Evidence map›Paper›PMID 25946144›Full record

Observational studyPloS one2015

Diabetic foot complications and their risk factors from a large retrospective cohort study.

Khalid Al-Rubeaan, Mohammad Al Derwish, Samir Ouizi, Amira M Youssef, Shazia N Subhani, Heba M Ibrahim, Bader N Alamri

2 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. 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 157 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 6 pooled it
19.2field-weighted citation impact, top 1% 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.

NCT05551988 completednot on this mapstarted 2021, after this paper: background citation

Predictors of Foot Amputation in Diabetic Foot Ulcers; A Retrospective Study From Pakistan

TypeobservationalSponsorBolan Medical Complex Hospital Quetta PakistanRan2021 to 2022Enrolled110ConditionsDiabetic Foot, Amputation, Antibiotic Resistant Strain, Diabetic Foot UlcerArmsRetrospective observational study of diabetic foot ulcer
NCT07364890 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Platelet-Derived Growth Factors to Enhance Healing and Reduce Post-Extraction Complications in Smokers

TypeinterventionalSponsorKing Abdulaziz UniversityRan2026 to 2026Enrolled12ConditionsSmoke ExposureArmsA- PRF
3 · Its place in the literature

Who cites it

157 citing papers in PubMed, 6 syntheses or guidelines pooled it, 443 citations in OpenAlex.

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97 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 2 countries.

Khalid Al-RubeaanUniversity Diabetes Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mohammad Al DerwishDiabetic Foot Unit, University Diabetes Center, King Saud University, Riyadh, Saudi Arabia.
Samir OuiziDiabetic Foot Unit, University Diabetes Center, King Saud University, Riyadh, Saudi Arabia.
Amira M YoussefRegistry Department, University Diabetes Center, King Saud University, Riyadh, Saudi Arabia.
Shazia N SubhaniDepartment of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Heba M IbrahimRegistry Department, University Diabetes Center, King Saud University, Riyadh, Saudi Arabia.
Bader N AlamriInternal Medicine Department, Dalhousie University, Halifax, Nova Scotia, Canada.
King Saud University · SADalhousie University · CAKing Faisal Specialist Hospital & Research Centre · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFoot complications are considered to be a serious consequence of diabetes mellitus, posing a major medical and economical threat. Identifying the extent of this problem and its risk factors will enable health providers to set up better prevention programs. Saudi National Diabetes Registry (SNDR), being a large database source, would be the best tool to evaluate this problem.

methodsThis is a cross-sectional study of a cohort of 62,681 patients aged ≥ 25 years from SNDR database, selected for studying foot complications associated with diabetes and related risk factors.

resultsThe overall prevalence of diabetic foot complications was 3.3% with 95% confidence interval (95% CI) of (3.16%-3.44%), whilst the prevalences of foot ulcer, gangrene, and amputations were 2.05% (1.94%-2.16%), 0.19% (0.16%-0.22%), and 1.06% (0.98%-1.14%), respectively. The prevalence of foot complications increased with age and diabetes duration predominantly amongst the male patients. Diabetic foot is more commonly seen among type 2 patients, although it is more prevalent among type 1 diabetic patients. The Univariate analysis showed Charcot joints, peripheral vascular disease (PVD), neuropathy, diabetes duration ≥ 10 years, insulin use, retinopathy, nephropathy, age ≥ 45 years, cerebral vascular disease (CVD), poor glycemic control, coronary artery disease (CAD), male gender, smoking, and hypertension to be significant risk factors with odds ratio and 95% CI at 42.53 (18.16-99.62), 14.47 (8.99-23.31), 12.06 (10.54-13.80), 7.22 (6.10-8.55), 4.69 (4.28-5.14), 4.45 (4.05-4.89), 2.88 (2.43-3.40), 2.81 (2.31-3.43), 2.24 (1.98-2.45), 2.02 (1.84-2.22), 1.54 (1.29-1.83), and 1.51 (1.38-1.65), respectively.

conclusionsRisk factors for diabetic foot complications are highly prevalent; they have put these complications at a higher rate and warrant primary and secondary prevention programs to minimize morbidity and mortality in addition to economic impact of the complications. Other measurements, such as decompression of lower extremity nerves, should be considered among diabetic patients.

Indexed as

AdultAge FactorsCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic FootFemaleHumansMaleMiddle AgedRegistriesRetrospective StudiesSaudi ArabiaSex Factors

Identifiers

PMID25946144
PMCPMC4422657
OpenAlexW1773693351

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.