The Epidemiology of Foot Wounds in Patients with Diabetes: A Description of 600 Consecutive Patients in Turkey

Altındaş, Muzaffer; Kılıç, Ali; Çınar, Can; Bingol, Ugur Anil; Öztürk, Güncel

doi:10.1053/j.jfas.2010.12.017

Cited by 15 publications

(17 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore future plantar pressure studies are recommended to adjust for the role of amputation or to include those with a previous minor amputation as a standalone group to determine plantar pressures in this end-stage DPN group. Regardless of these limitation, the finding of elevated fore foot plantar pressures in patients with PPDFU are consistent with the fact that the majority of DFU are found in the forefoot region [49]. PTI assessed at the forefoot was also greater in patients with PPPDFU.…”

Section: Discussionsupporting

confidence: 75%

Plantar Pressure in Diabetic Peripheral Neuropathy Patients with Active Foot Ulceration, Previous Ulceration and No History of Ulceration: A Meta-Analysis of Observational Studies

et al. 2014

View full text Add to dashboard Cite

AimsElevated dynamic plantar pressures are a consistent finding in diabetes patients with peripheral neuropathy with implications for plantar foot ulceration. This meta-analysis aimed to compare the plantar pressures of diabetes patients that had peripheral neuropathy and those with neuropathy with active or previous foot ulcers.MethodsPublished articles were identified from Medline via OVID, CINAHL, SCOPUS, INFORMIT, Cochrane Central EMBASE via OVID and Web of Science via ISI Web of Knowledge bibliographic databases. Observational studies reporting barefoot dynamic plantar pressure in adults with diabetic peripheral neuropathy, where at least one group had a history of plantar foot ulcers were included. Interventional studies, shod plantar pressure studies and studies not published in English were excluded. Overall mean peak plantar pressure (MPP) and pressure time integral (PTI) were primary outcomes. The six secondary outcomes were MPP and PTI at the rear foot, mid foot and fore foot. The protocol of the meta-analysis was published with PROPSERO, (registration number CRD42013004310).ResultsEight observational studies were included. Overall MPP and PTI were greater in diabetic peripheral neuropathy patients with foot ulceration compared to those without ulceration (standardised mean difference 0.551, 95% CI 0.290–0.811, p<0.001; and 0.762, 95% CI 0.303–1.221, p = 0.001, respectively). Sub-group analyses demonstrated no significant difference in MPP for those with neuropathy with active ulceration compared to those without ulcers. A significant difference in MPP was found for those with neuropathy with a past history of ulceration compared to those without ulcers; (0.467, 95% CI 0.181– 0.753, p = 0.001). Statistical heterogeneity between studies was moderate.ConclusionsPlantar pressures appear to be significantly higher in patients with diabetic peripheral neuropathy with a history of foot ulceration compared to those with diabetic neuropathy without a history of ulceration. More homogenous data is needed to confirm these findings.

show abstract

Section: Discussionsupporting

confidence: 75%

Plantar Pressure in Diabetic Peripheral Neuropathy Patients with Active Foot Ulceration, Previous Ulceration and No History of Ulceration: A Meta-Analysis of Observational Studies

et al. 2014

View full text Add to dashboard Cite

show abstract

“…(média e desvio-padrão) para as variáveis idade, IMC, MEEM e MNSI-Brasil em ambos os grupos, assim como dos valores de CPT e TR em todas as frequências avaliadas no estudo (1,5,250, 2000 e 3000 Hz). Todos os itens são pontuados de 0 a 1, sendo que 0 significa ausência de sinal, sintoma ou indício de neuropatia periférica e 1 significa a presença de um desses.…”

