Literature DB >> 26166314

The Role of Biomarkers to Diagnose Diabetic Foot Osteomyelitis. A Meta-analysis.

Suzanne Aura Victoria van Asten1, Edgar Joseph Geradus Peters, Yin Xi, Lawrence Alfred Lavery.   

Abstract

PURPOSE: To systematically review the value of serum inflammatory markers to diagnose diabetic foot osteomyelitis (DFO). STUDY SELECTION: Studies to diagnose DFO using biomarkers erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), procalcitonin (PCT), interleukins (IL-2, IL-6, IL-8) and tumor necrosis factor alfa (TNF.) were retrieved from EMBASE and PubMed with no language restrictions through July 2014. DATA EXTRACTION: We summarized clinical characteristics of the studies and used bivariate random effects models and summary receiver operating characteristic curves to estimate sensitivity and specificity for each marker. DATA SYNTHESIS: A total of 8 qualifying studies were included in our meta-analysis. Bivariate pooled sensitivity and specificity of the 6 studies examining ESR were 0.81 (95% CI 0.71-0.88) and 0.90 (95% CI 0.75-0.96) respectively. Due to the paucity of data, models did not converge for the other biomarkers.
CONCLUSIONS: From the inflammatory markers, ESR appears to be the best laboratory test to identify patients with DFO.

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Year:  2016        PMID: 26166314     DOI: 10.2174/1573399811666150713104401

Source DB:  PubMed          Journal:  Curr Diabetes Rev        ISSN: 1573-3998


  11 in total

Review 1.  Diabetic Foot Infections: Update on Management.

Authors:  Maria Nikoloudi; Ioanna Eleftheriadou; Anastasios Tentolouris; Ourania A Kosta; Nikolaos Tentolouris
Journal:  Curr Infect Dis Rep       Date:  2018-08-01       Impact factor: 3.725

2.  Risk Factors for Major Amputation on Hindfoot Ulcers in Hospitalized Diabetic Patients.

Authors:  Kyung-Chul Moon; Ki-Bum Kim; Seung-Kyu Han; Seong-Ho Jeong; Eun-Sang Dhong
Journal:  Adv Wound Care (New Rochelle)       Date:  2019-05-03       Impact factor: 4.730

3.  What are the Optimal Cutoff Values for ESR and CRP to Diagnose Osteomyelitis in Patients with Diabetes-related Foot Infections?

Authors:  Lawrence A Lavery; Junho Ahn; Easton C Ryan; Kavita Bhavan; Orhan K Oz; Javier La Fontaine; Dane K Wukich
Journal:  Clin Orthop Relat Res       Date:  2019-07       Impact factor: 4.176

4.  Erythrocyte sedimentation rate and C-reactive protein to monitor treatment outcomes in diabetic foot osteomyelitis.

Authors:  Suzanne Av van Asten; Daniel C Jupiter; Moez Mithani; Javier La Fontaine; Kathryn E Davis; Lawrence A Lavery
Journal:  Int Wound J       Date:  2016-03-08       Impact factor: 3.315

5.  The value of inflammatory markers to diagnose and monitor diabetic foot osteomyelitis.

Authors:  Suzanne Av Van Asten; Adam Nichols; Javier La Fontaine; Kavita Bhavan; Edgar Jg Peters; Lawrence A Lavery
Journal:  Int Wound J       Date:  2015-12-03       Impact factor: 3.315

6.  Consensus on surgical aspects of managing osteomyelitis in the diabetic foot.

Authors:  Sachin Allahabadi; Kareem B Haroun; Daniel M Musher; Benjamin A Lipsky; Neal R Barshes
Journal:  Diabet Foot Ankle       Date:  2016-07-12

7.  Levels of wound calprotectin and other inflammatory biomarkers aid in deciding which patients with a diabetic foot ulcer need antibiotic therapy (INDUCE study).

Authors:  J R Ingram; S Cawley; E Coulman; C Gregory; E Thomas-Jones; T Pickles; R Cannings-John; N A Francis; K Harding; K Hood; V Piguet
Journal:  Diabet Med       Date:  2017-08-15       Impact factor: 4.359

8.  Pro-Calcitonin, Erythrocyte Sedimentation Rate and C - reactive Protein in Predicting Diabetic Foot Ulcer Characteristics; a Cross Sectional Study.

Authors:  Fahimeh Hadavand; Atefeh Amouzegar; Hessam Amid
Journal:  Arch Acad Emerg Med       Date:  2019-07-10

9.  Utility of Blood Parameters to Detect Complications during Long-Term Follow-Up in Patients with Diabetic Foot Osteomyelitis.

Authors:  Aroa Tardáguila-García; Yolanda García Álvarez; Esther García-Morales; Francisco Javier Álvaro-Afonso; Irene Sanz-Corbalán; José Luis Lázaro-Martínez
Journal:  J Clin Med       Date:  2020-11-22       Impact factor: 4.241

10.  Reducing inappropriate ESR testing with computerized clinical decision support.

Authors:  Stephanie Gottheil; Ekta Khemani; Katherine Copley; Michael Keeney; Jeff Kinney; Ian Chin-Yee; Alan Gob
Journal:  BMJ Qual Improv Rep       Date:  2016-04-04
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