Evidence map›Paper›PMID 34931460›Full record

ArticleInternational wound journal2022

Association of time in range with postoperative wound healing in patients with diabetic foot ulcers.

Ze-Xin Huang, Hui-Hui Zhang, Ying Huang, Sheng-Lie Ye, Yu-Ning Ma, Ying-Huan Xin, Xiao-Qian Chen, Sheng Zhao

Abstract read
In one paragraph

Article in International wound journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Evaluation and Management of Diabetes-related Foot Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  8. Article
  9. The Emerging Role of Continuous Glucose Monitoring in the Management of Diabetic Peripheral Neuropathy: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2022
    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

8 authors.

Ze-Xin HuangDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Hui-Hui ZhangDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ying HuangDepartment of Burns Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Sheng-Lie YeDepartment of Burns Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yu-Ning MaDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ying-Huan XinDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xiao-Qian ChenDepartment of General Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Sheng ZhaoDepartment of Burns Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Time in range (TIR) is a novel indicator of glycaemic control that has been reported to have an association with diabetic complications. The objective of the study was to explore the association of TIR with postoperative wound healing in patients with diabetic foot ulcers (DFUs). We retrospectively analysed the data of DFU patients who had undergone surgical treatment from 2015 to 2019. A 1:1 ratio in propensity score matching (PSM) was adopted to compare patients with TIR ≥50% with those <50%. Data were summarised using chi-squared, Fisher's exact, and Mann-Whitney U tests. Patients with TIR <50% underwent a higher rate of secondary surgery within a month (P = .032) and had a longer hospital stay (P = .045) with greater hospital charges (P < .001) than the TIR ≥50% group. Multivariate analysis revealed that TIR (P = .034), Wagner score (P = .009), diabetes treatment (P = .006), and type of surgery (P = .013) were independent risk factors for secondary surgery. Additionally, patient subgroups with TIR <50% and baseline HbA1c < 7.5% (P = .025), albumin level ≥ 30 g/L (P = .039), HDL < 1.16 (P = .021), or Wagner score ≥ 3 (P = .048) also experienced a higher incidence of secondary surgery. TIR was correlated with postoperative wound healing in patients with DFUs. Strict glycaemic targets should be established for surgical patients.

Indexed as

Diabetes MellitusDiabetic FootAlbuminsGlycated HemoglobinHumansRetrospective StudiesWound HealingAlbuminsGlycated Hemoglobindiabetic foot ulcerssurgerytime in rangewound healing

Identifiers

PMID34931460
PMCPMC9493226

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Registered trials

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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.