Evidence map›Paper›PMID 29067267›Full record

ArticleJournal of clinical & translational endocrinology2017

Diabetic osteoarthropathy care in Sweden - Need for improvement: A national inventory.

Linda Wennberg, Paul Lundgren, Rimma Axelsson, Peter Aspelin, Kurt Gerok-Andersson, Börje Åkerlund

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical & translational endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

6 authors at 2 institutions in 1 country.

Linda WennbergDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and Department of Radiology, Karolinska University Hospital, Huddinge, Sweden.
Paul LundgrenDepartment of Orthopedics, Södertälje Hospital, Sweden.
Rimma AxelssonDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and FO Medical Physics and Nuclear Medicine, Imaging and Function, Karolinska University Hospital, Huddinge, Sweden.
Peter AspelinDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and FO Medical Physics and Nuclear Medicine, Imaging and Function, Karolinska University Hospital, Huddinge, Sweden.
Kurt Gerok-AnderssonDepartment of Endocrinology, Karolinska University Hospital, Stockholm Huddinge, Sweden.
Börje ÅkerlundDepartment of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, Stockholm Huddinge, Sweden.
Karolinska University Hospital · SESödertälje Sjukhus · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOsteoarthropathy, a rare foot complication in patients with diabetes mellitus, calls for immediate and optimal management to prevent irreversible bone/joint destruction and risk of amputation. Awareness of the condition and adequate guidelines would minimize the consequences and the costs, both for the patient and for the society. We investigated the diabetic osteoarthropathy care in Swedish orthopedic clinics.

methodsA questionnaire was distributed to 63 Swedish hospitals with emergency department for orthopedic patients. There was a 95% response rate.

resultsMost of the respondents (79%) specified absence of established procedures including guidelines for managing patients with osteoarthropathy. The most common diagnostic method was clinical diagnosis and plain X-ray (95%). MRI or scintigraphy was used by 19% and 10.5% respectively. As treatment method, 84% used a total contact cast, while 38% used orthoses. Treatment duration <3 months was reported in 4%, 3-6 months in 53% and 6-12 months in 28% of the clinics. Four clinics reported treatment duration >12 months and two clinics provided no treatment.

conclusionOur national inventory indicates a need for improvement in knowledge as well as guidance and organization at orthopedic clinics regarding optimal care of patients with diabetic osteoarthropathy.

Indexed as

Charcot footDiabetesNational inventoryOsteoarthropathy

Identifiers

PMID29067267
PMCPMC5651304
OpenAlexW2733113601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.