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Portada Volumen 27, número 3, julio-septiembre 2024
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July 24, 2024
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September 30, 2024
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Abstract

Introduction: Diabetes mellitus remains one of the most prevalent causes of chronic kidney disease, which, in its last stage becomes subsidiary to renal replacement therapy, such as haemodialysis. The vascular problems derived from diabetes, together with the complications of haemodialysis, can create new health problems in these patients, among which the diabetic foot stands out.


Objective: To understand and synthesise the existing scientific evidence on risk factors and nursing care of diabetic foot in haemodialysis patients.
Methodology: Following the recommendations of the PRISMA statement, an integrative review was carried out in the databases WOS, Pubmed, and SCOPUS, using the descriptors DESC/MESH: ‘’Diabetic Foot’’, ‘’Foot ulcer’’, ‘’Hemodialysis’’, and ‘’Amputation’’. Articles less than ten years old, in English and Spanish, were included.


Results: Ten articles (2 systematic reviews, 1 clinical practice guideline, and 7 observational studies) were included. The main variables that emerged were the incidence, morbidity, and mortality of diabetic foot, associated risk factors, and diabetic foot prevention and nursing care.


Conclusions: In haemodialysis patients, diabetic foot significantly increases morbidity and mortality, negatively impacting their quality of life. Factors such as peripheral arterial disease, poor foot health, and limited knowledge of the subject contribute to foot problems in these patients. Therefore, it is urgent to encourage prevention and promote self-care by patients, as these measures can potentially improve their health outcomes.

Keywords

chronic kidney disease haemodialysis diabetes diabetic foot care

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Copyright (c) 2024 Carmen Morales Cuenca, Raquel Espejo Rodríguez, Antonio José Martín Hurtado, Rodolfo Crespo Montero

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Morales Cuenca C, Espejo Rodríguez R, Martín Hurtado AJ, Crespo Montero R. The diabetic foot in people on haemodialysis. An integrative review. Enferm Nefrol [Internet]. 2024 [cited 2025 Apr 30];27(3):[about 10 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4783
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References

