Evidence map›Paper›PMID 37184671›Full record

Observational studyActa diabetologica2023

Real-world treatment patterns and diagnosis of charcot foot in franco-belgian diabetic foot expert centers (The EPiChar Study).

Carole-Anne Julien, Georges Ha Van, Jocelyne M'Bemba, Muriel Bourgeon, Dured Dardari, Marc Lepeut, Isabelle Dumont, Mohammed Zakarya Zemmache, Chris Serrand, Benjamin Bouillet and 3 more

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Acta diabetologica, 2023. 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 29% 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, 3 citations in OpenAlex.

  1. Review
  2. 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

13 authors at 7 institutions in 1 country.

Carole-Anne JulienService des Maladies métaboliques et Endocriniennes, CHU Nîmes, Univ Montpellier, Nîmes, France.
Georges Ha VanService de Diabétologie, AP-HP La Pitié Salpétrière, Paris, France.
Jocelyne M'BembaService de Diabétologie, AP-HP Hôtel Dieu, Paris, France.
Muriel BourgeonService Endocrinologie, AP-HP Kremlin Bicêtre, Kremlin Bicêtre, France.
Dured DardariService de Diabétologie, CH Sud Francilien, Corbeil-Essonnes, France.
Marc LepeutService de Diabétologie, CH Roubaix, Roubaix, France.
Isabelle DumontCentre du Pied, Ransart, Belgium.
Mohammed Zakarya ZemmacheDepartment of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nîmes, Univ Montpellier, Nîmes, France.
Chris SerrandDepartment of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nîmes, Univ Montpellier, Nîmes, France.
Benjamin BouilletService d'Endocrinologie, Diabétologie, Maladies Métaboliques, CHU Dijon, Dijon, France.
Ariane Sultan10PhyMedExp, INSERM U1046, UMR 9214, Univ Montpellier, Service Des Maladies Métaboliques, CHU Montpellier, Montpellier, France.
Sophie SchuldinerVBIC, INSERM U1047, Univ Montpellier, Service Des Maladies Métaboliques Et Endocriniennes, CHU Nîmes, Clinique du Pied Gard Occitanie, Route de Carnon, 30240, Le Grau du Roi, France. sophie.schuldiner@chu-nimes.fr.ORCID http://orcid.org/0000-0003-2048-6952
EPiChar study group
Université de Montpellier · FRAssistance Publique – Hôpitaux de Paris · FRInserm · FRCentre Hospitalier de Roubaix · FRCentre Hospitalier Sud Francilien · FRCHU Dijon Bourgogne · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the real-life diagnosis and therapeutic means of Charcot Neuroosteoarthropathy (CN) in French-Belgian diabetic foot expert centers.

methodsWe collected clinical characteristics, results of exams and therapeutic pathways of consecutive adult patients with diabetic osteoarthropathy seen in consultation or hospitalization from January 1 to December 31, 2019 in 31 diabetic foot expert centers. The primary outcome was to describe the diagnostic and management methods for CN according to patient clinical characteristics, the clinical-radiological characteristics of acute and chronic CN and discharge means.

results467 patients were included: 364 with chronic CN and 103 in the acute phase. 101 patients had bilateral chronic CN. Most patients were male (73.4%), treated with insulin (73.3%), and with multicomplicated diabetes. In the acute phase, edema and increased foot temperature were present in 75% and 58.3% of cases, respectively. Diagnosis confirmation was usually by MRI and the mode of discharge was variable. In the chronic phase, orthopedic shoes were prescribed in 81.5% of cases.

conclusionsThis observational study highlights the diagnostic and therapeutic practices in 31 diabetic foot centers. Our results highlight that the use of MRI and the modalities of offloading, an essential treatment in the acute phase, need to be better standardized. Centers were highly encouraging about creating a patient registry.

Indexed as

Arthropathy, NeurogenicDiabetes MellitusDiabetic FootAdultBelgiumFemaleFootHumansMaleBelgiumCharcot footDiabetic footFranceMagnetic resonance imagingOffloading

Identifiers

PMID37184671
OpenAlexW4376618294

What OpenQuestion holds

Textmetadata
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.