A health needs assessment of adults with diabetic foot disease in the US

Shi, Hanxu

doi:10.1016/j.dsx.2019.05.008

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…DM is a common endocrine‐metabolic disease, experiencing a rapid rise in prevalence due to lifestyle changes and accelerated aging processes 33,34 . Among the various complications of DM, DFU are both common and severe, with an incidence rate as high as 25% 35 . Conventional treatment methods for DFU primarily focus on blood sugar control, wound debridement, and anti‐infection therapy, 36 yet some scholars argue that these standard treatments alone are not sufficiently effective in promoting DFU healing 37,38 .…”

Section: Discussionmentioning

confidence: 99%

“… 33 , 34 Among the various complications of DM, DFU are both common and severe, with an incidence rate as high as 25%. 35 Conventional treatment methods for DFU primarily focus on blood sugar control, wound debridement, and anti‐infection therapy, 36 yet some scholars argue that these standard treatments alone are not sufficiently effective in promoting DFU healing. 37 , 38 Therefore, exploring new and safe treatment methods that can more effectively facilitate the healing of DFU is a current hotspot in medical research.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of autologous platelet‐rich plasma combined with negative pressure sealing drainage in the treatment of patients with diabetic foot ulcer

Liao,

Ran

2024

International Wound Journal

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This study systematically evaluates the efficacy of autologous platelet‐rich plasma (PRP) combined with negative pressure sealing drainage (NPSD) in the treatment of diabetic foot ulcers (DFU). A comprehensive computerized search was conducted in PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases for randomized controlled trials (RCTs), from database inception to November 2023, on the treatment of DFU using autologous PRP combined with NPSD. Two researchers independently screened the literature, extracted data, and conducted quality assessments based on inclusion and exclusion criteria. Data analysis was performed using RevMan 5.4 software. A total of 17 RCTs involving 1325 DFU patients were included. The analysis revealed that the application of autologous PRP combined with NPSD in DFU patients significantly increased the ulcer healing rate (OR = 3.54, 95% CI: 2.71–4.62, p < 0.001) and the overall treatment efficacy rate (OR = 4.99, 95% CI: 3.46–7.19, p < 0.001), and significantly reduced the wound healing time (SMD = −2.05, 95% CI: −2.61 to −1.49, p < 0.001). This study indicates that the treatment of DFU with autologous PRP combined with NPSD accelerates wound healing, improves the overall treatment efficacy rate, and offers a new option for the management of DFU.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Efficacy of autologous platelet‐rich plasma combined with negative pressure sealing drainage in the treatment of patients with diabetic foot ulcer

Liao,

Ran

2024

International Wound Journal

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“…Diabetic foot ulcers (DFUs) are the primary manifestation of DF, known for their prolonged duration, difficulty in healing, high rates of disability, economic and psychological burdens, severely threatening the quality of life and prognosis of DM patients 3,4 . Statistically, 20%–25% of DM patients develop DFU, with a high rate of amputation; about 50% of these patients face the prospect of a secondary amputation 5 . DFU patients often have a superficial understanding of their condition, leading to anxiety and other negative emotions, a passive attitude towards treatment and reduced compliance, resulting in poor prognosis 6–8 .…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 4 Statistically, 20%–25% of DM patients develop DFU, with a high rate of amputation; about 50% of these patients face the prospect of a secondary amputation. 5 DFU patients often have a superficial understanding of their condition, leading to anxiety and other negative emotions, a passive attitude towards treatment and reduced compliance, resulting in poor prognosis. 6 , 7 , 8 Hence, there is a clinical need to find methods to promote wound healing in DFU patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of comprehensive nursing intervention in patients with diabetic foot ulcers: A meta‐analysis

