Evidence map›Paper›PMID 37875304›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Charcot arthropathy outcomes after early referral to a regional tertiary care foot clinic.

Tiffany M Huynh, Brad Pilkey, Elly Trepman, Mario Dascal, Roman Dascal, John M A Embil

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

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

6 authors at 1 institution in 1 country.

Tiffany M HuynhDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil).
Brad PilkeyDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil).
Elly TrepmanDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil).
Mario DascalDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil).
Roman DascalDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil).
John M A EmbilDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Huynh, Pilkey, M. Dascal); Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman, Embil); Faculty of Medicine, University of Manitoba, Winnipeg, Man. (R. Dascal); Section of Infectious Diseases, Department of Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Embil) jembil@hsc.mb.ca.
University of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity physicians may not encounter Charcot arthropathy frequently, and its symptoms and signs may be nonspecific. Patients often have a delay of several months before receiving a formal diagnosis and referral for specialty care. However, limited Canadian data are available. We evaluated the clinical history, treatment and outcomes of patients treated for Charcot arthropathy after prompt referral and diagnosis.

methodsWe performed a retrospective chart review of 76 patients with diabetes (78 feet) who received nonoperative treatment for Charcot arthropathy in a specialty foot clinic between Jan. 20, 2009, and Mar. 26, 2018. Patients were referred to the foot clinic by community physicians for evaluation or were pre-existing patients at the foot clinic with new-onset Charcot arthropathy.

resultsOf the 78 feet included in our analyses, 52 feet (67%) were evaluated initially by a community physician and referred to the foot clinic, where they were seen within 3 ± 5 weeks. The remaining 26 feet (33%) were already being treated at the foot clinic. Most feet had swelling, erythema, warmth, a palpable pulse and loss of protective sensation. Ulcers were present initially in 23 feet (29%). Sixty-four feet (82%) with Charcot arthropathy were in Eichenholtz classification stage 1 and most had midfoot involvement. Nonoperative treatment included total contact casting (60 feet, 77%). Mean duration of nonoperative treatment until resolution for 55 feet (71%) was 6 ± 5 months. Surgery was performed on 20 feet (26%) for the treatment of infection and recurrent ulcer associated with deformity, including 6 (8%) lower limb amputations.

conclusionCharcot arthropathy may resolve in most feet with early referral and nonoperative treatment, but remains a limb-threatening condition.

Indexed as

Arthropathy, NeurogenicJoint DiseasesCanadaHumansLower ExtremityReferral and ConsultationRetrospective StudiesTertiary Health Care

Identifiers

PMID37875304
PMCPMC10609890
OpenAlexW4387904309

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.