Peer-Reviewed Journal Details
Mandatory Fields
Mahon, AM,MacGilchrist, C,McIntosh, C,O'Brien, T
2017
August
Irish Journal Of Medical Science
Characterization of patients with diabetic foot disease presenting to an Irish Podiatry Centre: profiling suitability for entry to a clinical trial of advanced wound therapeutics
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Optional Fields
Diabetes mellitus Diabetic foot ulcer Podiatry Mesenchymal stromal cell RISK-FACTORS DOUBLE-BLIND ULCERS MANAGEMENT MULTICENTER CARE EFFICACY OUTCOMES QUALITY
186
659
669
Background Diabetes mellitus, coined the 'Black Death of the Twenty-First Century', is associated with complications, including foot ulceration with potential loss of limb. There is a need for development of new wound therapies through completion of robust clinical trials.Aims To profile demographics and wound characteristics of an Irish cohort with diabetes, forecast eligibility for entry to a clinical trial of advanced wound therapeutics, and adjust criteria to optimize eligibility for enrolment.Methods A cross-sectional study of out-patients attending a Podiatry centre over 12 weeks was conducted. Information was collected through clinical assessment, including Neuropathy Disability Score and Ankle-Brachial Pressure Index. Ulcers were characterised as 'healing' or 'nonhealing'; a ' healing' wound decreased by 30 % over the previous month, accomplished by retrospective analysis of files. Statistics, including binomial logistic regression and column analysis for eligibility assessment, were conducted.Results Seventy-four participants were identified with a mean age of 67 (+/- 8.79) years. Non-healing DFU status correlated significantly with larger wound area (P = 0.013), infection (P = 0.009), and greater degrees of ischaemia (P = 0.015). The eligibility criteria were modelled after those proposed by the EU consortium project REDDSTAR. In this Irish population, these criteria limit eligibility to 1.4 %.Conclusions This research found an eligibility criterion of wound area 2-10 cm(2) for enrolment in a clinical trial of mesenchymal stromal cell therapy too restrictive. Extension of wound area to 1-10 cm(2) and the inclusion of neuro-ischaemic ulcers increased eligibility for enrolment from 1.4 to 20 %.
10.1007/s11845-016-1511-x
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