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- W2073236424 abstract "To the Editor. —The conclusion of Evans et al1 “that diabetes in the elderly, unlike in young patients, increases the risk of foot problems only marginally” is not appropriate based on their data, the way they were obtained, and the groups chosen for their study. Because of their higher incidence of peripheral neuropathy and of vascular disease, diabetics would be expected to have more problems with foot ulcers, amputations, cellulitis, and abcesses. To lump those problems with tinea pedis, onychomycosis, callus formation, elongated nails, hammer toe deformity, and bunions does not make sense, as these would occur equally in diabetics and non-diabetics and do not have the same seriousness. Because the exams were done in the geriatrics and diabetes clinics, the examiners would have been susceptible to subconsciously “looking harder” in the non-diabetic group, which could have been avoided by blinding them to the patients’ disease state. Finally, by finding patients in those clinics, the groups examined were biased toward more healthy, ambulatory elderly, ignoring diabetics in nursing homes or in their own homes, unable to travel as easily due to amputations. While it is important to check the feet of all elderly patients during their exams, it is especially important to see diabetics with their shoes off as the consequences of untreated foot problems in them are so serious." @default.
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- W2073236424 date "1991-09-01" @default.
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- W2073236424 title "Foot Problems in Older Patients" @default.
- W2073236424 cites W2078337076 @default.
- W2073236424 doi "https://doi.org/10.1111/j.1532-5415.1991.tb04468.x" @default.
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