Top

Quality of Life Research

Gepubliceerd in:

18-12-2018 | Review

Health-related quality of life among adults living with diabetic foot ulcers: a meta-analysis

Auteurs: Saneh Khunkaew, Ritin Fernandez, Jenny Sim

Gepubliceerd in: Quality of Life Research | Uitgave 6/2019

Abstract

Purpose

To undertake a systematic review of the literature to investigate the HRQOL among adults living with DFUs.

Methods

A systematic search of the medical and nursing/health content databases including MEDLINE, CINAHL, and PsycINFO was conducted up to November 2018. The methodological quality of each study was assessed independently by all authors using the Joanna Briggs Institute checklist. Data analysis was conducted using the Comprehensive Meta-analysis software. All analyses were performed using random-effects models and heterogeneity was quantified.

Results

A total of 12 studies were included in the review. Overall, the HRQOL of participants in the studies was poor on four of eight subscales in the SF-36: physical functioning (mean = 42.75, SE 1.5); role physical (mean = 20.61, SE 3.4); general health (mean = 39.52, SE 1.7); and vitality (mean = 45.73, SE 2.8). In addition, presence of pain, high levels of C-reactive protein (> 10 mg/L), ulcer size > 5 cm², Ankle Brachial Index < 0.9, high glycosylated haemoglobin and body mass index > 25 kg/m² were associated with poorer HRQOL in people with DFUs.

Conclusions

This review has provided evidence indicating that people with DFUs have a significantly lower HRQOL. Evidence-based interventions to improve the HRQOL in this group of people is needed.

vorige artikel Health-related quality of life among children, adolescents, and adults with bladder exstrophy–epispadias complex: a systematic review of the literature and recommendations for future research

volgende artikel ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication

IDF (2016). Diabetes atlas. http://www.diabetesatlas.org/.

WHO (2017). Diabetes fact sheets. http://www.who.int/mediacentre/factsheets/fs312/en/.

Kostev, K., Jockwig, A., Hallwachs, A., & Rathmann, W. (2014). Prevalence and risk factors of neuropathy in newly diagnosed type 2 diabetes in primary care practices: A retrospective database analysis in Germany and UK. Primary Care Diabetes, 8(3), 250–255. https://doi.org/10.1016/j.pcd.2014.01.011.CrossRefPubMed

Taiwo, A., Green, B. O., & Raghupathi, V. (2014). The awareness of diabetes, its complications, and preventive measures in a developing country. International Journal of Healthcare Management, 7(4), 247–250. https://doi.org/10.1179/2047971914Y.0000000074.CrossRef

Bradbury, S. E., & Price, P. E. (2011). Diabetic foot ulcer pain: the hidden burden (part one). EWMA Journal, 11(1), 11–22.

Sadosky, A., Schaefer, C., Mann, R., Bergstrom, F., Baik, R., Parsons, B., et al. (2013). Burden of illness associated with painful diabetic peripheral neuropathy among adults seeking treatment in the US: Results from a retrospective chart review and cross-sectional survey. Diabetes, Metabolic Syndrome And Obesity: Targets And Therapy, 6, 79–92. https://doi.org/10.2147/DMSO.S37415.CrossRef

Burant, C. F. (2008). Medical management of type 2 diabetes (Vol. Book, Whole). Alexandria: American Diabetes Association.

Dubský, M., Jirkovská, A., Bem, R., Fejfarová, V., Skibová, J., Schaper, N. C., et al. (2013). Risk factors for recurrence of diabetic foot ulcers: Prospective follow-up analysis in the Eurodiale subgroup. International Wound Journal, 10(5), 555–561. https://doi.org/10.1111/j.1742-481X.2012.01022.x.CrossRefPubMed

Carlos De Meneses, L., Blanes, L., Francescato Veiga, D., Gomes, H. C., & Ferreirai, L. M. (2011). Health-related quality of life and self-esteem in patients with diabetic foot ulcers: Results of a cross-sectional comparative study. Ostomy Wound Management, 57(3), 36–43.

10.

Holland, C. M. (2012). Diabetic peripheral neuropathy: A barrier to quality of life. Communicating Nursing Research, 45, 405.

11.

Hosseini Nejhad, Z., Molavi Vardanjani, H., Abolhasani, F., Hadipour, M., & Sheikhzadeh, K. (2013). Relative effect of socio-economic status on the health-related quality of life in type 2 diabetic patients in Iran. Diabetes & Metabolic Syndrome, 7(4), 187–190. https://doi.org/10.1016/j.dsx.2013.10.024.CrossRef

12.

