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：

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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.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南(2019 版)(Ⅱ). 中華糖尿病雜志, 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.	高春錦, 楊捷云, 翟曉輝, 主編. 高壓氧醫學基礎與臨床(第 1 版). 北京: 人民衛生出版社, 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.	中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南(2019 版)(Ⅰ). 中華糖尿病雜志, 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.	何繼東, 伍曉華, 劉莉, 等. 高壓氧輔助治療糖尿病足潰瘍的系統評價. 中國循證醫學雜志, 2014, 14(12): 1476-1481.
12.	黃榮曦, 楊剛毅, 李伶, 等. 高壓氧輔助治療糖尿病足潰瘍有效性及安全性的 Meta 分析. 中國糖尿病雜志, 2013, 21(12): 1081-1087.
13.	李亞范, 龔藝貞, 龐進軍, 等. 高壓氧治療糖尿病足潰瘍臨床療效及安全性的 Meta 分析. 中國全科醫學, 2013, 16(20): 2369-2373.
14.	王麗靜, 唐琳, 王培嵩, 等. 我國高壓氧聯合藥物治療糖尿病足的 Meta 分析. 中華航海醫學與高氣壓醫學雜志, 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.	陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具 AMSTAR2 解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.
22.	David M, Alessandro L, Jennifer T, et al. 系統綜述和薈萃分析優先報告的條目: PRISMA聲明. 中西醫結合學報, 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.	王莉華, 李彥, 羅涌. 糖尿病足高壓氧治療的研究進展. 中國糖尿病雜志, 2018, 26(9): 790-792.
25.	蔣麗艷, 周蘇鍵, 劉文玉. 高壓氧對糖尿病足潰瘍患者創面愈合、生活質量及負性情緒的影響. 臨床與病理雜志, 2018, 38(1): 108-113.
26.	Erdo?an A, Düzgün AP, Erdo?an 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. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南(2019 版)(Ⅱ). 中華糖尿病雜志, 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. 高春錦, 楊捷云, 翟曉輝, 主編. 高壓氧醫學基礎與臨床(第 1 版). 北京: 人民衛生出版社, 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. 中華醫學會糖尿病學分會, 中華醫學會感染病學分會, 中華醫學會組織修復與再生分會. 中國糖尿病足防治指南(2019 版)(Ⅰ). 中華糖尿病雜志, 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. 何繼東, 伍曉華, 劉莉, 等. 高壓氧輔助治療糖尿病足潰瘍的系統評價. 中國循證醫學雜志, 2014, 14(12): 1476-1481.
12. 黃榮曦, 楊剛毅, 李伶, 等. 高壓氧輔助治療糖尿病足潰瘍有效性及安全性的 Meta 分析. 中國糖尿病雜志, 2013, 21(12): 1081-1087.
13. 李亞范, 龔藝貞, 龐進軍, 等. 高壓氧治療糖尿病足潰瘍臨床療效及安全性的 Meta 分析. 中國全科醫學, 2013, 16(20): 2369-2373.
14. 王麗靜, 唐琳, 王培嵩, 等. 我國高壓氧聯合藥物治療糖尿病足的 Meta 分析. 中華航海醫學與高氣壓醫學雜志, 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. 陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具 AMSTAR2 解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.
22. David M, Alessandro L, Jennifer T, et al. 系統綜述和薈萃分析優先報告的條目: PRISMA聲明. 中西醫結合學報, 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. 王莉華, 李彥, 羅涌. 糖尿病足高壓氧治療的研究進展. 中國糖尿病雜志, 2018, 26(9): 790-792.
25. 蔣麗艷, 周蘇鍵, 劉文玉. 高壓氧對糖尿病足潰瘍患者創面愈合、生活質量及負性情緒的影響. 臨床與病理雜志, 2018, 38(1): 108-113.
26. Erdo?an A, Düzgün AP, Erdo?an 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

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