Evidence map›Paper›PMID 22712631›Full record

ArticleInternational wound journal2013

Risk factors for recurrence of diabetic foot ulcers: prospective follow-up analysis in the Eurodiale subgroup.

Michal Dubský, Alexandra Jirkovská, Robert Bem, Vladimira Fejfarová, Jelena Skibová, Nicolaas C Schaper, Benjamin A Lipsky

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in International wound journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 81 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 8 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT03458286 naunknown statusnot on this mapstarted 2018, after this paper: background citation

A Pilot Randomised Control Trial to Measure the Effectiveness of Combined Modulated Ultrasound and Electric Current Stimulation in Treating Diabetic Foot Ulcers

TypeinterventionalSponsorRoyal College of Surgeons, IrelandRan2018 to 2018Enrolled50ConditionsDiabetic Foot UlcerArmsBRH-A2 wound healing device
NCT04624516 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Self-structured Foot Exercise on the Incidence of Plantar Foot Diabetic Ulcer Recurrence Post Healing at Least One Month

TypeinterventionalSponsorMaria SuryaniRan2019 to 2020Enrolled50ConditionsDiabetic Foot Ulcer, Diabetic FootArmsself-structured foot exercise
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 8 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
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  7. Health-related quality of life among adults living with diabetic foot ulcers: a meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
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  15. Paddy Farmers' Perspectives on Foot Care, their Modalities for Prevention of Foot Injuries- A Community-based Qualitative Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
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21 more citing papers are in PubMed but not listed here.

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

7 authors at 3 institutions in 3 countries.

Michal DubskýDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic Department of Internal Medicine, University Hospital Maastricht, Maastricht, The Netherlands General Medical Service, VA Puget Sound Health Care System, Department of Medicine, University of Washington, Seattle, WA, USA.
Alexandra Jirkovská
Robert Bem
Vladimira Fejfarová
Jelena Skibová
Nicolaas C Schaper
Benjamin A Lipsky
Institute of Clinical and Experimental Medicine · CZUniversity of Washington · USMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies have examined factors associated with diabetic foot ulcer (DFU) recurrence. Using data from patients enrolled in the prospective Eurodiale DFU study, we investigated the frequency of and risk factors for DFU recurrence after healing during a 3-year follow-up period. At our site, 93 Eurodiale-enrolled patients had a healed DFU. Among these, 14 were not alive; of the remaining 79 patients we enrolled 73 in this study. On entry to the Eurodiale study, we assessed demographic factors (age, sex and distance from hospital); diabetes-related factors [duration, and glycated haemoglobin (HbA1c) levels]; comorbidities (obesity, renal failure, smoking and alcohol abuse) and DFU-related factors [peripheral arterial disease, ulcer infection, C-reactive protein (CRP) and; foot deformities]. During the 3-year follow-up period, a DFU had recurred in 42 patients (57.5%). By stepwise logistic regression of findings at initial DFU presentation, the significant independent predictors for recurrence were plantar ulcer location [odds ratio (OR) 8.62, 95% confidence interval (CI) 2.2-33.2]; presence of osteomyelitis (OR 5.17, 95% CI 1.4-18.7); HbA1c > 7.5% ([DCCT], OR 4.07, 95% CI 1.1-15.6) and CRP > 5 mg/l (OR 4.27, 95% CI 1.2-15.7). In these patients with a healed DFU, the majority had a recurrence of DFU during a 3-year follow-up period, despite intensive foot care. The findings at diagnosis of the initial DFU were independent risk factors associated with ulcer recurrence (plantar location, bone infection, poor diabetes control and elevated CRP) and define those at high risk for recurrence, but may be amenable to targeted interventions.

Indexed as

Wound HealingDiabetic FootEuropeFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProspective StudiesRecurrenceRisk FactorsSeverity of Illness IndexTime FactorsDiabetic foot ulcer; Risk factors for reulceration; Ulcer recurrence

Identifiers

PMID22712631
PMCPMC7950559
OpenAlexW2134434000

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.