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Updated: Jul 4, 2025
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Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
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Risk Factors of Recurrent Diabetic Foot Ulcers Based on the Delphi Method
Haryanto Haryanto1, Makoto Oe2, Tutur Kardatun3
1Department of Medical Nursing, Wound Management and Critical Care, The Institute of Technology and Health Muhammadiyah West Kalimantan/STIK Muhammadiyah, Pontianak, Indonesia.
Iranian Journal of Nursing and Midwifery Research
|February 9, 2024
Summary
This study identified 13 key risk factors for recurrent diabetic foot ulcers, offering crucial insights for preventing future occurrences in diabetic patients.
Area of Science:
- Diabetology
- Podiatry
- Public Health
Background:
- Recurrence of diabetic foot ulcers (DFUs) poses a significant challenge in diabetes management.
- Existing knowledge on risk factors contributing to DFU recurrence remains limited.
- Understanding these factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To systematically investigate and identify risk factors associated with the recurrence of diabetic foot ulcers.
- To provide a foundation for targeted interventions aimed at reducing DFU recurrence rates.
Main Methods:
- A cross-sectional study employing a two-phase Delphi method.
- Expert consensus was utilized to develop a category for investigating DFU recurrence risk factors.
- Inter-rater reliability of identified risk factor variables was assessed.
Main Results:
- Thirteen distinct risk factors for recurrent diabetic foot ulcers were identified.
- High levels of expert agreement were observed, indicated by a mean authority coefficient of 0.71.
- Statistically significant Kendall's W coefficient (p < 0.01) and perfect inter-rater reliability (1.00) confirmed the findings.
Conclusions:
- The study successfully identified significant risk variables linked to recurrent diabetic foot ulcers.
- These findings offer valuable guidance for healthcare professionals in preventing DFU recurrences.
- Further research can build upon these identified factors to refine prevention protocols.
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