Diabetic foot screening: study of a 3000 times cheaper instrument

Parisi, Maria Cândida Ribeiro; Giannella, Daniel; Fernandes, Túlio Diniz; Rezende, Karla Freire; Nery, Márcia

doi:10.1590/s1807-59322011000600032

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…Routine screening for diabetic foot is limited by the lack of trained podiatrists and appropriate supplies. With the exception of a few treatment centres, most health services, particularly primary health care, do not perform foot screening for patients at high risk of developing complications [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

et al. 2013

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BackgroundWith an estimated 74% of all deaths attributable to non-communicable diseases (NCDs) in 2010, NCDs have become a major health priority in Brazil. The objective of the study was to conduct a comprehensive literature review on diabetes in Brazil; specifically: the epidemiology of type 2 diabetes, the availability of national and regional sources of data (particularly in terms of direct and indirect costs) and health policies for the management of diabetes and its complications.MethodsA literature search was conducted using PubMed to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government and the World Health Organization, as well as other grey literature and official government websites were also reviewed.ResultsFrom 2006 to 2010, an approximate 20% increase in the prevalence of self-reported diabetes was observed. In 2010, it was estimated that 6.3% of Brazilians aged 18 years or over had diabetes. Diabetes was estimated to be responsible for 278,778 years of potential life lost for every 100,000 people. In 2013, it is estimated that about 7% of patients with diabetes has had one or more of the following complications: diabetic foot ulcers, amputation, kidney disease, and fundus changes. The estimated annual direct cost of diabetes was USD $3.952 billion in 2000; the estimated annual indirect cost was USD $18.6 billion. The two main sources of data on diabetes are the information systems of the Ministry of Health and surveys. In the last few years, the Brazilian Ministry of Health has invested considerably in improving surveillance systems for NCDs as well as implementing specific programmes to improve diagnosis and access to treatment.ConclusionsBrazil has the capacity to address and respond to NCDs due to the leadership of the Ministry of Health in NCD prevention activities, including an integrated programme currently in place for diabetes. Strengthening the surveillance of NCDs is a national priority along with recognising the urgent need to invest in improving the coverage and quality of mortality data. It is also essential to conduct regular surveys of risk factors on a national scale in order to design effective preventive strategies.

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Section: Resultsmentioning

confidence: 99%

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

et al. 2013

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“…If the patient is unable to feel the pressure on the foot on testing through the monofilament, it depicts a loss of protective sensation. The device is now considered sensitive enough to assess neurological function and offers an inexpensive alternative screening method for identifying patients with moderate-to-severe neuropathy [27]. The exam was done on 10 standard positions-nine on the plantar surface of the foot and one on the dorsum surface of the foot, on both left and right feet three times.…”

Section: Study Proceduresmentioning

confidence: 99%

Prevalence of peripheral neuropathy and associated pain in patients with diabetes mellitus: Evidence from a cross-sectional study

Baxi

Habib

Hussain³

et al. 2020

J Diabetes Metab Disord

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Background Diabetic peripheral neuropathy (DPN) is the most common and troublesome complication of diabetes mellitus. It affects almost half the population with diabetes and worsens quality of life of the patient. This study was aimed to determine the prevalence of peripheral neuropathy and associated pain in patients with diabetes mellitus. Methods This was a cross-sectional study conducted over a period of six months. Patient's ≥ 18 years with confirmed diagnosis of diabetes mellitus were included in the study. Patients with hypothyroidism, medical illness such as cancer, liver or renal disease, cervical or lumbar spondylosis, pregnant patients with diabetes and patients receiving any treatment that might influence nerve function (e.g., cytotoxic or antiepileptic agents) were excluded from the study. DPN was diagnosed using 10 g monofilament test. The S-LANSS questionnaire was used to assess the associated painful symptoms. Association was calculated using chi-square test. A p-value of ≤0.05 was considered statistically significant. All the statistical analysis was performed using SPSS v22.Result The overall prevalence of DPN was found to be 28.85% from which 88% patients were found to have painful symptoms. A significant association of DPN was observed with the duration of diabetes (p = 0.004), poor glycaemic control (p = 0.03) and other diabetic complications such as nephropathy (p = 0.002). No association of neuropathy was found with retinopathy and hypertension. Duration of diabetes (>15 years), and HbA1c (>9%) was found to be positively associated the painful DPN. Conclusion The current study found a high prevalence of DPN and it was found to be significantly associated with duration of diabetes, poor glycaemic control and nephropathy.

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Individualised screening of diabetic foot: creation of a prediction model based on penalised regression and assessment of theoretical efficacy

2021

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Diabetic foot screening: study of a 3000 times cheaper instrument

Cited by 4 publications

References 22 publications

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

Prevalence of peripheral neuropathy and associated pain in patients with diabetes mellitus: Evidence from a cross-sectional study

Individualised screening of diabetic foot: creation of a prediction model based on penalised regression and assessment of theoretical efficacy

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