Diabetic foot: A systematic review and meta-analysis on its prevalence and associated factors among patients with diabetes mellitus in a sub-Saharan Africa
Authors' conclusion
Sub-Saharan Africa has a high prevalence of diabetic foot ulcers. Thus, emphasis should be given to Prevention, periodic foot examination, and early identification of risk factors.
Study context
- Population
- Patients with DM in sub-Saharan Africa; English-language studies up to May 29, 2024
- Participants
- 10,635 patients28 studies
- Outcome
- Pooled prevalence of DFU
Methodological detailsPRISMA, random-effects (DerSimonian and Laird)
- PRISMA
- Random-effects (DerSimonian and Laird)
Pooled result
As reported in the abstract
Pooled prevalence of DFU
13.35 %
95% CI 10.86, 15.67
Further pooled results
Factors associated with DFU
- Rural residence, OR
- 3.25 (95% CI 2.15-4.99)
- Peripheral neuropathy, OR
- 5.89 (95% CI 2.5-13.5)
- Poor self-care practice, OR
- 2.39 (95% CI 1.12-5.13)
- Illness duration >10 years, OR
- 2.94 (95% CI 1.14, 7.63)
- History of ulcer, OR
- 6.07 (95% CI 1.68-21.9)
- Significantly associated with DFU
Original publication
Diabetic foot: A systematic review and meta-analysis on its prevalence and associated factors among patients with diabetes mellitus in a sub-Saharan Africa. Diabetes Res Clin Pract. Published 4 January 2025. doi:10. 1016/ j. diabres. 2024. 111975
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