Evidence map›Paper›PMID 35080096›Full record

Observational studyDiabetes/metabolism research and reviews2022

Covid-19 lockdown showed a likely beneficial effect on diabetic foot ulcers.

Jean-Baptiste Bonnet, Valérie Macioce, Abdulkader Jalek, Karim Bouchdoug, Cécile Elleau, Marie-Françoise Gras-Vidal, Julie Pochic, Antoine Avignon, Ariane Sultan

Abstract readObservational Study
In one paragraph

Observational study in Diabetes/metabolism research and reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Observational
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

9 authors.

Jean-Baptiste BonnetEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.ORCID 0000-0001-5830-8962
Valérie MacioceClinical Research and Epidemiology Unit, CHU Montpellier, Université Montpellier, Montpellier, France.
Abdulkader JalekEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.
Karim BouchdougClinical Research and Epidemiology Unit, CHU Montpellier, Université Montpellier, Montpellier, France.
Cécile ElleauEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.
Marie-Françoise Gras-VidalEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.
Julie PochicEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.
Antoine AvignonEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.
Ariane SultanEndocrinology Diabetes Department, CHU Montpellier, Université Montpellier, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsDuring the Covid-19 epidemic, many countries imposed population lockdown. This study aimed to analyse diabetic foot ulcer (DFU) evolution of outpatients between the lockdown period and 1 month after its end. MATERIALS AND

methodsWe conducted a prospective, observational, single-centre study without modification of care. All patients who followed up for a DFU in the study centre between 15 April 2020 and 11 May 2020 were included. The baseline assessment occurred 4 weeks after the beginning of lockdown and the follow-up visit 4-6 weeks after easing of lockdown. The primary analysis was based on the Site, Ischaemia, Neuropathy, Bacterial infection, Area, Depth (SINBAD) classification.

resultsTwenty-seven patients were included, median 69.4 years, and 25 were followed-up at easing of lockdown. The median SINBAD score was 2 (interquartile range 1; 3) at inclusion and 1 (1; 2) at easing of lockdown, with a mean change of -0.32 (95% confidence interval -0.93; 0.29). Seventy-two percent of the population had a stable or improved score between the two visits. The proportion of patients using off-loading footwear was higher among those whose SINBAD score improved compared to those whose score worsened or remained stable (72%, 44% and 28%, respectively). Diabetes type was linked to DFU prognosis. Five patients (20%) were hospitalized during the follow-up period.

conclusionLockdown appears to have had a positive effect on DFU if patients remain under the care of their expert wound centre. We believe this effect is related to better compliance with offloading. The wide use of tele-medicine seems relevant for the follow-up of DFU.

Indexed as

COVID-19Diabetes MellitusDiabetic FootCommunicable Disease ControlHospitalizationHumansProspective StudiesCovid-19diabetesdiabetic foot ulcerhealinglockdownSINBAD

Identifiers

PMID35080096
PMCPMC9015270

What OpenQuestion holds

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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.