Risk of foot complications in long-term diabetic patients with and without ESRD: a preliminary study.

M. N. Hill, H. I. Feldman, S. C. Hilton, M. J. Holechek, M. Ylitalo, G. W. Benedict

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


OBJECTIVE: The purpose of this preliminary study was to generate hypotheses for future research about the relationship between ESRD and foot complications in patients with long-term diabetes. DESIGN: A cross-sectional prevalence study was conducted comparing a sample of long-term diabetic patients with ESRD to a sample of long-term diabetic patients without ESRD. SAMPLE/SETTING: A convenience sample of 132 patients with long-term diabetes (> 15 years), with (N = 60) and without (N = 72) ESRD, was selected from ambulatory care settings and dialysis units. METHODS: Data were collected by chart audit, structured interview, and physical examination. RESULTS: Foot complications were greater in individuals with diabetes and ESRD (25%) than in diabetic individuals without ESRD (10%) (p = 0.02). Neither neuropathy, past or current smoking, race, gender, nor age were significantly associated with current foot complications (either current infection, ulcer, gangrene, or amputation). CONCLUSIONS: Research is needed to better understand foot complications in persons with long-term diabetes and ESRD so that the effectiveness of nursing and medical interventions to stabilize or prevent foot complications can be evaluated.

Original languageEnglish (US)
Pages (from-to)381-386; discussion 387-388
JournalANNA journal / American Nephrology Nurses' Association
Issue number4
StatePublished - Aug 1 1996
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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