Evidence map›Paper›PMID 35204630›Full record

ArticleDiagnostics (Basel, Switzerland)2022

The Role of Early Revascularization and Biomarkers in the Management of Diabetic Foot Ulcers: A Single Center Experience.

Ettore Dinoto, Francesca Ferlito, Manfredi Agostino La Marca, Graziella Tortomasi, Francesca Urso, Salvatore Evola, Giovanni Guercio, Marco Marcianò, David Pakeliani, Guido Bajardi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-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

11 citing papers in PubMed, 13 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

11 authors at 3 institutions in 1 country.

Ettore DinotoVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Francesca FerlitoVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Manfredi Agostino La MarcaVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Graziella TortomasiVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Francesca UrsoVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Salvatore EvolaUnit of Cardiology, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE) "G. D'Alessandro", University Hospital Paolo Giaccone, University of Palermo, 90127 Palermo, Italy.
Giovanni GuercioDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Marco MarcianòDepartment of General and Emergency Surgery, Paolo Giaccone University Hospital, 90127 Palermo, Italy.ORCID 0000-0003-3604-0699
David PakelianiVascular Surgery Unit, Ospedali Riuniti Villa Sofia-Cervello, 90100 Palermo, Italy.ORCID 0000-0001-7756-227X
Guido BajardiVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.
Felice PecoraroVascular Surgery Unit, AOUP Policlinico "P. Giaccone", 90127 Palermo, Italy.ORCID 0000-0001-8165-7490
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITOspedale Vincenzo Cervello · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic neuropathy and Peripheral Arterial Disease (PAD) are the main etiological factors in foot ulceration. Herein, we report our experience of diabetic foot ulceration (DFU) management, with an analysis of the relationship between the rate of lower extremity amputation, in persons with infected DFU, after revascularization procedures performed to prevent major amputation. This study highlights the role of different biomarkers, showing their usefulness and potentiality in diabetic foot ulcer management, especially for the early diagnosis and therapy effectiveness monitoring. A retrospective analysis, from September 2016 to January 2021, of diabetic patients presenting diabetic foot with DFU, was performed. All patients were treated with at least one vascular procedure (endovascular, open, hybrid procedures) targeting PAD lesions. Outcomes measured were perioperative mortality and morbidity. Freedom from occlusion, primary and secondary patency, and amputation rate were registered. A total of 267 patients, with a mean age of 72.5 years, were included in the study. The major amputation rate was 6.2%, minor amputation rate was 17%. In our experience, extreme revascularization to obtain direct flow reduced the rate of amputations, with an increase in ulcer healing.

Indexed as

biomarkersblood flowdiabetic foot ulcerationtissue oxygenationvascular–endovascular surgerywound healing

Identifiers

PMID35204630
PMCPMC8871223
OpenAlexW4213161496

What OpenQuestion holds

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LicenceCC BY
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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.