Evidence map›Paper›PMID 39376015›Full record

SynthesisWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society

Residual diabetic foot osteomyelitis after surgery leads to poor clinical outcomes: A systematic review and meta-analysis.

Mario C Reyes, Mehmet A Suludere, Arthur N Tarricone, Tehreem Sajjad, Tyler L Coye, Matthew J Sideman, Lawrence A Lavery

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Residual diabetic foot osteomyelitis after surgery leads to poor clinical outcomes: A systematic review and meta-analysis.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
  2. Tibial Osteodistraction Angiogenesis for Diabetic Foot Ischemia: A Systematic Review and Meta-Analysis.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
  3. Article
  4. 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

7 authors.

Mario C ReyesDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Mehmet A SuludereDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-2285-0909
Arthur N TarriconeDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Tehreem SajjadDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Tyler L CoyeDepartment of Vascular Surgery, Baylor University College of Medicine, Houston, Texas, USA.
Matthew J SidemanDepartment of Surgery, University of Texas Health Science Center, San Antonio, Texas, USA.
Lawrence A LaveryDepartment of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this meta-analysis is to compare the clinical outcomes in patients with and without residual osteomyelitis (ROM) after surgical bone resection for diabetic foot osteomyelitis (DFO). We completed a systematic literature search using PubMed, Scopus, and Embase using keywords DFO, Residual OM (ROM), and positive bone margins. The study outcomes included wound healing, antibiotic duration, amputation, and re-infection. Five hundred and thirty patients were included in the analysis; 319 had no residual osteomyelitis (NROM), and 211 had ROM. There was not a significant difference in the proportion of wounds that healed 0.6 (p = 0.1, 95% confidence intervals [95% CI] 0.3-1.3). The risk of infection was 2.0 times higher (OR = 2.0, p = 0.02, 95% CI 1.1-3.4), and the risk of amputation was 4.3 times higher (OR = 4.3, p = 0.0001, 95% CI 2.4-7.6) in patients with ROM. Patients with ROM received antibiotics significantly longer. The mean difference was 16.3 days (p = 0.02, 95% CI 11.1-21.1).

Indexed as

Amputation, SurgicalDiabetic FootOsteomyelitisWound HealingAnti-Bacterial AgentsHumansTreatment OutcomeAnti-Bacterial Agentsamputationdiabetesfoot ulcerinfectionneuropathyosteomyelitis

Identifiers

PMID39376015
PMCPMC11584361

What OpenQuestion holds

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Registered trials

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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.