Evidence map›Paper›PMID 31637262›Full record

Observational studyJournal of diabetes research2019

The Superiority of Removable Contact Splints in the Healing of Diabetic Foot during Postoperative Care.

Vladimíra Fejfarová, Jaroslav Pavlů, Robert Bém, Veronika Wosková, Michal Dubský, Andrea Němcová, Alexandra Jirkovská, Bedřich Sixta, Karol Sutoris, Filip Thieme and 4 more

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of diabetes research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. 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

14 authors at 2 institutions in 2 countries.

Vladimíra FejfarováDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID https://orcid.org/0000-0003-4486-5383
Jaroslav PavlůDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Robert BémDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID https://orcid.org/0000-0003-4127-1846
Veronika WoskováDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID https://orcid.org/0000-0001-5371-7011
Michal DubskýDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-2078-0177
Andrea NěmcováDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-9883-2758
Alexandra JirkovskáDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Bedřich SixtaDepartment of Transplant Surgery, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Karol SutorisDepartment of Transplant Surgery, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Filip ThiemeDepartment of Transplant Surgery, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
David G ArmstrongSouthwestern Academic Limb Salvage Alliance (SALSA), University of Southern California (USC), Los Angeles, USA.
Eliška VrátnáDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Jitka HazdrováDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Věra LánskáDiabetes Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
Institute of Clinical and Experimental Medicine · CZUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOff-loading is one of the crucial components of diabetic foot (DF) therapy. However, there remains a paucity of studies on the most suitable off-loading for DF patients under postoperative care. The aim of our study was to evaluate the effect of different protective off-loading devices on healing and postoperative complications in DF patients following limb preservation surgery.

methodsThis observational study comprised 127 DF patients. All enrolled patients had undergone foot surgery and were off-loaded empirically as follows: wheelchair+removable contact splint (RCS) (group R: 29.2%), wheelchair only (group W: 48%), and wheelchair+removable prefabricated device (group WP: 22.8%). We compared the primary (e.g., the number of healed patients, healing time, and duration of antibiotic (ATB) therapy) and secondary outcomes (e.g., number of reamputations and number and duration of rehospitalizations) with regard to the operation regions across all study groups.

resultsThe lowest number of postoperative complications (number of reamputations:

conclusionsThis observational study suggests that removable contact splint combined with a wheelchair is better than a wheelchair with or without removable off-loading device for accelerating wound healing after surgical procedures; it also minimises overall postoperative complications, reducing the number of reamputations by up to 77% and the number of rehospitalizations by up to 66%.

Indexed as

Amputation, SurgicalDevice RemovalOrthopedic ProceduresSplintsWound HealingAgedAnti-Bacterial AgentsDiabetic FootEquipment DesignFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative CareAnti-Bacterial Agents

Identifiers

PMID31637262
PMCPMC6766149
OpenAlexW2972951137

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.