Illness beliefs predict mortality in patients with diabetic foot ulcers

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 re...

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Main Authors: Vedhara, Kavita, Dawe, Karen, Miles, Jeremy N.V., Wetherell, Mark A., Cullum, Nicky, Dayan, Colin, Drake, Nicola, Price, Patricia, Tarlton, John, Weinman, John, Day, Andrew, Campbell, Rona, Reps, Jenna M., Soria, Daniele
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Published: Public Library of Science 2016
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Online Access:https://eprints.nottingham.ac.uk/32852/
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author Vedhara, Kavita
Dawe, Karen
Miles, Jeremy N.V.
Wetherell, Mark A.
Cullum, Nicky
Dayan, Colin
Drake, Nicola
Price, Patricia
Tarlton, John
Weinman, John
Day, Andrew
Campbell, Rona
Reps, Jenna M.
Soria, Daniele
author_facet Vedhara, Kavita
Dawe, Karen
Miles, Jeremy N.V.
Wetherell, Mark A.
Cullum, Nicky
Dayan, Colin
Drake, Nicola
Price, Patricia
Tarlton, John
Weinman, John
Day, Andrew
Campbell, Rona
Reps, Jenna M.
Soria, Daniele
author_sort Vedhara, Kavita
building Nottingham Research Data Repository
collection Online Access
description 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.
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spelling nottingham-328522020-05-04T17:45:56Z https://eprints.nottingham.ac.uk/32852/ 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 Drake, Nicola Price, Patricia Tarlton, John Weinman, John Day, Andrew Campbell, Rona Reps, Jenna M. Soria, Daniele 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. Public Library of Science 2016-04-20 Article PeerReviewed Vedhara, Kavita, Dawe, Karen, Miles, Jeremy N.V., Wetherell, Mark A., Cullum, Nicky, Dayan, Colin, Drake, Nicola, Price, Patricia, Tarlton, John, Weinman, John, Day, Andrew, Campbell, Rona, Reps, Jenna M. and Soria, Daniele (2016) Illness beliefs predict mortality in patients with diabetic foot ulcers. PLoS ONE, 11 (4). e0153315. ISSN 1932-6203 illness beliefs; mortality; diabetes; diabetic foot ulcers; self-regulatory model http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0153315 doi:10.1371/journal.pone.0153315 doi:10.1371/journal.pone.0153315
spellingShingle illness beliefs; mortality; diabetes; diabetic foot ulcers; self-regulatory model
Vedhara, Kavita
Dawe, Karen
Miles, Jeremy N.V.
Wetherell, Mark A.
Cullum, Nicky
Dayan, Colin
Drake, Nicola
Price, Patricia
Tarlton, John
Weinman, John
Day, Andrew
Campbell, Rona
Reps, Jenna M.
Soria, Daniele
Illness beliefs predict mortality in patients with diabetic foot ulcers
title Illness beliefs predict mortality in patients with diabetic foot ulcers
title_full Illness beliefs predict mortality in patients with diabetic foot ulcers
title_fullStr Illness beliefs predict mortality in patients with diabetic foot ulcers
title_full_unstemmed Illness beliefs predict mortality in patients with diabetic foot ulcers
title_short Illness beliefs predict mortality in patients with diabetic foot ulcers
title_sort illness beliefs predict mortality in patients with diabetic foot ulcers
topic illness beliefs; mortality; diabetes; diabetic foot ulcers; self-regulatory model
url https://eprints.nottingham.ac.uk/32852/
https://eprints.nottingham.ac.uk/32852/
https://eprints.nottingham.ac.uk/32852/