Diabetes complications

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 PractPublished Systematic review and meta-analysis

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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