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DC Field | Value | Language |
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dc.contributor.author | Abbas, Zulfiqarali G. | - |
dc.contributor.author | Lutale, J. K. | - |
dc.contributor.author | Formosa, Cynthia | - |
dc.contributor.author | Gatt, Alfred | - |
dc.contributor.author | Chockalingam, Nachiappan | - |
dc.date.accessioned | 2022-07-25T05:47:16Z | - |
dc.date.available | 2022-07-25T05:47:16Z | - |
dc.date.issued | 2021-12-09 | - |
dc.identifier.citation | Abbas, Z. G., Lutale, J. K., Formosa, C., Gatt, A., & Chockalingam, N. (2021). The Charcot Foot: An Emerging Public Health Problem for African Diabetes Patients. International Journal of Lower Extremity Wounds, 15347346211066684. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/99814 | - |
dc.description.abstract | Background: Although the awareness, diagnosis, management of the complications associated with diabetes have improved in African countries over the past decade, surveillance activities in Tanzania and anecdotal reports from other African countries have suggested an increased prevalence of Charcot Neuroarthropathy (CN) over the past few years. Aim: To characterize the epidemiology and the clinical burden of CN in a large diabetes population in Tanzania, and to evaluate outcomes of persons with the condition. Methods: This was a prospective analytic cohort study conducted between January 2013 through December 2015. Following informed consent, patients were followed at the outpatient clinic. Detailed clinical assessments and documented presence of diabetic peripheral neuropathy (DPN), macrovascular disease and microvascular disease were recorded. Education and counseling were part of the follow-up program. Results: 3271 ulcerations were presented at the clinic during the 3-year study period. 571 (18%) met the case definition for CN; all patients had Type 2 diabetes. The prevalence for each of the years 2013, 2014, and 2015 was 19/1192 (1.6%), 209/1044 (20%), and 343/1035 (34%), respectively; the increases in the slope of the trendline was statistically significant (P < .001). Conclusion: The prevalence of CN is increasing in the Tanzanian diabetes patient population, and is strongly associated with neuropathy. CN can lead to severe deformity, disability, and amputation. Due to the risk of limb amputation, patients with diabetes must seek immediate care if signs or symptoms appear and avoid delay in seeking medical attention. Early diagnosis of CN by caregivers is extremely important for successful outcomes. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Sage Publications | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Diabetic neuropathies | en_GB |
dc.subject | Podiatry | en_GB |
dc.subject | Diabetes -- Complications | en_GB |
dc.subject | Foot -- Diseases | en_GB |
dc.subject | Diabetes | en_GB |
dc.subject | Foot -- Ulcers | en_GB |
dc.title | The Charcot foot : an emerging public health problem for African diabetes patients | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1177/15347346211066684 | - |
dc.publication.title | International Journal of Lower Extremity Wounds | en_GB |
Appears in Collections: | Scholarly Works - FacHScPod |
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Charcot foot in Tanzania_Revision_2_2911.pdf Restricted Access | 133.04 kB | Adobe PDF | View/Open Request a copy |
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