Evidence map›Paper›PMID 37520685›Full record

ArticleInfectious diseases in clinical practice (Baltimore, Md.)2023

Outpatient Parenteral Antibiotic Therapy for Diabetic Foot Osteomyelitis in an Uninsured and Underinsured Cohort.

Marcos C Schechter, Yutong Yao, Manish Patel, Rebecca Andruski, Saira Rab, Jordan R Wong, Gabriel Santamarina, Maya Fayfman, Ravi Rajani, Russell R Kempker

Open access · greenAbstract read
In one paragraph

Article in Infectious diseases in clinical practice (Baltimore, Md.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

10 authors at 2 institutions in 1 country.

Marcos C Schechter *Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA.
Yutong Yao *Rollings School of Public Health, Emory University, Atlanta, Georgia.
Manish PatelGrady Health System, Atlanta, GA.
Rebecca AndruskiGrady Health System, Atlanta, GA.
Saira RabGrady Health System, Atlanta, GA.
Jordan R WongGrady Health System, Atlanta, GA.
Gabriel SantamarinaGrady Health System, Atlanta, GA.
Maya FayfmanGrady Health System, Atlanta, GA.
Ravi RajaniGrady Health System, Atlanta, GA.
Russell R KempkerDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA.
Grady Health System · USEmory University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
Use of Non-Insulin Agents in Hospitalized Patients with Type 2 diabetes (T2D)K23DK124647 · NIDDK · EMORY UNIVERSITY · PI FAYFMAN, MAYA · 2020 to 2024
$870k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NIDDK NIH HHS K23 DK124647NIDDK NIH HHS P30 DK111024
6 · The paper itself

Abstract

Background: Diabetic foot osteomyelitis (DFO) is usually treated with prolonged outpatient parenteral antibiotic therapy (OPAT). Evaluation and treatment of non-antibiotic aspects of DFO (e.g., peripheral artery disease [PAD]) are also recommended. There is limited data regarding OPAT practice patterns and outcomes for DFO. Methods: Single-center observational study of patients receiving OPAT for DFO in a large United States public hospital between January 2017 and July 2019. We abstracted data regarding microbiology test, antibiotics, clinical outcomes, and non-antibiotic DFO management. Results: Ninety-six patients were included and some had >1 DFO-OPAT course during the study period (106 DFO-OPAT courses included). No culture was obtained in 40 (38%) of courses. Methicillin-resistant Conclusions: We found high rates of empiric antibiotic therapy for DFO and low uptake of the non-antibiotic aspects of DFO care. Better implementation of microbiological tests for DFO in addition to stronger integration of infectious disease and non-infectious diseases care could improve DFO outcomes.

Identifiers

PMID37520685
PMCPMC10373103
OpenAlexW4319336322

What OpenQuestion holds

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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.