Evidence map›Paper›PMID 32522035›Full record

ArticleJournal of diabetes science and technology2021

Preulcerous Risk Situation in Diabetic Foot Syndrome: Proposal for a Simple Ulcer Prevention Score.

Stephan Kress, Helmut Anderten, Anja Borck, Guido Freckmann, Lutz Heinemann, Ulrike Holzmüller, Bernd Kulzer, Alexandra Portele, Oliver Schnell, Helga Varlemann and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
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

12 authors at 5 institutions in 1 country.

Stephan KressVinzentinus-Krankenhaus, Landau, Germany.
Helmut AndertenGemeinschaftspraxis Anderten-Krok & Partner, Hildesheim, Germany.
Anja BorckSanofi-Aventis Deutschland GmbH, Berlin, Germany.
Guido FreckmannInstitut für Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Germany.ORCID 0000-0002-0406-9529
Lutz HeinemannScience Consulting in Diabetes mbH, Neuss, Germany.ORCID 0000-0003-2493-1304
Ulrike HolzmüllerKlinik für Endokrinologie und Nephrologie der Universität Leipzig, Germany.
Bernd KulzerForschungsinstitut der Diabetes Akademie Bad Mergentheim (FIDAM), Germany.ORCID 0000-0001-9120-4479
Alexandra PorteleSanofi-Aventis Deutschland GmbH, Berlin, Germany.
Oliver SchnellSciarc GmbH, Baierbrunn, Germany.ORCID 0000-0003-4968-2367
Helga VarlemannDiabetologische Schwerpunktpraxis, Hamburg, Germany.
Claudia ZemmrichPraxis für Cardiovascular- und Ultraschalldiagnostik, Herz-Kreislauf-Erkrankungen und Psychotherapie, Berlin, Germany.
Ralf LobmannKlinik für Endokrinologie, Diabetologie und Geriatrie, Stuttgart, Germany.
Sanofi (Germany) · DEForschungsinstitut der Diabetes Akademie Mergentheim · DELeipzig University · DEPraxis für Hämatologie und Onkologie · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreulcerous risk situations in patients with diabetes are often undiagnosed and care administered too late. Even with regular medical check-ups and status documentation, foot examinations have not been given enough attention. Diagnosing an individual patients' risk of developing diabetic foot ulcers may increase vigilance for diabetic foot syndrome (DFS), and the appropriate prevention measures matching the risk involved may prevent the emergence of diabetic ulcers. The classical DFS risk factors are well established and have been extensively covered in the literature; however, there is a lack of efficient screening tools that could be used for a rapid assessment of diabetic foot ulcer risk.

methodsA methodical literature search was conducted to assess relevant publications for the preparation of a simple risk score for amputation related to diabetic foot ulcer. We then analyzed the risk factors for predictive value as odds ratios in foot ulcers and/or amputation. We used the available data to deduce a mean value to reflect the authors' consensus.

resultsIn view of the current literature on the matter, we have developed a semi-quantitative scoring system using just a few items to allow rapid and visual risk assessment for diabetic foot ulcers alongside recommendations for prevention and a sensible follow-up strategy to match the risk.

conclusionThis relatively simple score enables rapid risk classification for patients that can ease the way for both physicians and patients in gaining an insight into individual risk situations. The score provides more effective preventative measures for high-risk patients against future complications.

Indexed as

Diabetes MellitusDiabetic FootFoot UlcerAmputation, SurgicalHumansRisk AssessmentRisk Factorsdiabetic footperipheral neuropathypreventionrisk scoreulcer

Identifiers

PMID32522035
PMCPMC8258539
OpenAlexW2921857961

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.