Evidence map›Paper›PMID 28971322›Full record

ReviewCurrent atherosclerosis reports2017

The Diabetic Foot as a Proxy for Cardiovascular Events and Mortality Review.

Isa Dietrich, Gustavo Arruda Braga, Fernanda Gomes de Melo, Ana Carolina Calmon da Costa Silva Silva

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
5.8field-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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Translational development of ABCB5Stem cell research & therapy · 2022
    Trial
  4. Article
  5. Major Adverse Limb Events and Death After Successful Endovascular Revascularization: BEST-CLI Trial.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
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  15. Observational
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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

4 authors at 2 institutions in 1 country.

Isa DietrichLiver, Pancreas and Islets Transplantation, Surgery Division, Department of Gastroenterology, University of São Paulo School of Medicine. LIM 37, Av. Dr. Arnaldo 455 - 3rd floor suíte 3208, Cerqueira Cesar, São Paulo, 01246-903, Brazil. Isa.dietrich@isa.med.br.
Gustavo Arruda BragaDivision Obesity and Diabetes Center, Organization Oswaldo Cruz German Hospital, R. Cincinato Braga, 37 - 5th floor, Bela Vista, São Paulo, 01246-903, Brazil.
Fernanda Gomes de MeloDivision Obesity and Diabetes Center, Organization Oswaldo Cruz German Hospital, R. Cincinato Braga, 37 - 5th floor, Bela Vista, São Paulo, 01246-903, Brazil.
Ana Carolina Calmon da Costa Silva SilvaDivision Obesity and Diabetes Center, Organization Oswaldo Cruz German Hospital, R. Cincinato Braga, 37 - 5th floor, Bela Vista, São Paulo, 01246-903, Brazil.
Hospital Alemão Oswaldo Cruz · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis article reviewed very recent papers (2016) discussing or bringing clinical evidences of the possible common pathways leading to diabetic foot syndrome (DFS) and increased mortality rates. RECENT

findingsDiabetic patients with diabetic foot syndrome have a mortality rate greater than twofold when compared with non-ulcerated diabetics. In addition, the 5-year mortality rate following amputation is estimated at 39-68%, a life expectancy comparable to aggressive types of cancer or advanced congestive heart failure. The majority of patients with diabetic foot ulcer also present insulin resistance, central obesity, dyslipidemia, and hypertension that characterize the metabolic syndrome that, in turn, is associated with an elevated risk of major cardiovascular events. Sensory neuropathy is the primary cause of more the 60% of diabetic foot ulcer. Diabetic peripheral neuropathy is a microvascular complication of diabetes mellitus and in type 2 diabetes, not only hyperglycemia but also other metabolic alterations and persistent inflammatory status due to adiposity play a major role in axon injury. Elevated triglycerides have been showed to be an independent risk factor for lower extremity amputation in diabetic patients. Also, toxic adiposity, oxidative stress, mitochondrial dysfunction, activation of the polyol pathway, accumulation of advanced glycation end products (AGEs), and elevation of inflammatory markers are also implicated in diabetic vascular disease and neuropathy. The hypotheses that the association between DFS and increased rates of mortality reflects the progression of micro- and macrovascular complications are reinforced by the additional association of DFU to renal failure and retinopathy.

Indexed as

Amputation, SurgicalCardiovascular DiseasesDiabetic AngiopathiesDiabetic FootDiabetic NeuropathiesDisease ProgressionHumansRisk FactorsCardiovascular eventsCardiovascular mortalityDiabetesDiabetic foot syndromeFoot ulcerMicrovascular diseaseNeuropathy

Identifiers

PMID28971322
OpenAlexW2760667611

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.