Long-term outcome and quality of life in patients with Charcot foot

Pakarinen, Toni-Karri; Laine, Heikki-Jussi; Mäenpää, Heikki; Mattila, Pentti; Lahtela, Jorma

doi:10.1016/j.fas.2009.02.005

Cited by 107 publications

(104 citation statements)

References 25 publications

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“…This is consistent with the previous finding that the SF-12 and SF-36 surveys are not sensitive to the mental effects of diabetic foot problems [42,43,46]. In contrast with the SF-36 Mental Component Summary score, the HADS, SF-MPQ, and SBQ-R showed significantly greater depression, pain, and suicidal behavior in patients witll diabetic foot problems ( Table 2), suggesting that these surveys were more sensitive to the mental and emotional effects of diabetic foot problems than the SF-36 Mental Component Summary score.…”

Section: Discussionsupporting

confidence: 82%

Mental health issues associated with foot complications of diabetes mellitus

Hoban

Sareen

Henriksen

et al. 2015

Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 82%

Mental health issues associated with foot complications of diabetes mellitus

Hoban

Sareen

Henriksen

et al. 2015

Foot and Ankle Surgery

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“…1). Similarly, in patients with CN, PCS scores range from 27.7 to 43.6 and MCS scores range from 43.4 to 48.1 (9,14,17,34,35) (Fig. 2).…”

Section: The Impact Of Dfd On Hrqolmentioning

confidence: 99%

“…Studies focusing on the impact of DFD on HRQOL have shown a negative impact on patient HRQOL (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Despite the high mortality rates, patients with established DFD fear major amputation more than death (19).…”

mentioning

confidence: 99%

Assessing Health-Related Quality of Life in Patients With Diabetic Foot Disease: Why Is It Important and How Can We Improve? The 2017 Roger E. Pecoraro Award Lecture

Wukich

Raspovic

2018

Diabetes Care

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Patient-reported outcomes (PROs) have become an important subject in the area of diabetes-related foot complications. Self-reported health-related quality of life (HRQOL) surveys can provide a generic measure of overall health (global) and can be disease specific (i.e., diabetes) or even region specific (i.e., lower-extremity function). Analysis of PRO measures utilizing validated instruments allows health care providers to determine whether medical and surgical treatments are providing patients with the highest level of outcome possible and are actually improving HRQOL. The 36-item Short Form (SF-36), EuroQol five-dimension questionnaire (EQ-5D-5L), and Foot and Ankle Ability Measure (FAAM) are examples of commonly used HRQOL surveys. Low HRQOL has been associated with higher rates of hospital admission and mortality in patients with diabetes. Previous studies have demonstrated that patients with diabetes-related foot disease have low self-reported physical quality of life but do not typically report low mental quality of life. The impact of mental quality of life may be underestimated in these patients using the SF-36. In this article, we will discuss several widely used outcome instruments used to measure patient HRQOL and the impact of diabetic foot disease on HRQOL. As health care providers, we must continue to adjust and modify our treatments to achieve the best patient outcomes and associated high quality of life. Assessing PROs will become increasingly important as health care systems transition from a volume-based reimbursement model to a value-based model.

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“…(4,5) A long-term follow-up study has shown that longstanding Charcot foot will decrease a patient's physical functions and quality of life. (6) Peripheral neuropathy is believed to be the prerequisite for the development of Charcot arthropathy, although not all diabetic patients with peripheral neuropathy will develop Charcot joint. (7) Theories on the pathogenesis of Charcot arthropathy have evolved from the interaction of the neurotraumatic and neurovascular theories to the current, much more well-recognised inflammatory theory.…”

Section: Introductionmentioning

confidence: 99%