  1. Ávila-Saldívar MN. Enfermedad renal crónica: prevención y detección temprana en el primer nivel de atención. Med Int Mex. 2013;29:148-53.
  2. Flores JC. Enfermedad renal crónica: epidemiología y factores de riesgo. Rev Med Clin Condes. 2010;21(4):502-7. DOI: https://doi.org/10.1016/S0716-8640(10)70565-4
  3. Enfermedad renal crónica. MedlinePlus enciclopedia médica. 2023. [consultado 20 Mar 2024]. Disponible en:
  4. https://medlineplus.gov/spanish/ency/article/000471.htm
  5. Hechanova LA. Diálisis. Manual MSD. 2022. [consultado 20 Mar 2024]. Disponible en: https://www.msdmanuals.com/es-es/hogar/trastornos-renales-y-del-tracto-urinario/di%C3%A1lisis/di%C3%A1lisis
  6. Registro Español de Enfermos Renales (REER). Sociedad Española de Nefrología. [consultado 20 Mar 2024]. Disponible en: https://www.senefro.org/contents/webstructure/SEN_2023_REER_V2_1_.pdf
  7. Diabetes. Organización Panamericana de la Salud. 2024. [consultado 20 Mar 2024]. Disponible en: https://www.paho.org/es/temas/diabetes
  8. Complicaciones de la diabetes a largo plazo. MedlinePlus enciclopedia médica. 2022. [consultado 20 Mar 2024]. Disponible en: https://medlineplus.gov/spanish/ency/patientinstructions/000327.htm
  9. McDermott K, Fang M, Boulton AJM, Selvin E, Hicks CW. Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care. 2023;46(1):209-21. DOI: https://doi.org/10.2337/dci22-0043
  10. González de la Torre H, Berenguer Pérez M, Mosquera Fernández A, Quintana Lorenzo ML, Sarabia Lavín R, Verdú Soriano J. Clasificaciones de lesiones en pie diabético II. El problema permanece. Gerokomos. 2018;29(4):197-209.
  11. González de la Torre H, Mosquera Fernández A, Quintana Lorenzo M.L, Perdomo Pérez E, Quintana Montesdeoca M. Clasificaciones de lesiones en pie diabético: Un problema no resuelto. Gerokomos. 2012;23(2):75-87. DOI: https://doi.org/10.4321/S1134-928X2012000200006
  12. Avrami C, Savvidou S. Manejo del Pie Diabético en Personas con Enfermedad Renal. European Dialysis and Transplant Nurses Association/European Renal Care Association; 2020. [consultado 20 Mar 2024]. Disponible en: https://www.seden.org/files/documents/DiabeticFootCare_translaed_into_Spanish_9144.pdf
  13. Jiménez-Cebrián AM, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Calvo-Lobo C, Mazoteras-Pardo V, Morán-Cortés JF, et al. Impact of chronic kidney diseases in feet health & quality of life: A case-series study. J Tissue Viability. 2021; 30(2):271-5. DOI: https://doi.org/10.1016/j.jtv.2021.02.005
  14. Page MJ, MacKenzie JE, Bossuyt PM, Boutron I, Hoffman TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. DOI: https://doi.org/10.1136/bmj.n71
  15. Von Elm E, Altman DG., Egger M, Pocock SJ., Gøtzsche PC., Vandenbroucke JP. Declaración de la iniciativa STROBE (Strengthening the Reporting of Observational Studies in Epidemiology): directrices para la comunicación de estudios observacionales. Rev Esp Salud Pública. 2008;82(3): 251-9. DOI: https://doi.org/10.1590/S1135-57272008000300002
  16. Santamaría R. Programa de Habilidades en Lectura Crítica Español (CASPe). NefroPlus. 2017;9(1):100-1.
  17. Al-Thani H, El-Menyar A, Koshy V, Hussein A, Sharaf A, Asim M, et al. Implications of foot ulceration in hemodialysis patients: a 5-year observational study. Journal of Diabetes Research. 2014;2014:e945075. DOI: https://doi.org/10.1155/2014/945075
  18. Kaminski MR, Lambert KA, Raspovic A, McMahon LP, Erbas B, Mount PF, et al. Risk factors for foot ulceration in adults with end-stage renal disease on dialysis: a prospective observational cohort study. BMC Nephrology. 2019; 20(1):423. DOI: https://doi.org/10.1186/s12882-019-1594-5
  19. Kaminski MR, Raspovic A, McMahon LP, Lambert KA, Erbas B, Mount PF, et al. Factors associated with foot ulceration and amputation in adults on dialysis: a cross-sectional observational study. BMC Nephrology. 2017;18(1):293. DOI: https://doi.org/10.1186/s12882-017-0711-6
  20. Dòria M, Betriu À, Belart M, Rosado V, Hernández M, Sarro F, et al. High incidence of adverse outcomes in haemodialysis patients with diabetes with or without diabetic foot syndrome: a 5-year observational study in lleida, spain. J Clin Med. 2021;10(7):1368. DOI: https://doi.org/10.3390/jcm10071368
  21. Lavery LA, Lavery DC, Hunt NA, La Fontaine J, Ndip A, Boulton AJ. Amputations and foot-related hospitalisations disproportionately affect dialysis patients. Int Wound J. 2015 Oct;12(5):523-6. DOI: https://doi.org/10.1111/iwj.12146
  22. Marn Pernat A, Peršič V, Usvyat L, Saunders L, Rogus J, Maddux FW, et al. Implementation of routine foot check in patients with diabetes on hemodialysis: associations with outcomes. BMJ Open Diabetes Res Care. 2016; 4(1):e000158. DOI: https://doi.org/10.1136/bmjdrc-2015-000158
  23. Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA, et al. Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(Suppl 1):e3266. DOI: https://doi.org/10.1002/dmrr.3266
  24. Dòria M, Rosado V, Pacheco LR, Hernández M, Betriu À, Valls J, et al. Prevalence of diabetic foot disease in patients with diabetes mellitus under renal replacement therapy in lleida, Spain. Biomed Res Int. 2016;2016:7217586. DOI: https://doi.org/10.1155/2016/7217586
  25. Manewell SM, Rao P, Haneman K, Zheng M, Charaf H, Menz HB, et al. Prevention and management of foot and lower limb health complications in adults undergoing dialysis: a scoping review. Journal of Foot and Ankle Research. 2023;16(1):81. DOI: https://doi.org/10.1186/s13047-023-00679-z
  26. Alshammari L, O’Halloran P, McSorley O, Doherty J, Noble H. Health education programmes to improve foot self-care knowledge and behaviour among older people with end-stage kidney disease (ESKD) receiving haemodialysis (A systematic review). Healthcare. 2022;10(6):1143. DOI: https://doi.org/10.3390/healthcare10061143
  27. Orimoto Y, Ohta T, Ishibashi H, Sugimoto I, Iwata H, Yamada T, et al. The prognosis of patients on hemodialysis with foot lesions. J Vasc Surg. 2013;58(5):1291-9. DOI: https://doi.org/10.1016/j.jvs.2013.05.027
  28. García Viejo A. Enfermedad arterial periférica y pie diabético en pacientes en programa de hemodiálisis. Enferm Nefrol. 2012;15(4):255-64. DOI: https://doi.org/10.4321/S2254-28842012000400003
  29. Lechuga Domínguez MJ, Rodríguez García A, Vázquez Caridad EM. Análisis de los factores influyentes en la prevalencia de las úlceras de pie en pacientes en hemodiálisis. Enferm Nefrol. 2017;20(2):101-11. DOI: https://doi.org/10.4321/S2254-288420170000200002
  30. Bernal Pedreño E, Salces Sáez E, Sambruno Giráldez A. Exploración del pie a los pacientes diabéticos de una unidad de hemodiálisis. Rev Soc Esp Enferm Nefrol. 2009;12(2):35-40. DOI: https://doi.org/10.4321/S1139-13752009000200006
  31. McMurray SD, Johnson G, Davis S, McDougall K. Diabetes education and care management significantly improve patient outcomes in the dialysis unit. Am J Kidney Dis. 2002; 40(3):566-75. DOI: https://doi.org/10.1053/ajkd.2002.34915
  32. Reda A, Hurton S, Embil JM, Smallwood S, Thomson L, Zacharias J, et al. Effect of a preventive foot care program on lower extremity complications in diabetic patients with end-stage renal disease. Foot and Ankle Surgery. 2012; 18(4):283-6. DOI: https://doi.org/10.1016/j.fas.2012.05.002
  33. Barnes T, Hancock K, Dainton M. Training nurses to support greater patient engagement in haemodialysis. Journal of Renal Care. 2013;S39(S2):10-8. DOI: https://doi.org/10.1111/j.1755-6686.2013.12028.x

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