The Epidemiology of Diabetic Foot Problems

Reiber, Gayle E.

doi:10.1002/dme.1996.13.s1.6

Cited by 381 publications

(240 citation statements)

References 9 publications

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“…This finding is consistent with previous research that demonstrated marked physical limitations associated with diabetic foot ulcers that may decrease patient mobility and independence, precluding work activity [3,7], and a high prevalence of unemployment, early retirement, or inability to work in the majority (50% to 79%) of patients with diabetic foot ulcers [1, 3,6].…”

Section: Discussionsupporting

confidence: 92%

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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: 92%

“…Diabetic foot ulcers represent a large economic burden and significantly decrease quality oflife [2,3]. Furthermore, diabetic patients with foot pathology have two-fold greater mortality than diabetic patients without foot ulcer [2,4,5], and five-year mortality after lower extremity amputation is between 39% and 68% [6].…”

Section: Introductionmentioning

confidence: 99%

Mental health issues associated with foot complications of diabetes mellitus

Hoban

Sareen

Henriksen

et al. 2015

Foot and Ankle Surgery

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“…A meta-analysis epidemiological studies have suggested that smoking is a risk factor for amputation (12,13). However, other studies indicated that there was no association between smoking and diabetic foot amputation (14,15).…”

Section: Smoking Increases the Risk Of Diabetic Foot Amputationmentioning

confidence: 99%

Smoking increases the risk of diabetic foot amputation: A meta-analysis

et al. 2017

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Abstract. Accumulating evidence suggests that smoking is associated with diabetic foot amputation. However, the currently available results are inconsistent and controversial. Therefore, the present study performed a meta-analysis to systematically review the association between smoking and diabetic foot amputation and to investigate the risk factors of diabetic foot amputation. Public databases, including PubMed and Embase, were searched prior to 29th February 2016. The heterogeneity was assessed using the Cochran's Q statistic and the I 2 statistic, and odds ratio (OR) and 95% confidence interval (CI) were calculated and pooled appropriately. Sensitivity analysis was performed to evaluate the stability of the results. In addition, Egger's test was applied to assess any potential publication bias. Based on the research, a total of eight studies, including five cohort studies and three case control studies were included. The data indicated that smoking significantly increased the risk of diabetic foot amputation (OR=1.65; 95% CI, 1.09-2.50; P<0.0001) compared with non-smoking. Sensitivity analysis demonstrated that the pooled analysis did not vary substantially following the exclusion of any one study. Additionally, there was no evidence of publication bias (Egger's test, t=0.1378; P=0.8958). Furthermore, no significant difference was observed between the minor and major amputation groups in patients who smoked (OR=0.79; 95% CI, 0.24-2.58). The results of the present meta-analysis suggested that smoking is a notable risk factor for diabetic foot amputation. Smoking cessation appears to reduce the risk of diabetic foot amputation.

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“…It is estimated that at least 15% of diabetic patients will develop a foot lesion in their lifetime (4) . A study has showed that 28% of patients followed up in a health care clinic developed foot lesions over a 30-month period (5) .…”

Section: Introductionmentioning

confidence: 99%

Comportamento e conhecimento: fundamentos para prevenção do pé diabético

2009

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Objective:To describe the knowledge and behaviors of patients with diabetes towards foot care. Methods: A cross-sectional descriptive study was conducted at a university research and intervention center in the interior of the state of São Paulo. Data were collected through interviews, two specific questionnaires, and physical examination of the foot in 55 patients in 2005. Results: The participants did not recognize the dimension of the true risks regarding lack of foot care. The participant knowledge of diabetes did not translate into actions to prevent foot problems. These results suggest the need to take into consideration specific individual characteristics and the individual's interactions with the environment in designing educational interventions. Conclusions: Health care professionals need to understand that discrepancy between knowledge and behaviors of patients with diabetes is not an obstacle impossible to cross, but a challenging issue that needs to be addressed. Keywords: Diabetes mellitus; Primary prevention; Diabetic foot/prevention & control; Health behavior; Health knowledge, attitudes, practice RESUMO Objetivo: Identificar o conhecimento e comportamento de pessoas diabéticas em relação aos cuidados com os pés. Métodos: Estudo descritivo e transversal realizado em um centro de pesquisa e extensão universitária do interior paulista, em 2005. Foram entrevistados 55 pacientes diabéticos. Para a obtenção dos dados utilizamos um formulário, dois questionários e exame físico dos pés. Resultados: As pessoas diabéticas não reconhecem a dimensão do risco real com relação aos pés. O conhecimento referido nem sempre se traduz na adoção de ações de autocuidado para a prevenção de problemas relacionados aos pés. Esta realidade aponta para a necessidade de considerarmos as particularidades de cada sujeito e sua interação com o ambiente, para delineamento das intervenções educativas. Conclusões: É preciso que os profissionais de saúde compreendam que o descompasso entre conhecimento e comportamento dos diabéticos não deve ser interpretado como um obstáculo intransponível, mas como um dos desafios fundamentais que precisam ser enfrentados. Descritores: Diabetes mellitus; Prevenção primária; Pé diabético/prevenção & controle; Conduta de saúde; Conhecimentos, atitudes e prática em saúde RESUMEN Objetivo: Identificar el conocimiento y comportamiento de personas diabéticas en relación a los cuidados de los piés. Métodos: Estudio descriptivo y transversal realizado en un centro de investigación y extensión universitaria del interior paulista, en el 2005. Fueron entrevistados 55 pacientes diabéticos. Para la obtención de los datos utilizamos un formulario, dos cuestionarios y examen físico de los piés. Resultados: Las personas diabéticas no reconocen la dimensión del riesgo real en relación a los piés. El conocimiento referido no siempre se traduce en la adopción de acciones de autocuidado para la prevención de problemas relacionados a los piés. Esta realidad apunta hacia la necesidad de considerar las parti...

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The Epidemiology of Diabetic Foot Problems

Cited by 381 publications

References 9 publications

Mental health issues associated with foot complications of diabetes mellitus

Mental health issues associated with foot complications of diabetes mellitus

Smoking increases the risk of diabetic foot amputation: A meta-analysis

Comportamento e conhecimento: fundamentos para prevenção do pé diabético

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