Feng,

2024

International Wound Journal

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This study systematically evaluates the impact of comprehensive nursing interventions on the treatment efficacy for patients with diabetic foot ulcers. Utilizing computerized searches of databases including PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases, we identified randomized controlled trials pertaining to this topic, with the search timeframe extending to May 2023. Two independent researchers screened the literature, extracted data and conducted a quality assessment. Data analysis was performed using Stata 17.0 software. A total of 17 randomized controlled trials, encompassing 1306 patients with diabetic foot ulcers, were included in this analysis. The analysis revealed that the application of comprehensive nursing interventions significantly reduced the wound healing time in patients with diabetic foot ulcers (standard mean difference [SMD] = −2.44, 95% confidence interval [CI]: −3.05 to −1.83, P < 0.001). Additionally, there was a notable enhancement in nursing satisfaction (odds ratio [OR] = 7.54, 95% CI: 3.99–14.26, P < 0.001) and the overall treatment efficacy rate (OR = 6.97, 95% CI: 3.32–14.60, P < 0.001). This study demonstrates that comprehensive nursing interventions significantly shorten the wound healing time in patients with diabetic foot ulcers, enhance clinical nursing satisfaction and improve the overall efficacy of treatment. These findings underscore the value of such interventions for widespread clinical application.

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“…O problema específico do pé diabético representa grave problema de saúde pública em países da Europa, a Organização Mundial de Saúde e a Federação Internacional de Diabetes têm estabelecido objetivos para que seja possível reduzir tais amputações em até 50%. Além da taxa de mortalidade supracitada, as úlceras de pé diabético e amputações têm forte ligação com a neuropatia, hiperglicemia, tabagismo e doença arterial periférica (SHI, 2019).…”

Section: Introductionunclassified

Internação por diabetes mellitus no Brasil entre 2016 e 2020 / Hospitalization for diabetes mellitus in Brazil between 2016 and 2020

Negreiros¹,

Fonseca²,

Abreu³

et al. 2021

BJDV

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Introdução: O diabetes mellitus (DM), inserido no grupo das Doenças Crônicas não Transmissíveis (DCNT), configura-se hoje como uma epidemia mundial, representando grande desafio para os sistemas de saúde de todo o mundo. Caracteriza-se por ser uma síndrome que abrange um grupo heterogêneo de distúrbios metabólicos, cuja característica central é a hiperglicemia, resultante da deficiência total ou parcial da produção de insulina ou de defeitos na ação do próprio hormônio, ou ainda de ambos. Objetivo: Analisar os dados oficiais disponíveis acerca das internações hospitalares no Sistema Único de Saúde (SUS) decorrentes do DM no Brasil, entre 2016 a 2020. Metodologia: Trata-se de um estudo ecológico, de natureza retrospectiva, descritivo, com abordagem quantitativa. Foram analisados dados secundários referentes as hospitalizações, obtidos no Sistema de Informações Hospitalares -SIH (SIH/SUS), referente ao DM (diagnóstico principal CID-10 E10), disponíveis no Departamento de Informática do SUS (DATASUS). Os dados foram analisados no programa Microsoft Office Excel 2007 para elaboração de tabelas, contendo o valor absoluto e percentual. Resultados: No período de 2016 a 2020, os dados das internações por DM no Brasil, foram distribuídos por regiões: Norte (12.312), Nordeste (38.887), Sul (17.949), Sudeste (46.633) e Centro-oeste (8.679), portadores de DM não Especificado (categoria CID-10 E10.9. Observou-se redução nas internações no primeiro semestre de 2020. Dentre as 2.327 hospitalizações registradas em 2020 por DM, na Paraíba, aconteceram no hospital de referência 191 internações neste período. Conclusão: Os resultados reforçam tendências identificadas em outros estudos e em outros países, que destacam predominância de diabéticos nas hospitalizações, como destaque na redução das internações de pacientes com doenças crônica durante o início da pandemia por covid-19. Reforçando a necessidade de difusão e consolidação de estratégias preventivas, articuladas intersetorialmente, para prover cobertura mais adequada da população, amenizar as hospitalizações e, sobretudo, reduzir o impacto psicossocial e econômico causado pelo DM.

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A health needs assessment of adults with diabetic foot disease in the US

Cited by 7 publications

References 11 publications

Efficacy of autologous platelet‐rich plasma combined with negative pressure sealing drainage in the treatment of patients with diabetic foot ulcer

Efficacy of autologous platelet‐rich plasma combined with negative pressure sealing drainage in the treatment of patients with diabetic foot ulcer

Effects of comprehensive nursing intervention in patients with diabetic foot ulcers: A meta‐analysis

Internação por diabetes mellitus no Brasil entre 2016 e 2020 / Hospitalization for diabetes mellitus in Brazil between 2016 and 2020

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