Matthew West|Vivienne Chuter|Shannon E. Munteanu|Fiona Hawke
Defining the gap: a systematic review of the difference in rates of diabetes-related foot complications in Aboriginal and Torres Strait Islander Australians and non-Indigenous Australians
La Trobe University
aboriginal torres strait islander community increased risk developing chronic illnesses including diabetes among people diabetes foot complications common make significant contribution morbidity mortality associated disease aim review systematically evaluate literature comparing rates diabetes related foot complications aboriginal torres strait islander australians nonindigenous australiansmedline embase cochrane library pubmed cinahl searched inception august 2016 inclusion criteria published crosssectional longitudinal studies reporting prevalence diabetes related foot complications cohort aboriginal torres strait islander australians cohort one australian population age diabetes risk bias assessed using strobe tooleleven studies including total 157892 participants included studies set queensland northern territory western australia primarily rural remote areas aboriginal torres strait islander australians experienced substantially diabetes related foot complications mean age 14 years younger nonindigenous australians aboriginality associated increased risk peripheral neuropathy foot ulceration amputation several studies aboriginal torres strait islander australians accounted vast majority diabetes related foot complications 91 comprising small proportion regional population reporting quality assessed strobe tool showed underreporting methods sample description potential sources bias data available australian states specific types diabetes related foot complicationsaboriginal torres strait islander australians 36 fold increased likelihood experiencing diabetes related foot complication compared nonindigenous australians evidencebased culturally appropriate screening intervention programs improved access effective health care services required prevent widening gap diabetes related foot complications aboriginal torres strait islander nonindigenous australians