ArticleDiabetic medicine : a journal of the British Diabetic Association2015
Pilot study to assess measures to be used in the prospective audit of the management of foot ulcers in people with diabetes.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Is ethnicity an appropriate measure of health care marginalization? A systematic review and meta-analysis of the outcomes of diabetic foot ulceration in Aboriginal populations.Canadian journal of surgery. Journal canadien de chirurgie · 2021Pooled it
- Analysis of the safety and efficacy of single-stage spinal cord stimulation implantation under general anesthesia for high-risk diabetic feet.IBRO neuroscience reports · 2026Article
- The incidence of and risk factors for hospitalisations and amputations for people with diabetes-related foot ulcers in Queensland, 2011-19: an observational cohort study.The Medical journal of Australia · 2025Observational
- Evidence-based interventions for identifying candidate quality indicators to assess quality of care in diabetic foot clinics: a scoping review.BMC public health · 2024Article
- Residential Address Amplifies Health Disparities and Risk of Infection in Individuals With Diabetic Foot Ulcers.Diabetes care · 2024Article
- Multi-target gene therapy AUP1602-C to improve healing and quality of life for diabetic foot ulcer patients: a phase I, open-label, dose-finding study.Therapeutic advances in endocrinology and metabolism · 2024Article
- On diabetic foot ulcer knowledge gaps, innovation, evaluation, prediction markers, and clinical needs.Journal of diabetes and its complications · 2022Review
- Emerging Diabetic Foot Ulcer Microbiome Analysis Using Cutting Edge Technologies.Journal of diabetes science and technology · 2022Article
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- Metagenomics to Identify Pathogens in Diabetic Foot Ulcers and the Potential Impact for Clinical Care.Current diabetes reports · 2021Review
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- Prescribing antibiotics in diabetic foot infection: what is the role of initial microscopy and culture of tissue samples?International wound journal · 2017Article
- Incidence and risk factors for developing infection in patients presenting with uninfected diabetic foot ulcers.PloS one · 2017Article
- Direct inpatient burden caused by foot-related conditions: a multisite point-prevalence study.BMJ open · 2016Observational
- Audit of diabetic foot care services--a timely initiative.Diabetic medicine : a journal of the British Diabetic Association · 2015Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo design and test a methodology for assessing aspects of the management of foot disease in diabetes.
methodsA national working group devised pilot datasets that may be used to document the process of management of active ulceration. Participating volunteer specialist units throughout England were required to characterize newly presenting people with diabetic foot ulcers using a standard questionnaire comprising the dataset and to document outcomes at 6 and 12 months. Semi-structured interviews were later conducted with the volunteers at the units.
resultsA total of 23 units recorded baseline data on 652 people with incident foot ulcers; valid outcome data were available for 541 people (83.0%). Of the 541 index ulcers, 351 (64.9%) healed within 24 weeks, with a median time to healing of 63 days. Ulcer site and depth and peripheral arterial disease were associated with differing ulcer healing rates. By contrast, baseline demographic characteristics were not independently associated with healing. These were used to calculate a standardized case-mix adjusted healing ratio. In most units data collection took < 10 min per person, but participants reported that the burden of local data collection was still excessive.
conclusionThis study confirmed the feasibility of routine multi-unit comparative assessment of care of the foot in diabetes, including the generation of meaningful service reports, but for general use the burden of local data collection will need to be reduced (e.g. by using linkage to existing national data collections).
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