Evidence map›Paper›PMID 20840518›Full record

ArticleWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society

The differential effect of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers with respect to foot ulcer and limb amputation in those with diabetes.

David J Margolis, Ole Hoffstad, Stephen Thom, Warren Bilker, Arturo R Maldonado, Robert M Cohen, Bruce J Aronow, Timothy Crombleholme

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact, top 83% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  4. Article
  5. Article
  6. Article
  7. Chronic wound repair and healing in older adults: current status and future research.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

David J MargolisDepartment of Dermatology and Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. margo@mail.med.upenn.edu
Ole Hoffstad
Stephen Thom
Warren Bilker
Arturo R Maldonado
Robert M Cohen
Bruce J Aronow
Timothy Crombleholme
University of Pennsylvania · USCincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

Center For Education and Research in TherapeuticsU18HS016946 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI STROM, BRIAN LESLIE · 2007 to 2010
$4.0M
PATIENT ORIENTED RESEARCH IN CHRONIC WOUNDSK24AR002212 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MARGOLIS, DAVID · 2001 to 2010
$1.3M
Endothelial Progenitor Cell Biology in Type 1 DiabetesR01DK074055 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI CROMBLEHOLME, TIMOTHY M · 2005 to 2008
$1.2M
Stem Cell Mobilization in DiabetesR21DK080376 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI THOM, STEPHEN RAYMOND · 2008 to 2009
$433k
Endothelial progenitor cell biology in Type 1 diabetesR01DK074361 · NIDDK · UNIVERSITY OF CINCINNATI · PI COHEN, ROBERT MAYNARD · 2005 to 2008
$148k
AHRQ HHS U18 HS016946AHRQ HHS U18HS016946NIAMS NIH HHS K24 AR002212NIAMS NIH HHS K24-AR002212NIDDK NIH HHS DK074055NIDDK NIH HHS DK-080376NIDDK NIH HHS DK74361NIDDK NIH HHS R01 DK074055NIDDK NIH HHS R01 DK074361NIDDK NIH HHS R21 DK080376
6 · The paper itself

Abstract

Diabetic foot ulcers (DFU) or lower extremity amputation (LEA) are complications of diabetes. In those with diabetes, angiotensin-converting enzyme inhibitors (ACEi) and angiotensin receptor blockers (ARB) are commonly used to prevent the progression of kidney disease. Recent studies have indicated that angiotensin may affect angiogenesis and wound repair. Our goal was to evaluate in those with diabetes the likelihood of developing a DFU or LEA among users of ACEi or ARB using a retrospective cohort design of general practices in the United Kingdom. We studied 40,342 individuals at least 35 years of age with diabetes who were first prescribed ACEi or ARB between 1995 and 2006. A total of 35,153 individuals were treated with ACEi, 12,437 individuals with ARB, and 7,310 both. The hazard ratio for DFU was 0.50 (95% confidence intervals: 0.43, 0.59), showing an increased risk of DFU for those using ACEi vs. ARB. The hazard ratio for LEA was 0.72 (0.48, 1.01). However, among those with lower extremity peripheral arterial disease the hazard ratio was 0.45 (0.22, 0.91) for the new onset of a LEA. In conclusion, among those with diabetes, exposure to ACEi as compared with ARB increases the risk of developing a DFU or LEA.

Indexed as

AdultAgedAmputation, SurgicalAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsDisease ProgressionEnglandFemaleFollow-Up StudiesFoot UlcerHumansLegMaleMiddle AgedRetrospective StudiesTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonists

Identifiers

PMID20840518
PMCPMC2941228
OpenAlexW2100684363

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.