Evidence map›Paper›PMID 23672237›Full record

Trial reportInternational wound journal2015

Cilostazol prevents foot ulcers in diabetic patients with peripheral vascular disease.

Stefano de Franciscis, Luca Gallelli, Luigi Battaglia, Vincenzo Molinari, Rossella Montemurro, Domenico M Stillitano, Gianluca Buffone, Raffaele Serra

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  7. Aterofisiol(®) in carotid plaque evolution.Drug design, development and therapy · 2015
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  18. Experimental and therapeutic medicine · 2020
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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 1 institution in 1 country.

Stefano de FranciscisDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Luca GallelliDepartment of Health Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Luigi BattagliaUnit of Surgery, Soverato Hospital, Catanzaro, Italy.
Vincenzo MolinariDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Rossella MontemurroDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Domenico M StillitanoDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Gianluca BuffoneDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Raffaele SerraDepartment of Medical and Surgical Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Magna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic patients are at high risk of foot ulcerations that may lead to limb amputations with important socio-economic impact. Peripheral vascular disease may be frequently associated in diabetes mellitus type II with its main symptom, intermittent claudication. Many studies reported the known efficacy of cilostazol in treating vascular claudication. Metalloproteinase-9 (MMP-9) seems to be a biochemical marker implicated in chronic wounds and in particular in diabetic foot ulcers. Cilostazol appears to have a lowering effect on MMP-9 levels and this may suggest a beneficial effect in order to prevent or retard the onset of foot ulcer in diabetic patients. In our study, two groups of diabetic patients with peripheral vascular disease were divided into two groups according to the presence of claudication in order to receive cilostazol. Group A (31 patients without claudication) were not eligible to receive cilostazol whereas Group B (47 patients with claudication) received cilostazol administration for 24 weeks (100 mg orally twice daily). Median follow up was of 16 months. During the follow up, 4·25% of patients of Group B and 35·48% of patients of Group A (P < 0·01) showed onset of foot ulceration. Although further randomised and controlled studies are required cilostazol seems to show beneficial effects for primary prevention of diabetic foot ulcers.

Indexed as

AgedCilostazolDose-Response Relationship, DrugFemaleFollow-Up StudiesFoot UlcerHumansIntermittent ClaudicationMaleMatrix Metalloproteinase 9Middle AgedRetrospective StudiesTetrazolesTreatment OutcomeVasodilator AgentsCilostazolMatrix Metalloproteinase 9TetrazolesVasodilator AgentsCilostazolDiabetic footIntermittent claudicationMetalloproteinase-9Peripheral vascular disease

Identifiers

PMID23672237
PMCPMC7950595
OpenAlexW1602511043

What OpenQuestion holds

Textmetadata
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.