Bonus – Data-Driven Footwear Prescription: Structuring Patient Factors for Real-World Application in Diabetic Foot Care
This session is open to everyone. Participate in this 3-part project over the next few days and gain extra CPD points.
Background:
This study aimed to create a standardized list of attributes for prescribing offloading footwear for individuals with diabetes-related foot ulcers (DFUs). Current guidelines lack structured variables to support systematic data collection and decision-making, despite the importance of patient-specific factors such as clinical condition, activity level, and lifestyle.
Methods:
A scoping review of 81 studies (2014–2025; 5,001 participants) identified both clinical and adherence-related factors influencing prescription. Ninety unique decision factors were categorized using the WHO’s five Dimensions of Adherence. Of these, 48 were input variables and 42 output variables. Only 16 aligned with HL7 FHIR standards; 74 required custom extensions, reflecting a lack of standardization.
Conclusions:
The resulting framework offers a foundation for standardized, interoperable, AI-ready datasets in DFU footwear prescription. Expert review and real-world validation are now needed to ensure clinical relevance, feasibility, and effective application in practice.
Dr Sayed Ahmed
Dr Sayed Ahmed
Clinical Researcher and Pedorthist ||
Foot Balance Technology
Dr Sayed Ahmed is a foot healthcare professional, entrepreneur, researcher and accomplished leader in Pedorthics and medical device innovation. He became the first PhD in Pedorthics in Australia. He completed his PhD from Southern Cross University, focusing on diabetic foot care and personalised footwear prescriptions.
Dr. Ahmed began his career with a B.Sc. Engineering & Tech. in Footwear from the University of Dhaka, and later earned an MBA in Management Information Systems. His professional journey includes significant roles as founder and CEO of Foot Balance Technology and OrthoGenix, where he developed innovative solutions for foot health challenges, particularly for individuals with diabetes. His innovation focuses on enhancing the patient experience through the use of 3D and digital technologies, including scanning, CAD design, additive manufacturing, and AI integration for decision-making and process improvement in clinical practice.
Dr. Ahmed has secured and managed notable grants, including the "National Industry PhD Program," which focuses on AI-powered clinical decision support systems (CDSS) and has collaborated extensively with Australian universities. His research, widely published, encompasses topics such as footwear design for diabetic foot ulcers and AI-driven medical device prescriptions. Dr. Ahmed is dedicated to advancing foot health through interdisciplinary collaboration, mentorship, and innovative research
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