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

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

Research output: Contribution to journalArticle

Abstract

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)
JournalANNA journal / American Nephrology Nurses' Association
Volume23
Issue number4
StatePublished - Aug 1996
Externally publishedYes

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Chronic Kidney Failure
Foot
Cross-Sectional Studies
Gangrene
Ambulatory Care
Amputation
Physical Examination
Ulcer
Dialysis
Nursing
Smoking
Interviews
Infection
Research

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Risk of foot complications in long-term diabetic patients with and without ESRD : a preliminary study. / Hill, Martha; Feldman, H. I.; Hilton, S. C.; Holechek, M. J.; Ylitalo, M.; Benedict, G. W.

In: ANNA journal / American Nephrology Nurses' Association, Vol. 23, No. 4, 08.1996.

Research output: Contribution to journalArticle

Hill, Martha ; Feldman, H. I. ; Hilton, S. C. ; Holechek, M. J. ; Ylitalo, M. ; Benedict, G. W. / Risk of foot complications in long-term diabetic patients with and without ESRD : a preliminary study. In: ANNA journal / American Nephrology Nurses' Association. 1996 ; Vol. 23, No. 4.
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