Quality of life of adults with unhealed and healed diabetic foot ulcers

Donna Goodridge, Elly Trepman, Jeff A Sloan, Lorna Guse, Laurel A. Strain, John McIntyre, John M. Embil

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Background: Diabetic foot ulcers cause major treatment morbidity and cost of care. This study evaluated quality of life in patients with unhealed and healed diabetic foot ulcers. Methods: This was a cross-sectional study of adult diabetic patients (age 45 years or older) treated in a tertiary care foot clinic who had foot ulcers within the preceding 2 years. Patients with other diabetic complications or conditions that would potentially affect quality of life were excluded. Two patient groups of comparable age, gender distribution, and duration of diabetes were studied: 57 patients with unhealed ulcers (minimum duration, 6 months) and 47 patients with healed ulcers. Telephone interviews were done using the Short Form 12 (SF-12) (both groups) and a Cardiff Wound Impact Scale (CWIS) (unhealed ulcer group). Results: The mean SF-12 Physical Component Summary score was significantly lower for the group with unhealed ulcers (unhealed, 35 ± 8 points; healed, 39 ± 10 points; p = 0.04); these scores for both groups were significantly lower than published Short Form 36 (SF-36) scores for general, diabetic, and hypertensive populations. The mean SF-12 Mental Component Summary scores of the groups did not differ significantly from each other or from published population scores. CWIS responses showed that patients with unhealed ulcers were frustrated with healing and had anxiety about the wounds, resulting in marked negative impact on the average Well-being Component Score (35 ± 6 points). Conclusions: Individuals with diabetic foot ulcers experience profound compromise of physical quality of life, which is worse in those with unhealed ulcers.

Original languageEnglish (US)
Pages (from-to)274-280
Number of pages7
JournalFoot and Ankle International
Volume27
Issue number4
StatePublished - Apr 2006

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Diabetic Foot
Ulcer
Quality of Life
Wounds and Injuries
Foot Ulcer
Age Distribution
Diabetes Complications
Tertiary Healthcare
Health Care Costs
Population
Foot
Anxiety
Cross-Sectional Studies
Interviews
Morbidity

Keywords

  • Complications
  • Diabetes Mellitus
  • Outcomes
  • Wound

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Goodridge, D., Trepman, E., Sloan, J. A., Guse, L., Strain, L. A., McIntyre, J., & Embil, J. M. (2006). Quality of life of adults with unhealed and healed diabetic foot ulcers. Foot and Ankle International, 27(4), 274-280.

Quality of life of adults with unhealed and healed diabetic foot ulcers. / Goodridge, Donna; Trepman, Elly; Sloan, Jeff A; Guse, Lorna; Strain, Laurel A.; McIntyre, John; Embil, John M.

In: Foot and Ankle International, Vol. 27, No. 4, 04.2006, p. 274-280.

Research output: Contribution to journalArticle

Goodridge, D, Trepman, E, Sloan, JA, Guse, L, Strain, LA, McIntyre, J & Embil, JM 2006, 'Quality of life of adults with unhealed and healed diabetic foot ulcers', Foot and Ankle International, vol. 27, no. 4, pp. 274-280.
Goodridge D, Trepman E, Sloan JA, Guse L, Strain LA, McIntyre J et al. Quality of life of adults with unhealed and healed diabetic foot ulcers. Foot and Ankle International. 2006 Apr;27(4):274-280.
Goodridge, Donna ; Trepman, Elly ; Sloan, Jeff A ; Guse, Lorna ; Strain, Laurel A. ; McIntyre, John ; Embil, John M. / Quality of life of adults with unhealed and healed diabetic foot ulcers. In: Foot and Ankle International. 2006 ; Vol. 27, No. 4. pp. 274-280.
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