SynthesisArchives of public health = Archives belges de sante publique2025
Systematic review and meta-analysis of diabetic foot ulcers and associated factors among adults in Ethiopia.
Synthesis in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Less Is More? Physical Inactivity and Increased Risk of Diabetes-Related Foot Ulceration-A Systematic Review.Diabetes/metabolism research and reviews · 2026Pooled it
- Hyperbaric Oxygen Therapy for Diabetic Foot Ulcers in Sub-Saharan Africa: A Critical Review of Clinical Evidence, Health-System Feasibility and Public Health Implications.International wound journal · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetic foot ulcers are a common and serious complication of diabetes that substantially increases morbidity, disability, and healthcare costs worldwide. In Ethiopia, the national burden of diabetic foot ulcers remains unclear due to fragmented and inconsistent evidence. This systematic review and meta-analysis aimed to estimate the pooled prevalence of diabetic foot ulcers among adults with diabetes in Ethiopia and to identify major associated factors.
methodsA systematic literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar databases for studies published between January 1, 2015, and August 9, 2025. Observational studies reporting the prevalence of diabetic foot ulcers, defined as ulceration of the foot below the ankle in adults with diabetes mellitus, were included. Studies were considered complete if they reported sufficient data on sample size, and diabetic foot ulcer cases or prevalence. Two reviewers independently screened, extracted, and verified the data using a standardized, pilot-tested form. The pooled prevalence and associated factors were estimated using a random effects model in Stata software version 17. Statistical heterogeneity was assessed using the I² statistic, and publication bias was evaluated using funnel plots and Egger's regression test.
resultsOut of all identified studies, 14 met the inclusion criteria, including 4,794 adults with diabetes, approximately 686 of whom had diabetic foot ulcers. The pooled prevalence of diabetic foot ulcers was 13.92% (95% CI: 11.29-16.55). Major risk factors significantly associated with diabetic foot ulcers were poor foot care practices (AOR = 2.75, 95% CI: 1.03-4.48), physical inactivity (AOR = 2.26, 95% CI: 1.04-3.48), and peripheral neuropathy (AOR = 4.07, 95% CI: 1.85-6.28).
conclusionThis meta-analysis confirms that diabetic foot ulcers are a common and serious complication among Ethiopian adults with diabetes. To reduce diabetic foot ulcers, research should develop prevention strategies tailored to Ethiopia, emphasizing patient education on foot care, increased physical activity, and routine neuropathy screening.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.