Section: Análise Estatísticaunclassified

“…O teste de Wilcoxon pareado não detectou diferenças significantes (p>0.05) entre os grupos controle e sujeitos com diabetes. A comparação foi realizada entre grupo controle e sujeitos com diabetes para as variáveis IMC, MEEM, LS e RT em todas as frequências (1,5,250, 2000 e 3000 Hz) e lados (esquerdo e direito). O teste não foi aplicado para a variável Michigan Neuropathy Screening Instrument (MNSI) já que o mesmo só foi aplicado ao grupo de indivíduos com diabetes mellitus.…”

Section: Participantesunclassified

“…Na tabela 6 os valores percentuais dos autorrelatos são apresentados para cada grupo das amostras separado em colunas pelas frequências (1,5,250, 2000 e 3000 Hz). As imagens dos pés diferenciam os sujeitos do grupo controle (desenhado em linhas escuras e contínuas) e os do grupo de sujeitos com diabetes (desenhado em linhas claras).…”

Section: Percepções Autorrelatadasunclassified

“…A polineuropatia distal predispõe os pacientes a dores, distúrbios sensoriais, disfunções motoras, úlceras e gangrenas (3,(5)(6). Entretanto, o tratamento adequado, aliado ao controle glicêmico (7) e estratégias diagnósticas podem minimizar a progressão da neuropatia diabética e suas manifestações, bem como reduzir as úlceras diabéticas e amputações (7)(8).…”

Section: Introductionunclassified

See 2 more Smart Citations

Opções diagnósticas no monitoramento de neuropatias diabéticas : em busca de parâmetros para tomada de decisões clínicas

Oliveira¹

View full text Add to dashboard Cite

Risk factors for ulceration and amputation in diabetic foot: study in a cohort of 496 patients

et al. 2012

View full text Add to dashboard Cite

Treatment strategies for foot at risk and diabetic foot are mainly preventive. Studies describing demographic data, clinical and impacting factors continue to be, however, scarce. Our objective was to determine the epidemiological presentation of diabetic foot and understand whether there were easily assessable variables capable of predicting the development of diabetic foot. This was a retrospective study of 496 patients with established foot at risk or diabetic foot, who were evaluated based on age, gender, type and duration of diabetes, foot at risk classification, and the presence of deformities, ulceration, and amputation. The presence of deformities, ulceration, and amputation was recorded in 45.9, 25.3, and 12.9 % of patients, respectively. As for diabetic foot classification, the great majority of our cohort had diabetic neuropathy (92.9 %). Approximately 30 % had neuro-ischemic disease and only 7.1 % had ischemic disease alone. Sixty-two percent of patients presented neuropathy with no signs of arteriopathy. Foot classification was as a significant predictor for the presence of ulcer (p = 0.009; OR = 3.2; 95 % CI = 1.18-7.3). Only male gender was a significant predictor for ulceration (p < 0.001). Predictors of amputation were male gender (p < 0.001; OR = 3.44 95 % CI = 1.81-6.56) and neuro-ischemic diabetic foot (p < 0.049; OR = 4.6; 95 % CI = 1.01-20.9). The predictors for diabetic foot were male gender and the presence of neuropathy. The combination of neuropathy and peripheral vascular disease adds significantly to the risk for amputation among patients with the diabetic foot syndrome. Men, presenting combined risk factors, should be a group receiving special attention and in the foot clinic, due to their potentially worse evolution.

show abstract

The Epidemiology of Foot Wounds in Patients with Diabetes: A Description of 600 Consecutive Patients in Turkey

Cited by 15 publications

References 8 publications

Plantar Pressure in Diabetic Peripheral Neuropathy Patients with Active Foot Ulceration, Previous Ulceration and No History of Ulceration: A Meta-Analysis of Observational Studies

Plantar Pressure in Diabetic Peripheral Neuropathy Patients with Active Foot Ulceration, Previous Ulceration and No History of Ulceration: A Meta-Analysis of Observational Studies

Opções diagnósticas no monitoramento de neuropatias diabéticas : em busca de parâmetros para tomada de decisões clínicas

Risk factors for ulceration and amputation in diabetic foot: study in a cohort of 496 patients

Contact Info

Product

Resources

About