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Illness Beliefs Predict Mortality in Patients with Diabetic Foot Ulcers

Kavita Vedhara, Karen Dawe, Jeremy N. V. Miles, Mark A. Wetherell, Nicky Cullum, Colin Dayan, Nicola Drake, Tricia Price, John Tarlton, John Weinman, Andrew Day, Rona Campbell, Jenna Reps, Daniele Soria

PLOS ONE, Volume: 11, Issue: 4, Start page: e0153315

Swansea University Author: Tricia Price

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DOI (Published version): 10.1371/journal.pone.0153315

Abstract

BackgroundPatients’ illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions.ObjectiveWe examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration.MethodsPatients (n = 169) were recruited between 20...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa48712
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Abstract: BackgroundPatients’ illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions.ObjectiveWe examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration.MethodsPatients (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.ResultsCox 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.ConclusionsOur 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.
College: Faculty of Medicine, Health and Life Sciences
Issue: 4
Start Page: e0153315

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