Preventing foot ulcers and amputations in diabetes

Reiber, Gayle E.; Raugi, Gregory J.

doi:10.1016/s0140-6736(05)67674-x

Cited by 179 publications

(182 citation statements)

References 11 publications

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“…In this VA study, African Americans and Hispanics engaged in somewhat more and better basic and extended foot self-care than Caucasians or others. Because African-American men have higher rates of foot complications and frequently experience disparities in care [1,39], this finding was unexpected. The finding may reflect the fact that minorities have equal access to care within the VA [40].…”

Section: Patient Characteristics Associated With Foot Self-carementioning

confidence: 99%

“…Lower-limb complications impose a serious burden on persons with diabetes and affect 15 percent of individuals during their lifetime [1]. Diabetes-related foot ulcers and amputations lead to increased risk of hospitalization, infection, amputation, lowered quality of life, and mortality as well as high medical and societal costs [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Personal and treatment factors associated with foot self-care among veterans with diabetes

Johnston¹,

Pogach²,

Rajan³

et al. 2006

JRRD

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Abstract-We developed and validated a survey of foot selfcare education and behaviors in 772 diabetic patients with high-risk feet at eight Department of Veterans Affairs medical centers. Principal components analysis identified six subscales with satisfactory internal consistency: basic foot-care education, extended foot-care education, basic professional foot care, extended professional foot care, basic foot self-care, and extended foot self-care (alpha = 0.77-0.91). Despite high illness burden, adherence to foot self-care recommendations was less than optimal; only 32.2% of participants reported looking at the bottom of their feet daily. Independent predictors of greater adherence to basic foot self-care practices included African-American or Hispanic background, perceived neuropathy, foot ulcers in the last year, prior amputation (beta = 0.08-0.12, p < 0.04-0.001), and provision of greater basic and extended education (beta = 0.16, p < 0.004, and beta = 0.15, p < 0.007). The survey subscales can now be used for evaluating foot care and education needs for persons with high-risk feet.

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Section: Patient Characteristics Associated With Foot Self-carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Personal and treatment factors associated with foot self-care among veterans with diabetes

Johnston¹,

Pogach²,

Rajan³

et al. 2006

JRRD

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“…A estimativa anual de amputações maiores de membros inferiores na população geral foi de 31,3/100.000 habitantes, porém, quando relacionada ao diabetes, a cifra elevou-se para 209/100.000 (10) . Freqüentemente, as amputações nas pessoas com diabetes são precedidas de úlceras (1,3,5,(11)(12) , caracterizadas por lesões cutâneas com perda do epitélio, as quais se estendem até a derme ou a atravessam e chegam aos tecidos mais profundos (6,13) , envolvendo algumas vezes ossos e músculos (14) . As úlceras em pessoas com diabetes são responsáveis por grande percentual de morbimortalidade e hospitalização (4) e têm um período de internação 59% mais prolongado que as pessoas com diabetes sem processos ulcerativos (6) .…”

Section: Introductionunclassified

Pé diabético: estratégias para prevenção

Ochoa-Vigo

Pace

2005

Acta paul. enferm.

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Ochoa-Vigo K, Pace AE. Pé diabético: estratégias para prevenção. Acta Paul Enferm 2005; 18(1):100-9.RESUMO: Aproximadamente 50% das amputações não-traumáticas em membros inferiores ocorrem entre pessoas com diabetes. As amputações são precedidas por úlceras, caracterizadas por lesões cutâneas, com perda do epitélio, que podem estender-se até a derme ou chegar a tecidos profundos. As úlceras, geralmente, são acompanhadas de insensibilidade por neuropatia periférica crônica e associadas a pequenos traumas que se originam do uso de calçados inapropriados, dermatoses comuns ou manipulações incorretas dos pés. O objetivo deste estudo é descrever as principais estratégias para avaliar fatores de risco que conduzem ao desenvolvimento de complicações nos membros inferiores entre pessoas com diabetes, bem como considerá-las uma responsabilidade da equipe de assistência primária. É um trabalho de revisão da literatura, com ênfase na avaliação dos pés como medida preventiva fundamental, para identificar, precocemente, as alterações neurológica e vascular periféricas e disfunções biomecânicas. Destaca-se a avaliação dos calçados como fator externo.

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“…It is well know that diabetic foot (DF) is a typical and common complication of diabetes. The most recent epidemiological data report that a lesion appears in 15% of cases during the life of a diabetic patient [2][3][4]. Furthermore DF is the main cause of hospitalization and non-traumatic lower extremity amputation [3][4][5].…”

Section: Commentarymentioning

confidence: 99%

“…The most recent epidemiological data report that a lesion appears in 15% of cases during the life of a diabetic patient [2][3][4]. Furthermore DF is the main cause of hospitalization and non-traumatic lower extremity amputation [3][4][5]. If we considered that the prevalence of major lower limb amputation affects more than 1 million of people between diabetic patients (4,8%), it is obvious the strong impact of this disease on the society in terms of quality of life and economic costs [6,7].…”

Section: Commentarymentioning

confidence: 99%

Limb Salvage in Diabetic Patients: The Italian Experience

Meloni¹

2014

Clin Res Foot Ankle

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Diabetes is rapidly increasing worldwide and diabetic foot is the main cause of non-traumatic lower limbs amputation. However epidemiological data report a reduction of amputee's rate in different European countries and in USA. Also in Italy there were excellent results related to the improvement of treatment strategies. The aim of this commentary is to describe the Italian model analyzing the reasons that have contributed to this success.

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Preventing foot ulcers and amputations in diabetes

Cited by 179 publications

References 11 publications

Personal and treatment factors associated with foot self-care among veterans with diabetes

Personal and treatment factors associated with foot self-care among veterans with diabetes

Pé diabético: estratégias para prevenção

Limb Salvage in Diabetic Patients: The Italian Experience

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