Evidence map›Paper›PMID 34059410›Full record

ArticleJournal of diabetes and its complications2021

Patient perspectives on the physical, psycho-social, and financial impacts of diabetic foot ulceration and amputation.

Rebecca M Crocker, Kelly N B Palmer, David G Marrero, Tze-Woei Tan

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of diabetes and its complications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% 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.

NCT05968924 nacompletednot on this mapstarted 2024, after this paper: background citation

Improving DFU Outcomes: Early Detection of Foot Ulcers Using Novel Technology

TypeinterventionalSponsorMontefiore Medical CenterRan2024 to 2025Enrolled20ConditionsDiabetic Foot UlcerArmsPodimetrics SmartMat
NCT06004219 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Peer Support in Patients With Diabetic Foot Ulceration

TypeinterventionalSponsorCasa Colina Hospital and Centers for HealthcareRan2023 to 2025Enrolled24ConditionsDiabetic Foot Ulcer, Diabetic Wound, Diabetes Mellitus, Type 2, Diabetic FootArmsPeer counseling group
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  9. Adapting Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
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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 1 institution in 1 country.

Rebecca M CrockerCenter for Border Health Disparities, University of Arizona Health Sciences, 1295 N Martin Ave., PO Box 210202, Tucson, AZ 85719, United States of America. Electronic address: rcrocker@arizona.edu.
Kelly N B PalmerCenter for Border Health Disparities, University of Arizona Health Sciences, United States of America.
David G MarreroCenter for Border Health Disparities, University of Arizona Health Sciences, United States of America.
Tze-Woei TanDivision of Vascular and Endovascular Surgery, University of Arizona College of Medicine-Tucson, Southern Arizona Limb Salvage Alliances (SALSA), United States of America.
University of Arizona · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Determinants in Limb Preservation in Hispanics and Native AmericansK23DK122126 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TAN, TZE-WOEI · 2019 to 2023
$845k
NIDDK NIH HHS K23 DK122126NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

aimsDiabetic foot ulcers (DFUs) and ulceration are complex and lifelong problems for patients with diabetes which dramatically increase mortality rates. This qualitative study sought to capture detailed personal accounts and insights from patients with a clinical history of DFUs and amputations to better understand patient experiences.

methodsFifteen patients from a tertiary referral center that treats diabetic foot problems were approached for participation. Inclusion criteria included having at least one DFU and being of white, Native American, or Hispanic background. Interviews were conducted by telephone by study staff trained in qualitative data gathering and audio recorded.

resultsThe main themes that emerged around impacts included the heavy burden of managing care, significant loss of ambulatory function, economic stress due to medical care costs and job loss, and emotional suffering tied to these stressors.

conclusionsThese data illuminate common social and personal impacts of diabetic foot problems across an ethnically and racially diverse and predominantly low-income US sample that expand our understanding of related declines in well-being. Our results indicate a need for proactive mental health assessment post DFUs diagnosis and the diversification of hospital and community-based support systems.

Indexed as

Amputation, SurgicalDiabetes MellitusDiabetic FootFinancial StressPsychosocial FunctioningHumansQualitative ResearchAmbulatory declineAmputationsDepressionDiabetic foot ulcersFinancial stressPsycho-social impacts

Identifiers

PMID34059410
PMCPMC8316286
OpenAlexW3164641856

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.