Decreased health-related quality of life in patients with diabetic foot problems

Sothornwit, Jin; Srisawasdi, Gulapar; Suwannakin, Atchara; Sriwijitkamol, Apiradee

doi:10.2147/dmso.s154304

Cited by 52 publications

(52 citation statements)

References 12 publications

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“…5 Other research has also indicated moderate or decreased satisfaction with the QoL related to health. 19,20 However, based on our findings and the lack of research reporting on the impact of the QoL related to foot health in patients with type II and type I diabetes, the findings of our study confirmed that people with type II diabetes presented with a specific foot impact on the QoL dimension related to general foot health compared with patients who suffered from type I diabetes. Thus, these findings showed the importance of diabetic foot and podiatric care to prevent foot problems and amputations and improve the QoL and autonomy.…”

Section: Discussionsupporting

confidence: 77%

“…Diabetic foot problems have been recognised as an important public health problem, as stated by Al‐Rubeaan et al, who analysed 62.681 patients with diabetic foot and risk factors, reporting 1285 patients (62.05%) with foot ulcers and 677 patients (32.20%) with foot gangrene, which increased with the age, duration of the diabetes, and male gender . Other research has also indicated moderate or decreased satisfaction with the QoL related to health …”

Section: Discussionmentioning

confidence: 96%

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Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Palomo‐López

Losa‐Iglesias

Becerro-de-Bengoa-Vallejo

et al. 2018

International Wound Journal

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The aims of this research were to evaluate and compare the effect in a matched sample of patients with type II and type I diabetes scores using a specific quality-of-life (QoL) tool related to overall and foot health (Foot Health Status Questionnaire [FHSQ]). A sample of 62 patients with an age median of 59.00 ± 19.00 y were divided into type I (n = 31) and type II (n = 31) diabetes groups. Socio-demographics data include: (1) age, (2) gender, (3) body mass index, (4) professional activity, (5) study level, and (6) civil status. The FHSQ was used to evaluate foot (pain, function, footwear, and general health section I domains) and overall (general health, social capacity, physical activity, and vigour section II domains) health related to QoL. Differences between groups were assessed by means of a t test or Mann-Whitney U test for independent samples. There were no statistically significant differences (P > 0.05) for any socio-demographic data. Regarding the FHSQ section II of the specific foot health-related QoL, the only statistically significant differences (P = 0.042) were observed for the general foot health showing a QoL impairment (lower median ± interquartile range) in patients diagnosed with type II diabetes (60.00 ± 60.00 points) compared with patients who suffered from type I diabetes (25.00 ± 72.50 points). The other domains did not show any statistically significant differences (P > 0.05). Patients with type II diabetes present a negative impact on the specific foot health-related QoL compared with patients who suffered from type I diabetes.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 96%

Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Palomo‐López

Losa‐Iglesias

Becerro-de-Bengoa-Vallejo

et al. 2018

International Wound Journal

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“…Previous studies on DFU and the heavy burden it poses on Saudi Arabia (where its incidence is in the 11.4-29.7% range) have shown that HRQOL is unfavorably affected by it [ 6 , 16 , 17 ]. Unfortunately, there is a paucity of data on the detrimental effects of foot ulcers on the HRQOL of diabetes patients in Saudi Arabia, which has inspired the current study.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Health-Related Quality of Life in Patients With Diabetic Foot Ulcer: A Cross-Sectional Study From Saudi Arabia

