Evidence map›Paper›PMID 33170315›Full record

ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2021

[Diabetic foot syndrome-Part 1 : Definition, pathophysiology, diagnostics and classification].

G Rümenapf, S Morbach, U Rother, C Uhl, H Görtz, D Böckler, C-A Behrendt, D Hochlenert, G Engels, M Sigl and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. S1 Guideline on Infected Interdigital Intertrigo (also called Gram-Negative Toe Web Infection).Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Guideline
  2. The Role of the Notch1 Signaling Pathway in the Pathogenesis and Treatment of Diabetic Foot: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
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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

11 authors at 5 institutions in 1 country.

G RümenapfOberrheinisches Gefäßzentrum Speyer, Klinik für Gefäßchirurgie, Diakonissen-Stiftungs-Krankenhaus, Paul-Egell-Straße 33, 67346, Speyer, Deutschland. gerhard.ruemenapf@diakonissen.de.
S MorbachAbteilung Diabetologie und Angiologie, Fachbereich Innere Medizin, Marienkrankenhaus gGmbH Soest, Soest, Deutschland.
U RotherGefäßchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland.
C UhlKlinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
H GörtzKlinik für Gefäßchirurgie, Bonifatius Hospital Lingen, Lingen, Deutschland.
D BöcklerKlinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
C-A BehrendtKlinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
D HochlenertCentrum für Diabetologie, Endoskopie und Wundheilung Köln, Köln, Deutschland.
G EngelsChirurgische Praxis am Bayenthalgürtel, Köln, Deutschland.
M Sigl1. Medizinische Klinik, Abteilung für Angiologie, Universitätsklinik Mannheim, Mannheim, Deutschland.
Kommission PAVK und Diabetisches Fußsyndrom der DGG e. V.
Heidelberg University · DEDiakonissenkrankenhaus · DEUniversität Hamburg · DEOrthopädische Praxis · DEUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are ca. 8 million persons with diabetes mellitus living in Germany. A late sequelae of diabetes is the diabetic foot syndrome (DFS), the prevalence of which is greatly increasing. It comprises all alterations of the foot as a result of diabetic polyneuropathy as well as microvascular and macrovascular (peripheral arterial occlusive disease, PAOD) alterations. Many of the ca. 250,000 newly diagnosed diabetic foot ulcers per year become chronic wounds. Despite intensive efforts for prevention, early diagnosis and adequate wound care, ca. 13,000 persons with diabetes undergo major limb amputation in Germany every year. With consistent treatment in interdisciplinary centers and by exhausting all possible methods of wound treatment, pressure relief as well as arterial revascularization, the major amputation rate in patients with diabetic foot problems can be reduced by 80%. With a suitable strategy of prevention, the recurrence rate of foot ulcers would be reduced.

Indexed as

Diabetes MellitusDiabetic FootAmputation, SurgicalFootGermanyHumansVascular Surgical ProceduresAmputationDiabetes mellitusDiabetic foot syndromeDiabetic polyneuropathyPeripheral arterial occlusive disease

Identifiers

PMID33170315
PMCPMC7819949
OpenAlexW3101872649

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.