Evidence map›Paper›PMID 33236835›Full record

Observational studyInternational wound journal2021

Outcomes and prognosis of diabetic foot ulcers treated by an interdisciplinary team in Canada.

Jérôme Patry, André Tourigny, Marie-Philippe Mercier, Clermont E Dionne

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International wound journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Jérôme PatryDepartment of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, Québec, Canada.
André TourignyDepartment of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, Québec, Canada.
Marie-Philippe MercierCentre de recherche du CISSS de Chaudière-Appalaches, Lévis, Québec, Canada.
Clermont E DionneCentre de recherche du CISSS de Chaudière-Appalaches, Lévis, Québec, Canada.
Université du Québec à Trois-Rivières · CAHôpital du Saint-Sacrement · CAUniversité Laval · CA

Funding

The Québec Ministry of Health and Social Services Research Fund for Primary Care PhysiciansThe Research and Teaching Fund of the Department of Family Medicine and Emergency Medicine of Université Laval
6 · The paper itself

Abstract

The aim of this study was to determine the wound healing outcomes of patients with a plantar diabetic foot ulcer (DFU) treated with an interdisciplinary team approach, and to identify associated variables. A retrospective observational cohort study of 140 adult patients, with a plantar DFU, treated between 2012 and 2018 at a wound care clinic of a University affiliated hospital was conducted. Predictive and explicative analyses were conducted with logistic multivariate methods and with a Receiver Operating Characteristics curve. The best predictor of wound healing at 3 months was a 41.8% wound size reduction at 4 weeks (AUC: 0.86; sensitivity: 83.1%; specificity: 67.2%, positive predictive value: 72.8%; negative predictive value: 78.9%; positive and negative likelihood ratios: 2.53 and 0.25, respectively). Main baseline variables independently associated with this predictor were: a monophasic Doppler waveform (OR 7.52, 95% CI [2.64-21.39]), cigarette smoking (OR 4.7, 95% CI [1.44-15.29]), and male gender (OR 3.58, 95% CI [1.30-9.87]). The health care provider should be cautious and intensify its management of DFUs particularly with patients of male gender; smoking, having a monophasic waveform with a hand-held Doppler, and not achieving a minimal 41.8% wound area reduction at 4 weeks of treatment.

Indexed as

Diabetic FootPatient Care TeamWound HealingAdultAgedCanadaDiabetes MellitusFemaleHospitals, UniversityHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment Outcomediabetic foot ulcerinterdisciplinary teamwound carewound healing

Identifiers

PMID33236835
PMCPMC8244008
OpenAlexW3109918857

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.