Manufactured shoes in the prevention of diabetic foot ulcers.
Diabetes Care
; 18(10): 1376-8, 1995 Oct.
Article
em En
| MEDLINE
| ID: mdl-8721941
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of manufactured shoes specially designed for diabetic patients (Podiabetes by Buratto Italy) to prevent relapses of foot ulcerations. RESEARCH DESIGN ANDMETHODS:
A prospective multicenter randomized follow-up study of patients with previous foot ulcerations was conducted. Patients were alternatively assigned to wear either their own shoes (control group, C; n = 36) or therapeutic shoes (Podiabetes group, P; n = 33). The number of ulcer relapses was recorded during 1-year follow-up.RESULTS:
Both C and P groups had similar risk factors for foot ulceration (i.e., previous foot ulceration, mean vibratory perception threshold > 25 mV). After 1 year, the foot ulcer relapses were significantly lower in P than in C (27.7 vs. 58.3%; P = 0.009; odds ratio 0.26 [0.2-1.54]). In a multiple regression analysis, the use of therapeutic shoes was negatively associated with foot ulcer relapses (coefficient of variation = -0.315; 95% confidence interval = -0.54 to -0.08; P = 0.009).CONCLUSIONS:
The use of specially designed shoes is effective in preventing relapses in diabetic patients with previous ulceration.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sapatos
/
Pé Diabético
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Diabetes Care
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
Itália