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Illness beliefs predict mortality in patients with diabetic foot ulcers

Vedhara, Kavita, Dawe, Karen, Miles, Jeremy N. V., Wetherell, Mark A., Cullum, Nicky, Dayan, Colin Mark, Drake, Nicola, Price, Patricia Elaine, Tarlton, John, Weinman, John, Day, Andrew, Campbell, Rona, Reps, Jenna and Soria, Daniele 2016. Illness beliefs predict mortality in patients with diabetic foot ulcers. PLoS ONE 11 (4) , e0153315. 10.1371/journal.pone.0153315

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Abstract

Background Patients’ illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions. Objective We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Methods Patients (n = 169) were recruited between 2002 and 2007. Data on illness beliefs were collected at baseline. Data on survival were extracted on 1st November 2011. Number of days survived reflected the number of days from date of recruitment to 1st November 2011. Results Cox regressions examined the predictors of time to death and identified ischemia and identity beliefs (beliefs regarding symptoms associated with foot ulceration) as significant predictors of time to death. Conclusions Our data indicate that illness beliefs have a significant independent effect on survival in patients with diabetes and foot ulceration. These findings suggest that illness beliefs could improve our understanding of mortality risk in this patient group and could also be the basis for future therapeutic interventions to improve survival.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Medicine
Subjects: R Medicine > R Medicine (General)
Additional Information: Editor: Joseph Chilcot, Kings College, UNITED KINGDOM This is an open access article distributed under the terms of the Creative Commons Attribution License
Publisher: Public Library of Science
ISSN: 1932-6203
Funders: Medical Research Council
Date of First Compliant Deposit: 9 May 2016
Date of Acceptance: 28 March 2016
Last Modified: 18 Jun 2019 10:22
URI: http://orca.cf.ac.uk/id/eprint/90673

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