Evidence map›Paper›PMID 36958902›Full record

ArticleSeminars in vascular surgery2023

Disparities in preventative diabetic foot examination.

Sarah Ali Fermawi, Jeffrey P Tolson, Shannon M Knapp, David Marrero, Wei Zhou, David G Armstrong, Tze-Woei Tan

Open access · greenAbstract read
In one paragraph

Article in Seminars in vascular surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 8 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

7 authors at 4 institutions in 1 country.

Sarah Ali FermawiDivision of General Surgery, Memorial Healthcare System, Pembroke Pines, FL.
Jeffrey P TolsonUniversity of Arizona, Tucson, AZ.
Shannon M KnappIndiana University School of Medicine, Indianapolis, IN.
David MarreroUniversity of Arizona, Tucson, AZ.
Wei ZhouUniversity of Arizona, Tucson, AZ.
David G ArmstrongDivision of Vascular Surgery and Endovascular Therapy, Keck School of Medicine at University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033.
Tze-Woei TanDivision of Vascular Surgery and Endovascular Therapy, Keck School of Medicine at University of Southern California, 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033. Electronic address: tze-woei.tan@med.usc.edu.
University of Arizona · USUniversity of Southern California · USIndiana University School of MedicineMemorial Healthcare System · US

Funding

Improving the science of adherence reinforcement and safe mobility in people with diabetic foot ulcers using smart offloadingR01DK124789 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ARMSTRONG, DAVID GEORGE, NAJAFI, BIJAN · 2021 to 2025
$2.0M
Determinants in Limb Preservation in Hispanics and Native AmericansK23DK122126 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TAN, TZE-WOEI · 2019 to 2023
$845k
NIDDK NIH HHS K23 DK122126NIDDK NIH HHS R01 DK124789
6 · The paper itself

Abstract

The objective of this study was to assess the overall differences in the standard of preventive foot care for patients at risk of diabetic foot ulceration and to identify specific demographic factors affecting these health care practices, including race and ethnicity. The National Health and Nutrition Examination Survey data for 2011 to 2018 were analyzed. Participants (20 years and older) with diabetes were categorized as White, Black, Hispanic, Asian, and others (including multiracial participants) based on self-reported race and ethnicity. The primary outcome was foot examination over the past year administered by a medical professional. Logistic regression was performed to examine the effects of race and ethnicity on the annual diabetic foot examination, controlling for age (65 years and older), gender, and health insurance status. Among the 2,836 participants included in the study (weighted percentage: 61.1% were White, 13.9% were Black, 15.1% were Hispanic, 5.4% were Asian, and 4.5% were other), 2,018 (weighted percentage: 71.6%) received annual diabetic foot examination over the past year. Hispanic participants (adjusted odds ratio [aOR] = 0.685; 95% CI, 0.52-0.90) were significantly less likely than White participants to receive an annual foot examination (Black participants: aOR = 1.11; 95% CI, 0.83-1.49; Asian participants: aOR = 0.80; 95% CI, 0.60-1.07; other participants: aOR = 0.66; 95% CI, 0.40-1.10). Factors associated with receipt of foot examination were age 65 years or older (aOR = 1.42; 95% CI, 1.05-1.92) and having health insurance (aOR = 3.02; 95% CI, 2.27-4.03). Our findings suggest that Hispanic adults with diabetes are receiving disproportionately lower rates of preventive foot care compared with their White counterparts. This significant variation in the standard of care for individuals with diabetes reflects the need to further identify factors driving the disparities in preventive foot care services among racial and ethnic minority groups.

Indexed as

Diabetes MellitusDiabetic FootHealthcare DisparitiesAdultEthnicityHumansMinority GroupsNutrition SurveysUnited StatesDiabetes mellitusDiabetes preventative careDiabetic care disparitiesDiabetic foot careDiabetic foot examination

Identifiers

PMID36958902
PMCPMC10503961
OpenAlexW4313547688

What OpenQuestion holds

Textmetadata
LicenceTDM
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.