Evidence map›Paper›PMID 25468384›Full record

ArticleHealth and quality of life outcomes2014

The impact of neuropathic pain and other comorbidities on the quality of life in patients with diabetes.

Vesna Dermanovic Dobrota, Pero Hrabac, Dinko Skegro, Ranko Smiljanic, Savko Dobrota, Ingrid Prkacin, Neva Brkljacic, Kristijan Peros, Martina Tomic, Vesna Lukinovic-Skudar and 1 more

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in Health and quality of life outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05670600 (The Effect of Foot and Ankle Exercise on Pain and Quality of Life in Patients With Diabetic Neuropathy), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT05670600 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effect of Foot and Ankle Exercise on Pain and Quality of Life in Patients With Diabetic Neuropathy

TypeinterventionalSponsorGazi UniversityRan2021 to 2022Enrolled100ConditionsDiabetic Neuropathy, PainfulArmsfoot and ankle exercise
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Calcium Channel αPain and therapy · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

11 authors at 4 institutions in 1 country.

Vesna Dermanovic DobrotaDepartment of Diabetic Complication, Clinical Hospital Merkur, University Clinic Vuk Vrhovac, Dugi dol 4a, 10000, Zagreb, Croatia. vesna.djermanovic.dobrota@zg.t-com.hr.
Pero HrabacCroatian Institute for Brain Research, School of Medicine, University of Zagreb, Salata 12, Zagreb, Croatia. phrabac@hiim.hr.
Dinko SkegroDepartment of Internal Medicine, Clinical Hospital Merkur, Zajčeva 19, 10000, Zagreb, Croatia. dinko.skegro@kb-merkur.hr.
Ranko SmiljanicDepartment of Diagnostic and Interventional Radiology, University hospital Center Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia. rtg.smiljanic@gmail.com.
Savko DobrotaDepartment of Diagnostic and Interventional Radiology, University hospital Center Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia. savko.dobrota@zg.t-com.hr.
Ingrid PrkacinDepartment of Internal Medicine, Clinical Hospital Merkur, Zajčeva 19, 10000, Zagreb, Croatia. ingrid.prkacin@gmail.com.
Neva BrkljacicDepartment of Diabetic Complication, Clinical Hospital Merkur, University Clinic Vuk Vrhovac, Dugi dol 4a, 10000, Zagreb, Croatia. n.brkljacic@gmail.com.
Kristijan PerosDepartment of Diabetic Complication, Clinical Hospital Merkur, University Clinic Vuk Vrhovac, Dugi dol 4a, 10000, Zagreb, Croatia. kperos@idb.hr.
Martina TomicDepartment of Diabetic Complication, Clinical Hospital Merkur, University Clinic Vuk Vrhovac, Dugi dol 4a, 10000, Zagreb, Croatia. martina.tomic@idb.hr.
Vesna Lukinovic-SkudarDepartment of Physiology, School of Medicine, University of Zagreb, Salata 3, 10000, Zagreb, Croatia. vesnas@mef.hr.
Vanja Basic KesUniversity Department of Neurology, University hospital Center " Sestre milosrdnice", Vinogradska 29, 10000, Zagreb, Croatia. vanjakes@net.hr.
Klinička bolnica Merkur · HRUniversity Hospital Centre Zagreb · HRUniversity of Zagreb · HRSisters of Charity Hospital · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic polyneuropathy (DPN) is one of the most common complications of diabetes and can exist with or without neuropathic pain. We were interested in how neuropathic pain impairs the quality of life in diabetic patients and what is the role of comorbidities in this condition.

methodsThe study included 80 patients with painful DPN (group "P") and 80 patients with DPN, but without neuropathic pain (group "D"). Visual analogue scale (VAS) and Leeds assessment of neuropathic symptoms and signs (LANSS) pain scale were used for assessment of neuropathic pain, SF-36 standardized questionnaire for assessment of the quality of life and BDI questionnaire for assessment of depression.

resultsSubjects in group P had statistically significantly lower values compared to group D in all 8 dimensions and both summary values of the SF-36 scale. We ascribe the extremely low results of all parameters of SF-36 scale in group P to painful diabetic polyneuropathy with its complications. The patients in group D showed higher average values in all dimension compared to group P, but also somewhat higher quality of life compared to general population of Croatia in 4 of 8 dimensions, namely vitality (VT), social functioning (SF), role-emotional (RE) and mental health (MH), which was unexpected result. Clinically, the most pronounced differences between two groups were noted in sleeping disorders and problems regarding micturition and defecation , which were significantly more expressed in group P. The similar situation was with walking distance and color-doppler sonography of carotid arteries, which were significantly worse in group P. Consequently, subjects in group P were more medicated than the patients in group D, particularly with tramadol, antiepileptics and antidepressants.

conclusionPainful DPN is a major factor that influences various aspects of quality of life in diabetic patients. Additionally, this study gives an overview of diabetic population in the Republic of Croatia, information that could prove useful in future studies.

Indexed as

Health StatusAgedComorbidityCroatiaDepressionDiabetic NeuropathiesFemaleHumansMaleMiddle AgedNeuralgiaPain MeasurementQuality of LifeSeverity of Illness IndexSleep Wake DisordersSurveys and Questionnaires

Identifiers

PMID25468384
PMCPMC4264315
OpenAlexW1976772499

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.