Evidence map›Paper›PMID 40801628›Full record

ArticleCells2025

Microvascular, Biochemical, and Clinical Impact of Hyperbaric Oxygen Therapy in Recalcitrant Diabetic Foot Ulcers.

Daniela Martins-Mendes, Raquel Costa, Ilda Rodrigues, Óscar Camacho, Pedro Barata Coelho, Vítor Paixão-Dias, Carla Luís, Ana Cláudia Pereira, Rúben Fernandes, Jorge Lima and 1 more

Abstract read
In one paragraph

Article in Cells, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Daniela Martins-MendesRISE-Health, School of Medicine and Biomedical Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, Avenida Fernando Pessoa 150, 4420-096 Gondomar, Portugal.ORCID 0000-0001-9709-9948
Raquel CostaCentro de Biotecnologia e Química Fina Laboratório Associado, Escola superior de Biotecnologia, Universidade Católica Portuguesa, R. de Diogo Botelho 1327, 4169-005 Porto, Portugal.ORCID 0000-0002-9245-4565
Ilda RodriguesBomedicine Department, Faculty of Medicine, University of Porto, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal.ORCID 0000-0002-5581-7670
Óscar CamachoHyperbaric Medical Unit, Unidade Local de Saúde de Matosinhos, E. P. E (Entidade Pública Empresarial), R. de Dr. Eduardo Torres, 4464-513 Senhora da Hora, Portugal.
Pedro Barata CoelhoRISE-Health, School of Medicine and Biomedical Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, Avenida Fernando Pessoa 150, 4420-096 Gondomar, Portugal.ORCID 0000-0002-4537-5450
Vítor Paixão-DiasInternal Medicine Department-Centro Hospitalar de Vila Nova de Gaia/Espinho EPE, 4434-502 Vila Nova de Gaia, Portugal.
Carla LuísRISE-Health, School of Medicine and Biomedical Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, Avenida Fernando Pessoa 150, 4420-096 Gondomar, Portugal.
Ana Cláudia PereiraRISE-Health, School of Medicine and Biomedical Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, Avenida Fernando Pessoa 150, 4420-096 Gondomar, Portugal.ORCID 0000-0003-1727-8255
Rúben FernandesRISE-Health, School of Medicine and Biomedical Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, Avenida Fernando Pessoa 150, 4420-096 Gondomar, Portugal.ORCID 0000-0001-8933-3984
Jorge Limai3S-Instituto de Investigação e Inovação em Saúde, University of Porto, 4200-135 Porto, Portugal.ORCID 0000-0001-7780-0901
Raquel SoaresBomedicine Department, Faculty of Medicine, University of Porto, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal.ORCID 0000-0002-9157-5541

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulcers (DFUs) are a serious complication of diabetes and are often difficult to treat. Hyperbaric oxygen therapy (HBOT) has been proposed as an adjunctive treatment to promote healing, but its long-term clinical and biological effects remain insufficiently characterized. This study aimed to evaluate the impact of HBOT on systemic biomarkers, local microvasculature, and clinical outcomes in patients with DFUs.

methodsIn this non-randomized prospective study, 20 patients with ischemic DFUs were followed over a 36-month period. Fourteen received HBOT in addition to standard care, while six received standard care alone. Clinical outcomes-including DFU resolution, recurrence, lower extremity amputation (LEA), and mortality-were assessed alongside systemic inflammatory and angiogenic biomarkers and wound characteristics at baseline and at 3, 6, 12, and 36 months. CD31 immunostaining was performed on available tissue samples.

resultsThe two groups were comparable at baseline (mean age 62 ± 12 years; diabetes duration 18 ± 9 years). At 3 months, the HBOT group showed significant reductions in erythrocyte sedimentation rate and DFU size (

conclusionsHBOT was associated with improved wound healing and favorable biomarker profiles in patients with treatment-resistant ischemic DFUs. While these findings are encouraging, the small sample size and non-randomized design limit their generalizability, highlighting the need for larger, controlled studies.

Indexed as

Diabetic FootHyperbaric OxygenationMicrovesselsAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeWound HealingBiomarkersangiogenesisdiabetesdiabetic footfoot ulcerhyperbaric oxygen therapymicrovessel density

Identifiers

PMID40801628
PMCPMC12346236

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.