Ayed¹,

Ababneh²,

Robert³

et al. 2020

Cureus

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Background and objective Diabetic foot ulcers (DFU) have been shown to have a high impact on the patients’ perceived health-related quality of life (HRQOL). The aim of this study was to estimate the HRQOL and its related risk factors in patients with foot ulcers associated with type 2 diabetes mellitus (T2DM). Methods This cross-sectional study was performed on 81 patients with DFU, from January 2019 to July 2019 at the Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia. The study population was purposively and conveniently chosen based on patients' availability during their regular and customary outpatient clinic visits. Using the Arabic version of the Short-Form 36-Item Survey (SF-36), these patients were interviewed and their HRQOL scores were was assessed. The SF-36 covered eight aspects of health such as physical functioning, body pain, limitations in the roles induced by physical health problems, limitations in the roles caused by personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Results It was evident that age, gender, education, occupation, smoking, duration of diabetes, hypertension, dyslipidemia, body mass index (BMI), and the number of diabetes-associated complications, hypertension, and dyslipidemia significantly affected the patients' physical functions. The physical health of the patient was strongly influenced by gender, education, occupation, income, BMI, and the number of complications. The emotional health of the patient was affected by dyslipidemia, deformity, prior amputations, as well as BMI and glycosylated hemoglobin (HbA1c). The social standing of the patient was influenced by age, income, education, and occupation. The degree of pain experienced by the patient varied with age and the number of complications, as well as notable differences in their general health. The factors of age, education, occupation, income, and the number of diabetic complications induced several health changes in varying degrees. The patients with DFU revealed overall lower HRQOL relating to all the eight aspects of the SF-36. Conclusion The patients with DFU in Saudi Arabia generally revealed lower HRQOL. However, prospective and large-scale studies are required in the future to support these findings.

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“…13,16 Diabetic foot ulcer affects not only the quality of life and physiological welfare but also premortal events and following major leg amputations due to the ulcer, mortality ranges from 24.6% within 5 years and 45.4% within 10 years. [17][18][19][20][21] It is also estimated that 24.4% of the total health care expenditure among the diabetic population is related to foot complications. 22 The pooled worldwide prevalence of DFU in people diagnosed with diabetes mellitus is 6.3%, of which most (13%) is in North America, 7.2% in Africa and the lowest (3%) in Europe.…”

Section: Introductionmentioning

confidence: 99%

<p>Incidence of Diabetic Foot Ulcer and Its Predictors Among Diabetes Mellitus Patients at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: A Retrospective Follow-Up Study</p>

Adem¹,

Andargie²,

Teshale³

et al. 2020

DMSO

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The incidence of a diabetic foot ulcer (DFU) is increasing over the previous decade with an increasing prevalence of diabetes mellitus (DM). Despite the increasing incidence of DFU, there is limited information about the problem in Ethiopia. Hence, this study aimed to investigate the incidence of DFU and its predictors among newly diagnosed DM patients who were on follow-up at Felege Hiwot Referral Hospital. Methods: Institution-based retrospective follow-up study was conducted at Felege Hiwot Referral Hospital among newly diagnosed DM patients from January 1, 2009, to December 31, 2018. A simple random sampling method was used to select 401 study participants from a total of 723 eligible population. Data was entered using Epi-Data version 3.1 and exported to STATA version 14 for analysis. The incidence rate was estimated using person-years of observation and Nelson-Aalen cumulative hazard function, showing the cumulative probability of diabetic foot ulcer, was done. The best model (Gompertz) was selected using the AIC and log-likelihood method. Hazard ratio (HR) with its 95% confidence interval was computed and variables having a p-value less than 0.05 in the multivariable model were considered to be significantly associated with DFU. Results: A total of 387 patients were followed retrospectively for a median follow-up time of 95 months. Out of all, 66 (17.05%) patients developed DFU with an incidence rate of 4 cases per 100 person-years of observation. Diabetic nephropathy (adjusted hazard ratio (AHR) = 2.37, 95% CI: 1.33-54.24), diabetic retinopathy (AHR = 5.56, 95% CI: 2.64-11.74), and increased body mass index (AHR = 1.13, 95% CI: 1.01-1.27) were found to increase the hazard of DFU. Conclusion: The incidence of DFU was relatively high. Diabetic nephropathy, diabetic retinopathy, and body mass index were its significant predictors. Therefore, close monitoring of patients with co-morbidities and increased body mass index should be considered to reduce DFU.

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Decreased health-related quality of life in patients with diabetic foot problems

Cited by 52 publications

References 12 publications

Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Specific foot health‐related quality‐of‐life impairment in patients with type II versus type I diabetes

Factors Associated With Health-Related Quality of Life in Patients With Diabetic Foot Ulcer: A Cross-Sectional Study From Saudi Arabia

<p>Incidence of Diabetic Foot Ulcer and Its Predictors Among Diabetes Mellitus Patients at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: A Retrospective Follow-Up Study</p>

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