Boutoille, D., Feraille, A., Maulaz, D., & Krempf, M. (2008). Quality of life with diabetes-associated foot complications: Comparison between lower-limb amputation and chronic foot ulceration. Foot Ankle International, 29(11), 1074–1078. https://doi.org/10.3113/FAI.2008.1074.CrossRefPubMed

13.

Sanjari, M., Safari, S., Shokoohi, M., Safizade, H., Rashidinezhad, H., Mashrouteh, M., et al. (2011). A cross-sectional study in Kerman, Iran, on the effect of diabetic foot ulcer on health-related quality of life. The International Journal of Lower Extremity Wounds, 10(4), 200–206. https://doi.org/10.1177/1534734611428728.CrossRefPubMed

14.

Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.CrossRef

15.

Ribu, L., Birkeland, K., Hanestad, B. R., Moum, T., & Rustoen, T. (2008). A longitudinal study of patients with diabetes and foot ulcers and their health-related quality of life: Wound healing and quality-of-life changes. Journal of Diabetes and its Complications, 22(6), 400–407. https://doi.org/10.1016/j.jdiacomp.2007.06.006.CrossRefPubMed

16.

Garcia-Morales, E., Lazaro-Martinez, J. L., Martinez-Hernandez, D., Aragon-Sanchez, J., Beneit-Montesinos, J. V., & Gonzalez-Jurado, M. A. (2011). Impact of diabetic foot related complications on the Health Related Quality of Life (HRQol) of patients—A regional study in Spain. The International Journal of Lower Extremity Wounds, 10(1), 6–11. https://doi.org/10.1177/1534734611400257.CrossRefPubMed

17.

Zoungas, S., Woodward, M., Li, Q., Cooper, M. E., Hamet, P., Harrap, S., et al. (2014). Impact of age, age at diagnosis and duration of diabetes on the risk of macrovascular and microvascular complications and death in type 2 diabetes. DIABETOLOGIA, 57(12), 2465–2474.CrossRefPubMed

18.

Al Hayek, A. A., Robert, A. A., Saeed, A., Alzaid, A., A. A., & Al Sabaan, F. S. (2014). Factors associated with health-related quality of life among Saudi patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes & Metabolism Journal, 38(3), 220–229.CrossRef

19.

Kim, E. S., Moon, S., Kim, H.-S., Lim, D. J., Cho, J. H., Kwon, H. S., et al. (2011). Diabetic peripheral neuropathy is associated with increased arterial stiffness without changes in carotid intima–media thickness in type 2 diabetes. Diabetes Care, 34(6), 1403–1405.CrossRefPubMedPubMedCentral

20.

Ribu, L., Hanestad, B. R., Moum, T., Birkeland, K., & Rustoen, T. (2007). Health-related quality of life among patients with diabetes and foot ulcers: Association with demographic and clinical characteristics. Journal of Diabetes and its Complications, 21(4), 227–236. https://doi.org/10.1016/j.jdiacomp.2007.02.001.CrossRefPubMed

21.

Yao, H., Ting, X., Minjie, W., Yemin, C., Xiqiao, W., Yuzhi, J., et al. (2012). The investigation of demographic characteristics and the health-related quality of life in patients with diabetic foot ulcers at first presentation. The International Journal of Lower Extremity Wounds, 11(3), 187–193. https://doi.org/10.1177/1534734612457034.CrossRefPubMed

22.

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. [Article]. International Journal of Surgery, 8, 336–341. https://doi.org/10.1016/j.ijsu.2010.02.007.CrossRef

23.

JBI (2016). JBI critical appraisal checklist for analytical cross sectional studies. http://www.joannabriggs.org/assets/docs/critical-appraisal-tools/JBI_Critical_Appraisal-Checklist_for_Analytical_Cross_Sectional_Studies.pdf.

24.

JBI (2016). JBI critical appraisal checklist for cohort studies. http://www.joannabriggs.org/assets/docs/critical-appraisal-tools/JBI_Critical_Appraisal-Checklist_for_Cohort_Studies.pdf.

25.

Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2005). Comprehensive meta-analysis version 2 (p. 104). Englewood, NJ: Biostat.

26.

Hedges, L. V., & Olkin, I. (1985). Olkin. Statistical methods for meta-analysis. Orlando: Academic Press.

27.

