Document Detail


Repetitive ulceration in neuropathic patients.
MedLine Citation:
PMID:  15150809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
METHODS: In a retrospective study, 83 patients with diabetic neuropathic foot ulceration were classified into two groups: those with a higher rate of ulceration defined as >/=3.5 ulcers per foot per 10 years (group H) and those with a lower rate of <3.5 ulcers per foot per 10 years (group L). RESULTS: Higher risk was associated with neuroarthropathy, higher mean HbA(1c), men who lived alone, alcohol misuse by men, poor compliance with footwear, footcare and with non-foot aspects of diabetic self-care, higher non-attendance rates and, in patients with type 1 diabetes, delay in reporting new foot problems. CONCLUSIONS: Reduction in ulcer recurrence rates will require improved orthotic provision in patients with neuroarthropathy and new methods to achieve behavioural change in other higher risk patients.
Authors:
H Connor; O Z Mahdi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diabetes/metabolism research and reviews     Volume:  20 Suppl 1     ISSN:  1520-7552     ISO Abbreviation:  Diabetes Metab. Res. Rev.     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-05-19     Completed Date:  2005-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883450     Medline TA:  Diabetes Metab Res Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  S23-8     Citation Subset:  IM    
Copyright Information:
Copyright 2004 John Wiley & Sons, Ltd.
Affiliation:
Hereford Diabetes Centre, County Hospital, UK. h.connor@hospital-doctor.net
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MeSH Terms
Descriptor/Qualifier:
Diabetes Mellitus, Type 1 / epidemiology,  psychology
Diabetes Mellitus, Type 2 / epidemiology,  psychology
Diabetic Neuropathies / epidemiology*
Female
Foot Ulcer / epidemiology*
Hemoglobin A, Glycosylated / metabolism
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
Risk Factors
Shoes
Treatment Refusal
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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