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- Title
Relationship between sandals and diabetic foot ulcers in an outpatient clinic in Indonesia.
- Authors
Saldy Yusuf; Mayumi Okuwa; Saipullah Rassa; Baharia Laitung; Sukmawati Kasim; Muhammad Irwan; Hiromi Sanada; Toshio Nakatani; Junko Sugama
- Abstract
Background: Footwear can prevent the development of diabetic foot ulcers (DFUs) or become a source of risk when used inappropriately. This study aimed to understand the interaction between footwear and DFU characteristics. Method: This was a secondary analysis of data from a cross-sectional study conducted in Wahidin Sudirohusodo Hospital in Makassar, eastern Indonesia. Participants were aged ≥18 years with type 2 diabetes. DFUs were categorised using the Kobe classification and Wagner scale; footwear was categorised as a thong or belt sandal. Results: Of the 249 participants, 16 had DFUs (total DFUs = 23). Participants' median age was 65 years (IQR 61.5-69.5) and 13 were female (81.2%). Thirteen DFUs were Kobe type I. Calluses were mainly found in the plantar area (n=13, 72.2%; p=0.002) and were associated with necrosis (n=11, 78.6%; p=0.018). Conclusion: There was no relationship between DFU location and type of sandal. However, the incidence of DFUs was higher in areas of the foot in contact with footwear.
- Publication
Diabetic Foot Journal, 2017, Vol 20, Issue 2, p83
- ISSN
1462-2041
- Publication type
Academic Journal