Síntese de Evidências para Políticas de Saúde: Prevenção e Controle do Pé Diabético na Atenção Primária a Saúde

This is a Synthesis of Evidence whose priority problem was: prevention and control of Diabetic Foot (PD) in Primary Health Care (PHC). We used the SUPPORT tool (Supporting Policy Relevant Reviews and Trials) of the Network for Evidence-Informed Policies. The search for options occurred in February 2016 and was updated in October 2018, in the Virtual Health Library, Health Systems Evidence, PubMed and Cochane Library. The search strategy was given with the terms “diabetic foot” and “prevention”. The search resulted in 41 texts and 16 persisted after deletion of duplicates. After reading in full, 11 remained. Four options for coping with the problem were identified: a) train PHC professionals in the screening of diabetic foot risk, guidance of self-care and coordination of the care of people with diabetes mellitus; b) stimulate self-care by means of daily temperature measurement of the foot; c) identify and perform the clinical management of pre-ulcerative conditions and deformities in the feet, with referral to referral services in the care network; d) offer packages of complex interventions. The barriers to the strategies were: non-adherence of patients to self-care, overload and lack of motivation of professionals and weaknesses of the care network. PD is an important public health problem that must be prioritized on the agenda of decision makers.