Brockwell, S. E., & Gordon, I. R. (2001). A comparison of statistical methods for meta-analysis. Statistics in Medicine, 20(6), 825–840.CrossRefPubMed

28.

Kontopantelis, E., & Reeves, D. (2012). Performance of statistical methods for meta-analysis when true study effects are non-normally distributed: A simulation study. Statistical Methods in Medical Research, 21(4), 409–426.CrossRefPubMed

29.

Sterne, J. A., & Egger, M. (2001). Funnel plots for detecting bias in meta-analysis: Guidelines on choice of axis. Journal of Clinical Epidemiology, 54(10), 1046–1055.CrossRefPubMed

30.

Lau, J., Ioannidis, J. P., & Schmid, C. H. (1998). Summing up evidence: One answer is not always enough. The Lancet, 351(9096), 123–127.CrossRef

31.

Goodridge, D., Trepman, E., Sloan, J., Guse, L., Strain, L. A., McIntyre, J., et al. (2006). Quality of life of adults with unhealed and healed diabetic foot ulcers. Foot Ankle International, 27(4), 274–280.CrossRefPubMed

32.

Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., et al. (2013). Importance of factors determining the low health-related quality of life in people presenting with a diabetic foot ulcer: The Eurodiale study. Diabetic Medicine, 30(11), 1382–1387. https://doi.org/10.1111/dme.12254.CrossRefPubMed

33.

Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., et al. (2017). Diabetic complications do not hamper improvement of health-related quality of life over the course of treatment of diabetic foot ulcers–the Eurodiale study. Journal of Diabetes and its Complications, 31(7), 1145–1151.CrossRefPubMed

34.

Winkley, K., Stahl, D., Chalder, T., Edmonds, M. E., & Ismail, K. (2009). Quality of life in people with their first diabetic foot ulcer: A prospective cohort study. Journal of the American Podiatric Medical Association, 99(5), 406–414.CrossRefPubMed

35.

Ribu, L., Rustøen, T., Birkeland, K., Hanestad, B. R., Paul, S. M., & Miaskowski, C. (2006). The prevalence and occurrence of diabetic foot ulcer pain and its impact on health-related quality of life. The Journal of Pain: Official Journal of The American Pain Society, 7(4), 290–299.CrossRef

36.

Valensi, P., Girod, I., Baron, F., Moreau-Defarges, T., & Guillon, P. (2005). Quality of life and clinical correlates in patients with diabetic foot ulcers. Diabetes & Metabolism, 31(3 Pt 1), 263–271.CrossRef

37.

Nemcová, J., Hlinková, E., Farský, I., Žiaková, K., Jarošová, D., Zeleníková, R., et al. (2017). Quality of life in patients with diabetic foot ulcer in Visegrad countries. Journal of Clinical Nursing, 26(9–10), 1245–1256. https://doi.org/10.1111/jocn.13508.CrossRefPubMed

38.

Hogg, F. R., Peach, G., Price, P., Thompson, M. M., & Hinchliffe, R. J. (2012). Measures of health-related quality of life in diabetes-related foot disease: A systematic review. DIABETOLOGIA, 55(3), 552–565. https://doi.org/10.1007/s00125-011-2372-5.CrossRefPubMed

39.

Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., et al. (2014). Health-related quality of life predicts major amputation and death, but not healing, in people with diabetes presenting with foot ulcers: The Eurodiale study. Diabetes Care, 37(3), 694–700. https://doi.org/10.2337/dc13-1212.CrossRefPubMed

40.

Valensi, P., Le Devehat, C., Richard, J. L., Farez, C., Khodabandehlou, T., Rosenbloom, R. A., et al. (2005). A multicenter, double-blind, safety study of QR-333 for the treatment of symptomatic diabetic peripheral neuropathy: A preliminary report. Journal of Diabetes and its Complications, 19(5), 247–253. https://doi.org/10.1016/j.jdiacomp.2005.05.011.CrossRefPubMed

41.

Wagner, F. (1979). A classification and treatment program for diabetic, neuropathic, and dysvascular foot problems. Instructional Course Lectures, 28(1), 143–165.

42.

Lopes, C. R., Marcondes, F., Medeiros, Á., Larissa Marques Barreto Mello, S., & Valdeci Carlos, D. (2013). Evaluation of limitations of venous ulcers in legs. Jornal Vascular Brasileiro, 12(1), 5–9.CrossRef

43.

