Diabetic foot ulcer incidence and survival with improved diabetic foot services: an 18‐year study
| Autor: | R. B. Paisey, A. Abbott, C. F. Paisey, D. Walker, Rebecca Birch, Belinda Bowen, Roger Brown, Cheryl Clark, Richard Collings, Steve Cutts, Joanne Davies, Sean Ellin, Kerry‐Ann Evans, Rob Fisher, Sam Glasser, Martyn Hillstead, Gemma Hine, Sarah Levi, Amanda Martin, Lauren Mackintosh, Sadie Phillips, Ella Rawlinson, Anne‐Marie Shepperd, Kerrie Spicer, Su Stewart, Sam Stocker, Harriet Tailford, Justine Tansley, Hannah Uglow, Adam Widgery, Jen Williams, Samuel Darke |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism 03 medical and health sciences Research: Care Delivery 0302 clinical medicine Endocrinology Diabetic Neuropathies Internal medicine Internal Medicine medicine Humans Community Health Services 030212 general & internal medicine Podiatry Care Delivery Research Articles Aged Proportional Hazards Models Wound Healing Vascular disease business.industry Proportional hazards model Incidence Incidence (epidemiology) Diabetic foot care Middle Aged medicine.disease Diabetic foot Diabetic Foot Diabetic foot ulcer Health Care Surveys Female business Diabetic Angiopathies Foot (unit) Follow-Up Studies |
| Zdroj: | Diabetic Medicine |
| ISSN: | 1464-5491 0742-3071 |
| Popis: | Aims To ascertain the effects of improvements in diabetic foot services over 18 years on incidence of diabetic foot ulceration. We also compared survival time from first ulcer development with presence of neuropathy, peripheral vascular disease, age and healing. Methods Persons with new ulceration and those at high risk of ulcer development were referred to community podiatry from 1998. Their details were recorded, with verbal consent, on a central database. The effects of neuropathy, peripheral vascular disease, healing and age on survival were analysed by Cox proportional hazards ratios. Results The incidence of first ulcer presentation decreased from 11.1 to 6.1 per 1000 persons between 2003 to 2017 (P What's new? Prevention of diabetic foot ulceration has been difficult to acheiveSurvival after diabetic foot ulceration has historically been poorThis study has shown reduction in first diabetes related foot ulceration with improved foot care services Participant survival after development of first diabetic foot ulceation was longer than in recent reports especially for those under 65 years of age, where ulcers healed, and in those without peripheral vascular diseaseAdequate commissioning of diabetic foot care services is necessary to prevent first foot ulcerationCounselling for younger patients with diabetic foot ulceration can be more posisitve |
| Databáze: | OpenAIRE |
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