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• W2897859114 abstract "Abstract Background and objective The aim of this study was to assess the risk factors associated to recurrent diabetic foot ulcers after implementing a new preventive comprehensive foot care (CFC) program carried out by a podiatrist and an endocrinologist at a multidisciplinary diabetic foot unit (MDFU) and its potential impact in decreasing recurrent ulcers. Material and methods A retrospective cohort study including consecutive patients who attended the MDFU for the first time from 2008 to 2014 complaining of a diabetic foot ulcer that finally healed. Patients were monitored until ulcer recurred or up to June 30, 2016. Maximum follow-up time was 8.1 years. Cumulative incidence of recurrent ulcers was analyzed during two periods: 2008–2010 (before CFC was implemented) and 2011–2014 (after implementation of CFC). Results A total of 280 subjects with a median age of 69.5 years (Q25:60.2–Q75:78) were included. Of these, 64.6% were males and 92.1% had type 2 diabetes mellitus. One hundred and twenty-six (45%) suffered recurrent ulcers. Median time to recurrent ulceration was 0.97 (Q25:0.44–Q75:1.74) years. Multivariate analysis showed sensory neuropathy (HR [95% CI] 1.58 [0.99–2.54], p = 0.050); minor amputation (HR [95% CI] 1.66 [0.12–2, 46], p = 0.011); and 2011–2014 period versus 2008–10 period (HR [95% CI] 0.60 [0.42–0.87], p = 0.007) to be factors independently associated to recurrent ulcers. Conclusions Sensory neuropathy, minor amputation, and implementation of the CFC program were predictors of reulceration. Implementation of the CFC program was associated to a 40% reduction in reulceration. Prevention of recurrent ulcers is feasible and should be a priority in a MDFU." @default.
• W2897859114 created "2018-10-26" @default.
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• W2897859114 date "2018-10-01" @default.
• W2897859114 modified "2023-10-01" @default.
• W2897859114 title "Analysis of recurrent ulcerations at a multidisciplinary diabetic Foot unit after implementation of a comprehensive Foot care program" @default.
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• W2897859114 doi "https://doi.org/10.1016/j.endien.2018.03.017" @default.
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