Evidence map›Paper›PMID 36503591›Full record

ArticleJournal of foot and ankle research2022

"I was trying to look after myself, but I really wasn't": Understanding patient's perspectives on risk factors for lower extremity amputations.

Marcelle Ben Chmo, Lisa Matricciani, Saravana Kumar, Kristin Graham

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of foot and ankle research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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.

Marcelle Ben ChmoUniversity of South Australia Allied Health and Human Performance, University of South Australia, Adelaide, SA, 5000, Australia. Benmb002@mymail.unisa.edu.au.ORCID http://orcid.org/0000-0002-6869-0074
Lisa MatriccianiUniversity of South Australia Allied Health and Human Performance, University of South Australia, Adelaide, SA, 5000, Australia.ORCID https://orcid.org/0000-0002-4480-4188
Saravana KumarUniversity of South Australia Allied Health and Human Performance, University of South Australia, Adelaide, SA, 5000, Australia.
Kristin GrahamUniversity of South Australia Allied Health and Human Performance, University of South Australia, Adelaide, SA, 5000, Australia.
University of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLower extremity amputations (LEAs) as a result of type 2 diabetes mellitus (T2DM) cause considerable morbidity, mortality, and burden on the healthcare system. LEAs are thought to be preventable, yet the rate of LEAs, particularly in Australia, has risen despite the availability of preventative healthcare services. Understanding patient's perspectives of risk factors for LEAs may provide valuable insight into why many LEAs occur each year.

objectiveThe aim of this study was to explore patient's perspectives of risk factors for LEAs as a result of T2DM.

methodsA qualitative descriptive methodology involving non-probability purposive sampling was used to recruit inpatients at a tertiary metropolitan hospital in South Australia. Semi-structured interviews were conducted, and data were transcribed verbatim. Data from the interviews were analysed using thematic analysis and the constant comparison approach.

resultsA total of 15 participants shared their perspectives of risk factors for lower extremity amputations. Most (86%) of participants were male and Caucasian, with a median age of 66.4 years ranging from 44-80 years. The median duration of diabetes was 25.2 years, ranging from 12-40 years. More than half of the participants had undergone a previous amputation with 86% being unemployed or retired and 73% living in metropolitan Adelaide. Two main themes emerged: competing priorities and awareness. Finance and family care were identified as subthemes within competing priorities. While subthemes in the context of awareness related to lack of awareness of risk, experiences with health care professionals and perspectives of disease severity.

conclusionsThe findings from this research indicate that addressing risk factors for LEAs for patients with T2DM require a holistic and nuanced approach which considers individual patient's circumstances, and its influence on how risks are viewed and managed.

Indexed as

Diabetes Mellitus, Type 2Diabetic FootAgedAmputation, SurgicalFemaleHealth ServicesHumansLower ExtremityMaleRisk FactorsLower extremity amputationPerspectivesQualitativeRisk factorsType 2 diabetes mellitus

Identifiers

PMID36503591
PMCPMC9743707
OpenAlexW4311123012

What OpenQuestion holds

Textmetadata
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.