Evidence map›Paper›PMID 33116723›Full record

ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2020

Determinants of Diabetic Foot Ulcer Among Adult Patients with Diabetes Attending the Diabetic Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: Unmatched Case-Control Study.

Guesh Teklu Woldemariam, Niguse Tadele Atnafu, Yosief Tsige Radie, Getahun Tarekegn Wolde, Teklehaimanot Tesfay Gebreagziabher, Tesfay Gebreslassie Gebrehiwot, Yared Haileselassie Teka, Milete Gebrehiwot Hagos, Haftamu Mamo Hagezom, Hailu Belay Yigzaw and 3 more

Open access · goldAbstract read
In one paragraph

Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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  10. Knowledge, attitudes and practices on diabetic foot care among nurses in Kimberley, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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  14. A maleAnnals of medicine and surgery (2012) · 2022
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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

13 authors at 3 institutions in 1 country.

Guesh Teklu WoldemariamDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0003-0376-8667
Niguse Tadele AtnafuSchool of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0002-3765-3617
Yosief Tsige RadieSchool of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Getahun Tarekegn WoldeTikur Anbessa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0002-1480-5542
Teklehaimanot Tesfay GebreagziabherDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0002-8559-1422
Tesfay Gebreslassie GebrehiwotDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0003-2264-1880
Yared Haileselassie TekaDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.
Milete Gebrehiwot HagosDepartment of Nursing, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.
Haftamu Mamo HagezomDepartment of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0002-7342-9743
Hailu Belay YigzawDepartment of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.
Haftom Tesfay GebremedhinDepartment of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0002-7530-6675
Hagos Mehari MezgeboDepartment of Psychiatry, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.
Alem GebremariamDepartment of Public Health, College of Medicine and Health Sciences, Adigrat University, Tigrai, Ethiopia.ORCID 0000-0003-2173-6685
Adigrat University · ETAddis Ababa University · ETTikur Anbessa Hospital · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulcer is among the commonest complications of diabetic mellitus attributed to a number of morbidity and mortality cases in diabetic patients. Nowadays, the incidence of diabetic foot ulcer is increasing due to the increased prevalence of diabetes. However, the risk factors of the problem are less studied in Ethiopia. Hence, this study was conducted to assess the determinants of diabetic foot ulcer among adult patients with diabetes attending a diabetic clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia in 2019. PATIENTS AND

methodsAn institution-based unmatched case-control study was conducted on 161 patients with diabetes (53 patients with diabetes with foot ulcer and 108 patients with diabetes without foot ulcer). Cases were selected from patients with diabetes with foot ulcer by consecutive sampling technique and controls from patients with diabetes without diabetic foot ulcer by systematic random sampling technique. A binary logistic regression model was used to assess the association between the dependent and independent variables. All variables with a

resultsIn this study, 28 (52.8%) cases and 55 (50.9%) controls were male. Taking insulin alone (AOR=2.75, 95% CI=1.04-7.23), having peripheral neuropathy (AOR=7.56, 95% CI=2.82-20.24), not inspecting feet daily (AOR=5.61, 95% CI=2.24-14.05), and using moisturizing cream between toes (AOR=3.35, 95% CI=1.35-8.32) were positively associated with diabetic foot ulcer, whereas employed (AOR=0.35, 95% CI=0.14-0.87) and combined treatment (insulin and oral hypoglycemic agents) (AOR=0.11, 95% CI=0.02-0.57) were negatively associated with diabetic foot ulcer.

conclusionDiabetic foot ulcer was significantly associated with occupation, kind of treatment of diabetes mellitus taking, peripheral neuropathy, inspecting feet daily, and putting moisturizing cream between toes. It will be helpful if diabetic patients inspect their feet on a daily basis and do not put moisturizing cream between their toes.

Indexed as

determinantsdiabetic foot ulcerEthiopia

Identifiers

PMID33116723
PMCPMC7571574
OpenAlexW3093254378

What OpenQuestion holds

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LicenceCC BY-NC
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.