Evaluation of diabetic foot screening in Primary Care

Alonso-Fernández, Margarita; Bravo, José Javier Mediavilla; López‐Simarro, Flora; Comas-Samper, José Manuel; Carramiñana-Barrera, Francisco; Mancera-Romero, José; Nocito, Ana de Santiago

doi:10.1016/j.endoen.2014.06.008

Cited by 17 publications

(22 citation statements)

References 18 publications

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“…Through physical examination, a statistically significant association was observed between the risk level for the development of DFU and the following variables: appearance of the nails, humidity, and feet deformities. Alonso-Fernández et al [25] had also described such association ( p < 0.01) between the identification of feet deformities and DFU.…”

Section: Resultsmentioning

confidence: 80%

Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Cardoso

Zara

Rosa

et al. 2019

Journal of Diabetes Research

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Background. An individual with diabetes mellitus (DM) has an approximately 25% risk of developing ulcerations and/or destruction of the feet’s soft tissues. These wounds represent approximately 20% of all causes of hospitalizations due to DM. Objective. To identify the factors for the development of diabetic foot ulceration (DFU) among individuals treated by the Brazilian public health system. Methods. This cross-sectional study was conducted on individuals with diabetes mellitus, aged above 18 years, of both sexes, and during July-October 2018 within a public healthcare unit in Brazil. All participants were assessed based on their socioeconomic, behavioral, and clinical characteristics, along with vascular and neurological evaluations. All participants were also classified according to the classification of risk of developing DFU, in accordance with the International Working Group on the Diabetic Foot (IWGDF). Statistical analyses were conducted using the chi-squared test, chi-squared test for trend, and Fisher’s exact test, with a significance level of 5% (p<0.05). Results. The study consisted of 85 individuals. The DFU condition was prevalent in 10.6% of the participants. Adopting the classification proposed by IWGDF, observed risks for stratification categories 0, 1, 2, and 3 were 28.2%, 29.4%, 23.5%, and 8.2%, respectively. A statistically significant (p<0.05) association was observed between the development of DFU and the following variables: time since the diagnosis of diabetes and the appearance of the nails, humidity, and deformations on the feet. Conclusion. The present study found an elevated predominance of DM patients in the Brazilian public health system (SUS) featuring cutaneous alterations that may lead to ulcers; these individuals had elevated risks of developing DFU. Furthermore, it was revealed that the feet of patients were not physically examined during treatment.

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Section: Resultsmentioning

confidence: 80%

Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Cardoso

Zara

Rosa

et al. 2019

Journal of Diabetes Research

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“…Um importante fator de risco para o pé diabético é o tabaco, pois sua presença aumenta a ocorrência de alterações macrovasculares que podem aumentar o surgimento de úlceras, como também compromete seu prognóstico quando estas já estão presentes, propiciando o aparecimento de complicações como infecção, gangrena e até amputação (26,29,30) . Destaca-se no presente estudo a associação significativa do uso do tabaco com o risco para ulceração, embora, dos 88 indivíduos em risco para úlceras, 50,0% da população referiu não fazer uso do fumo e 36,4% referiram ser ex-fumantes em um período maior que seis meses.…”

Section: Classificação De Risco Para Ulceraçãounclassified

Fatores de risco para ulceração e amputação de extremidades inferiores em portadores de diabetes mellitus

Tavares¹,

Costa²,

Sales³

et al. 2016

RBPS

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Risk factors for lower-extremity ulceration and amputation in patients with diabetes mellitus Factores de riesgo de ulceración y amputación de extremidades inferiores en pacientes con diabetes mellitus RESUMO Objetivo: Analisar os fatores de risco para ulceração e amputação de extremidades inferiores em portadores de diabetes mellitus. Métodos: Estudo transversal, quantitativo, realizado em 2013, com 92 indivíduos diabéticos, cadastrados em uma Unidade de Saúde da Família em Maceió, Alagoas, Brasil, através de entrevistas e avaliação clínica dos pés. Investigaram-se as seguintes variáveis: características sociodemográficas (sexo, faixa etária, cor da pele, estado civil, escolaridade e renda) e fatores de risco complementares para o pé diabético (dados clínicos, estilo de vida e prática de autocuidado com os pés). Para identificar a associação entre as variáveis, utilizaram-se os testes Qui-quadrado com correção (Yates), Teste G e Exato de Fisher, sendo considerado o nível de significância de 5% (p < 0,05). Resultados: A amostra contemplou 92 portadores de diabetes mellitus, sendo 71,7% (66) do sexo feminino, com faixa etária predominante de 60-79 anos-48,0% (44). Observou-se prevalência de 95,6% (88) com risco para ulceração e 4,4% (4) com risco para amputação. Com relação ao risco de ulceração, 64,1% (59) foram classificados em risco 0 (menor risco). Conclusão: Encontrou-se maior prevalência de pacientes em menor risco para ulceração e amputação. Destaca-se o uso inadequado dos calçados como o fator de risco mais comum e o uso do tabaco como fator de risco com associação estatística significativa.

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“…previous study conducted at 17 health care centers nonrandomly distributed in 11 Spanish autonomous communities at 87% vs. 56% respectively [8] . In contrast, the rate of using special tools in the current study was far lower at 12% compared to 39.5% for monofilament examination, 45.8% for distal pulse examination, and 10.1% for ABI.…”

Section: Discussionmentioning

confidence: 99%

Diabetic foot examination by family physicians as reported by diabetic patients: A cross-sectional study

Al-Emran¹,

Siad²

2021

Int. J. Adv. Community Med.

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Background: Diabetes prevalence is increasing globally and Saudi Arabia is not an exception. As a result, diabetic foot complications are increasing. Such complications can be prevented by regular foot examination. We conducted this study aiming to assess the rate of physicians performing foot examination and education that is reported by diabetic patients and to explore the clinical and demographic variables that may affect physician performance in diabetic foot examination and education. Methods: A cross-sectional study was conducted among diabetic patients at AL-Wezarat diabetic clinic, PSMMC, Riyadh, Saudi Arabia. Data was collected through a questionnaire that was previously used in a similar study, the questionnaire was translated into Arabic validated and distributed randomly to the sample population. Results: A total of 248 patients' medical records were analyzed, more than half (56.10%) were females, and 15.29% were smokers. Diabetic foot complications were prevalent among 76.23% of the participants, and the prevalence of foot ulcers was 7.26%. The majority of the respondents reported that their physicians examined their feet during the last year at 84.21%, and more than half (54.33%) said that the physicians examine their feet every visit. Inspection only was the most used method by 87.80%. The prevalence of diabetic foot was significantly higher among females at 61.6% compared to 38.4% among males. Similarly, the correlation was statistically significant with educational level, employment status and smoking. Conclusion: According to the current study findings, diabetic foot examination by family physicians is considered high, as reported by diabetic patients; however, the examination was mostly by inspection rather than specific tool examination. The reasons for such findings should be addressed in future studies in order to learn the causes and put solutions in place by health care authorities in order to help prevent diabetic foot complications.

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Evaluation of diabetic foot screening in Primary Care

Cited by 17 publications

References 18 publications

Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Fatores de risco para ulceração e amputação de extremidades inferiores em portadores de diabetes mellitus

Diabetic foot examination by family physicians as reported by diabetic patients: A cross-sectional study

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