasc Endovasc Surg, 2014, 47(6): 647-655.
20.	Golledge J, Singh TP. Systematic review and meta-analysis of clinical trials examining the effect of hyperbaric oxygen therapy in people with diabetes-related lower limb ulcers. Diabet Med, 2019, 36(7): 813-826.
21.	陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具 AMSTAR2 解读. 中国循证医学杂志, 2018, 18(1): 101-108.
22.	David M, Alessandro L, Jennifer T, et al. 系统综述和荟萃分析优先报告的条目: PRISMA声明. 中西医结合学报, 2009, 7(9): 889-896.
23.	Bakker K, Apelqvist J, Schaper NC, et al. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev, 2012, 28 Suppl 1: 225-231.
24.	王莉华, 李彦, 罗涌. 糖尿病足高压氧治疗的研究进展. 中国糖尿病杂志, 2018, 26(9): 790-792.
25.	蒋丽艳, 周苏键, 刘文玉. 高压氧对糖尿病足溃疡患者创面愈合、生活质量及负性情绪的影响. 临床与病理杂志, 2018, 38(1): 108-113.
26.	Erdoğan A, Düzgün AP, Erdoğan K, et al. Efficacy of hyperbaric oxygen therapy in diabetic foot ulcers based on wagner classification. J Foot Ankle Surg, 2018, 57(6): 1115-1119.
27.	Brouwer RJ, Lalieu RC, Hoencamp R, et al. The need for differentiation between ischaemic and non-ischaemic diabetic foot ulcers when treating with hyperbaric oxygen therapy. Diabet Med, 2020, 37(2): 370-371.

1. Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China. Wound Repair Regen, 2015, 23(2): 222-230.
2. Ibrahim A. IDF clinical practice recommendation on the diabetic foot: a guide for healthcare professionals. Diabetes Res Clin Pract, 2017, 127: 285-287.
3. Wanger Jr WJ. The diabetic food. Orthopedics, 1987, 10(1): 163-172.
4. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅱ). 中华糖尿病杂志, 2019, 11(3): 161-189.
5. Liu ZJ, Velazquez OC. Hyperoxia, endothelial progenitor cell mobilization, and diabetic wound healing. Antioxid Redox Signal, 2008, 10(11): 1869-1882.
6. Rodriguez PG, Felix FN, Woodley DT, et al. The role of oxygen in wound healing: a review of the literature. Dermatol Surg, 2008, 34(9): 1159-1169.
7. 高春锦, 杨捷云, 翟晓辉, 主编. 高压氧医学基础与临床(第 1 版). 北京: 人民卫生出版社, 2008: 105-109.
8. Fedorko L, Bowen JM, Jones W, et al. Hyperbaric oxygen therapy does not reduce indications for amputation in patients with diabetes with nonhealing ulcers of the lower limb: a prospective, double-blind, randomized controlled clinical trial. Diabetes Care, 2016, 39(3): 392-399.
9. 中华医学会糖尿病学分会, 中华医学会感染病学分会, 中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅰ). 中华糖尿病杂志, 2019, 11(2): 92-108.
10. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11. 何继东, 伍晓华, 刘莉, 等. 高压氧辅助治疗糖尿病足溃疡的系统评价. 中国循证医学杂志, 2014, 14(12): 1476-1481.
12. 黄荣曦, 杨刚毅, 李伶, 等. 高压氧辅助治疗糖尿病足溃疡有效性及安全性的 Meta 分析. 中国糖尿病杂志, 2013, 21(12): 1081-1087.
13. 李亚范, 龚艺贞, 庞进军, 等. 高压氧治疗糖尿病足溃疡临床疗效及安全性的 Meta 分析. 中国全科医学, 2013, 16(20): 2369-2373.
14. 王丽静, 唐琳, 王培嵩, 等. 我国高压氧联合药物治疗糖尿病足的 Meta 分析. 中华航海医学与高气压医学杂志, 2019, 26(3): 244-246.
15. Zhao D, Luo S, Xu W, et al. Efficacy and safety of hyperbaric oxygen therapy used in patients with diabetic foot: a meta-analysis of randomized clinical trials. Clin Ther, 2017, 39(10): 2088-2094.
16. Liu R, Li L, Yang M, et al. Systematic review of the effectiveness of hyperbaric oxygenation therapy in the management of chronic diabetic foot ulcers. Mayo Clin Proc, 2013, 88(2): 166-175.
17. Lalieu RC, Brouwer RJ, Ubbink DT, et al. Hyperbaric oxygen therapy for nonischemic diabetic ulcers: a systematic review. Wound Repair Regen, 2020, 28(2): 266-275.
18. O'Reilly D, Pasricha A, Campbell K, et al. Hyperbaric oxygen therapy for diabetic ulcers: systematic review and meta-analysis. Int J Technol Assess Health Care, 2013, 29(3): 269-281.
19. Stoekenbroek RM, Santema TB, Legemate DA, et al. Hyperbaric oxygen for the treatment of diabetic foot ulcers: a systematic review. Eur J Vasc Endovasc Surg, 2014, 47(6): 647-655.
20. Golledge J, Singh TP. Systematic review and meta-analysis of clinical trials examining the effect of hyperbaric oxygen therapy in people with diabetes-related lower limb ulcers. Diabet Med, 2019, 36(7): 813-826.
21. 陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具 AMSTAR2 解读. 中国循证医学杂志, 2018, 18(1): 101-108.
22. David M, Alessandro L, Jennifer T, et al. 系统综述和荟萃分析优先报告的条目: PRISMA声明. 中西医结合学报, 2009, 7(9): 889-896.
23. Bakker K, Apelqvist J, Schaper NC, et al. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev, 2012, 28 Suppl 1: 225-231.
24. 王莉华, 李彦, 罗涌. 糖尿病足高压氧治疗的研究进展. 中国糖尿病杂志, 2018, 26(9): 790-792.
25. 蒋丽艳, 周苏键, 刘文玉. 高压氧对糖尿病足溃疡患者创面愈合、生活质量及负性情绪的影响. 临床与病理杂志, 2018, 38(1): 108-113.
26. Erdoğan A, Düzgün AP, Erdoğan K, et al. Efficacy of hyperbaric oxygen therapy in diabetic foot ulcers based on wagner classification. J Foot Ankle Surg, 2018, 57(6): 1115-1119.
27. Brouwer RJ, Lalieu RC, Hoencamp R, et al. The need for differentiation between ischaemic and non-ischaemic diabetic foot ulcers when treating with hyperbaric oxygen therapy. Diabet Med, 2020, 37(2): 370-371.

Chinese Journal of Evidence-Based Medicine

Hyperbaric oxygen therapy for diabetic foot: an overview of systematic reviews

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content