Evidence map›Paper›PMID 42136444›Full record

Trial reportEndocrine, metabolic & immune disorders drug targets2026

Evaluation of the Effectiveness of Hyodine on Healing of Diabetic Foot Ulcer: A Randomized Single-Blind Controlled Trial.

Rezvan Razmandeh, Faeze Abbaspour, Leila Yazdanpanah, Samimeh Shahbazi, Mohammadreza Heidari, Ozra Tabatabaei-Malazy, Mohammadreza Amini

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Endocrine, metabolic & immune disorders drug targets, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Rezvan RazmandehDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Faeze AbbaspourNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Leila YazdanpanahHealth Research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Samimeh ShahbaziDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza HeidariNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Ozra Tabatabaei-MalazyNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza AminiDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetic foot ulcers (DFUs) pose a significant global health threat. It is estimated that individuals with diabetes have a 15-34% lifetime risk of developing a foot ulcer. This clinical study evaluates the comparative effectiveness of Hyodine solution versus standard treatment protocols in promoting the healing of DFUs.

methodsThis prospective, multicenter, single-blind randomized clinical trial enrolled 98 patients with type 1 and 2 diabetes who presented with grade 1-2 infected diabetic foot ulcers from participating diabetes clinics between June 2023 and January 2025. Patients were randomly divided into two groups by block randomization in a 4:1 ratio: a control group that received standard treatment and an intervention group (Hyodine) that received standard treatment plus an iodine solution. Wound cultures were obtained three times during the study: at baseline (before treatment initiation), week 2, and week 4. The collected data were analyzed using SPSS 20 software.

resultsIn our study, 98 patients with diabetic foot ulcers participated. Intervention group (n = 49): received Hyodine treatment, and the control group (n = 49) received standard wound care, for four weeks. The average age of the participants was 60 ± 11.46 years. Among the participants, 30 patients (30.6%) were females, and 63.3% of the individuals had a history of diabetic foot ulcer. The colony counts significantly decreased by the end of the study compared to the beginning of the study (P<0.001) in the intervention group. The difference in wound area in the Hyodine group between the first and last visits was statistically significant (P < 0.05). DISCUSSION: These results align with growing evidence that hyaluronic acid-based treatments, such as Hyodine, enhance antimicrobial activity and accelerate wound healing in chronic diabetic foot ulcers.

conclusionTo reduce complications from diabetic foot ulcers, the implementation of advanced therapeutic interventions is critical for alleviating the burden on both patients and healthcare systems. CLINICAL TRIAL NUMBER: IRCT20088094001199N8.

Indexed as

Diabetes Mellitus, Type 2Diabetic FootWound HealingAgedDiabetes Mellitus, Type 1FemaleHumansMaleMiddle AgedProspective StudiesSingle-Blind MethodTreatment Outcomeantimicrobial activitycontrolled trialDiabetic foot ulcerhyaluronic acidHyodinetype 1 and 2 diabetes

Identifiers

PMID42136444
PMCPMC13670196

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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.