Evidence map›Paper›PMID 35746918›Full record

ArticleJournal of diabetes research2022

Adherence to General Diabetes and Foot Care Processes, with Prompt Referral, Are Associated with Amputation-Free Survival in People with Type 2 Diabetes and Foot Ulcers: A Scottish National Registry Analysis.

Bernardo Meza-Torres, Scott G Cunningham, Christian Heiss, Mark Joy, Michael Feher, Graham P Leese, Simon de Lusignan, Fabrizio Carinci

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 9 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

8 authors at 5 institutions in 2 countries.

Bernardo Meza-TorresDepartment of Clinical and Experimental Medicine, University of Surrey, UK.ORCID https://orcid.org/0000-0001-6551-5484
Scott G CunninghamDivision of Population Health and Genomics, University of Dundee, Scotland, UK.ORCID https://orcid.org/0000-0003-0861-8676
Christian HeissDepartment of Clinical and Experimental Medicine, University of Surrey, UK.ORCID https://orcid.org/0000-0002-3212-8995
Mark JoyNuffield Department of Primary Care Health Sciences, University of Oxford, UK.ORCID https://orcid.org/0000-0002-4974-3724
Michael FeherNuffield Department of Primary Care Health Sciences, University of Oxford, UK.ORCID https://orcid.org/0000-0003-0631-6199
Graham P LeeseDivision of Population Health and Genomics, University of Dundee, Scotland, UK.
Simon de LusignanNuffield Department of Primary Care Health Sciences, University of Oxford, UK.ORCID https://orcid.org/0000-0002-8553-2641
Fabrizio CarinciDepartment of Statistical Sciences, University of Bologna, Italy.ORCID https://orcid.org/0000-0002-7524-227X
University of Oxford · GBUniversity of Dundee · GBEast Surrey Hospital · GBUniversity of Bologna · ITUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: To compare different packages of care across care providers in Scotland on foot-related outcomes. Methods: A retrospective cohort study with primary and secondary care electronic health records from the Scottish Diabetes Registry, including 6,845 people with type 2 diabetes and a first foot ulcer occurring between 2013 and 2017. We assessed the association between exposure to care processes and major lower extremity amputation and death. Proportional hazards were used for time-to-event univariate and multivariate analyses, adjusting for case-mix characteristics and care processes. Results were expressed in terms of hazard ratios with 95% confidence intervals. Results: 2,243 (32.7%) subjects had a major amputation or death. Exposure to all nine care processes at all ages (HR = 0.63; 95% CI: 0.58-0.69; Conclusions: Strict adherence to a standardised package of general diabetes care before foot ulceration, timely foot care after ulceration, and specific treatment pathways were associated with longer major amputation-free survival among a large cohort of people with type 2 diabetes in Scotland, with a larger impact on older age groups.

Indexed as

Diabetes Mellitus, Type 2Diabetic FootFoot UlcerAgedAmputation, SurgicalHumansReferral and ConsultationRegistriesRetrospective Studies

Identifiers

PMID35746918
PMCPMC9213182
OpenAlexW4282832522

What OpenQuestion holds

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LicenceCC BY
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.