Wachholz, P. A., Masuda, P. Y., Nascimento, D. C., Taira, C. M. H., & Cleto, N. G. (2014). Quality of life profile and correlated factors in chronic leg ulcer patients in the mid-west of São Paulo State, Brazil. Anais brasileiros de dermatologia, 89(1), 73–81.CrossRefPubMedPubMedCentral

44.

Hopman, W., Buchanan, M., VanDenKerkhof, E., & Harrison, M. (2013). Pain and health-related quality of life in people with chronic leg ulcers. Chronic Diseases and Injuries in Canada, 33(3), 167–174.PubMed

45.

Obilor, H., & Adejumo, P. O. (2015). Assessment of diabetic foot ulcer-related pain and its relationship to quality of life. Wound Practice & Research: Journal of the Australian Wound Management Association, 23(3), 124.

46.

Gonzalez-Consuegra, R. V., & Verdu, J. (2011). Quality of life in people with venous leg ulcers: an integrative review. Journal of Advanced Nursing, 67(5), 926–944.CrossRefPubMed

47.

Martin, C. L., Albers, J. W., Pop-Busui, R., & Group, D. E. r (2014). Neuropathy and related findings in the diabetes control and complications trial/epidemiology of diabetes interventions and complications study. Diabetes Care, 37(1), 31–38.CrossRefPubMed

48.

Herber, O. R., Schnepp, W., & Rieger, M. A. (2007). A systematic review on the impact of leg ulceration on patients’ quality of life. Health Qual Life Outcomes, 5, 44. https://doi.org/10.1186/1477-7525-5-44.CrossRefPubMedPubMedCentral

49.

Khunkaew, S., Tungpunkom, P., Sim, J., & Fernandez, R. (2018). The experiences of people in Northern Thailand living with diabetic foot ulcers: A descriptive qualitative study. Pacific Rim Internation Journal Nursing Research, 22(4), 304–318.

50.

Peker, A., & Karaöz, S. (2017). The effects of social support and hope in the healing of diabetic foot ulcers treated with standard care. Population Health Management, 20(6), 507–507.CrossRefPubMed

51.

Pols, A. D., Schipper, K., Overkamp, D., van Dijk, S. E., Bosmans, J. E., van Marwijk, H. W. J., et al. (2017). Process evaluation of a stepped-care program to prevent depression in primary care: patients’ and practice nurses’ experiences. BMC Family Practice, 18(1), 26–26. https://doi.org/10.1186/s12875-017-0583-7.CrossRefPubMedPubMedCentral

52.

Swardfager, W., Yang, P., Herrmann, N., Lanctôt, K. L., Shah, B. R., Kiss, A., et al. (2016). Depressive symptoms predict non-completion of a structured exercise intervention for people with Type 2 diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 33(4), 529–536. https://doi.org/10.1111/dme.12872.CrossRef

53.

Tušek-Bunc, K., & Petek, D. (2016). Comorbidities and characteristics of coronary heart disease patients: Their impact on health-related quality of life. Health and Quality of Life Outcomes, 14(1), 159–159.CrossRefPubMedPubMedCentral

54.

Heisler, M. (2009). Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: Evidence, logistics, evaluation considerations and needs for future research. Family practice, 27(suppl_1), i23–i32.PubMedPubMedCentral

55.

Edinburgh (2006). Clinical diabetes: translating research into practice/Vivian A. Fonseca (1st edn.). Philadelphia: Elsevier Saunders.

56.

Noor, S., Zubair, M., & Ahmad, J. (2015). Diabetic foot ulcer—A review on pathophysiology, classification and microbial etiology. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 9, 192–199. https://doi.org/10.1016/j.dsx.2015.04.007.CrossRef

Titel: Health-related quality of life among adults living with diabetic foot ulcers: a meta-analysis
Auteurs: Saneh Khunkaew
Ritin Fernandez
Jenny Sim
Publicatiedatum: 18-12-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 6/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-2082-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2019

Comprehensive validation of the functional assessment of anorexia/cachexia therapy (FAACT) anorexia/cachexia subscale (A/CS) in lung cancer patients with involuntary weight loss

Correction to: The impact of caregiver’s role preference on decisional conflicts and psychiatric distresses in decision making to help caregiver’s disclosure of terminal disease status

Advancing the use of patient-reported outcomes in practice: understanding challenges, opportunities, and the potential of health information technology

Modality transition on renal replacement therapy and quality of life of patients: a 10-year follow-up cohort study

Patient versus proxy response on global health scales: no meaningful DIFference

Psychometric properties and correlates of a brief scale measuring the psychological construct mattering to others in a sample of women recovering from breast cancer