{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:55:53Z","timestamp":1793105753405,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T00:00:00Z","timestamp":1576454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Supported by evidence\u2010based guidelines, custom\u2010made footwear is often prescribed to people with diabetes who are at risk for ulceration. However, these guidelines do not specify the footwear design features, despite available scientific evidence for these features. We aimed to develop a design protocol to support custom\u2010made footwear prescription for people with diabetes and peripheral neuropathy. The population of interest was people with diabetes who are at moderate\u2010to\u2010high risk of developing a foot ulcer, for whom custom\u2010made footwear (shoes and\/or insoles) can be prescribed. A group of experts from rehabilitation medicine, orthopaedic shoe technology (pedorthics) and diabetic foot research, reviewed the scientific literature and met during 12 face\u2010to\u2010face meetings to develop a footwear design algorithm and evidence\u2010based pressure\u2010relief algorithm as parts of the protocol. Consensus was reached where evidence was not available. Fourteen domains of foot pathology in combination with loss of protective sensation were specified for the footwear design algorithm and for each domain shoe\u2010specific and insole (orthosis)\u2010specific features were defined. Most insole\u2010related features and some shoe\u2010related features were evidence based, whereas most shoe\u2010related features were consensus based. The pressure\u2010relief algorithm was evidence based using recent footwear trial data and specifically targeted patients with a healed plantar foot ulcer. These footwear design and pressure\u2010relief algorithms are the first of their kind and should facilitate more uniform decision making in the prescription and manufacturing of adequate shoes for moderate\u2010to\u2010high\u2010risk patients, reducing variation in footwear provision and improving clinical outcome in the prevention of diabetic foot ulcers.<\/jats:p>","DOI":"10.1002\/dmrr.3237","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T06:55:55Z","timestamp":1576565755000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["State of the art design protocol for custom made footwear for people with diabetes and peripheral neuropathy"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8357-9163","authenticated-orcid":false,"given":"Sicco A.","family":"Bus","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, 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