Diabetes foot complication: assessing primary and secondary outcomes of multidisciplinary team versus standard care (a systematic review)

About 15 % of all diabetes patients experience foot complication at some stage in their life. The goal of this review is to systematically assess on effectiveness of multidisciplinary teamwork compared to the standard care in risk reduction of diabetes-related foot complications with a primary and secondary outcome. Literatures of only English language were analyzed under strict inclusion criteria from electronic databases search. Result from overall pooled estimate up to 0.65 % reduction, with 95 % CI (p < 0. 005) in foot ulceration and amputation using a multidisciplinary team care as a tool compared to the standard care in primary outcome. Evidence also supports program benefits in overall cost (0.6 % reduction, p < 0.005), rate of hospitalization (80 % dropped, p < 0.003), and patient quality of life as secondary outcomes. Study’s characteristic differed substantially in term of health care setting, nature of interventions, and outcomes measured reported. Evidently, multidisciplinary team efforts from specialists in diabetes, vascular and infectious disease, along with podiatry expertise and patient educators result in a significant reduction in diabetes-related foot complications compared to the standard care.