Publications by authors named "Jacques Martini"
Article Synopsis
- - The study aimed to evaluate how the SINBAD score, which assesses factors like ischaemia and neuropathy, relates to major foot complications in diabetic patients with ulcers.
- - It included 537 patients from six hospitals, analyzing their SINBAD scores and tracking major adverse foot events over 5-6 months.
- - Results showed a clear connection between the SINBAD score and these adverse events, indicating that lower scores predict fewer complications, making the SINBAD score a valuable predictive tool.
Article Synopsis
- The study investigates Charcot neuroarthropathy (CN) in patients with diabetes, focusing on whether hyperglycemia decreases when an active phase of CN begins.
- Researchers analyzed Hemoglobin A1c (HbA1c) levels in 103 diabetic patients before and during the active phase of CN, looking at changes over six months prior to diagnosis.
- Results indicated a significant decline in HbA1c levels from six months to three months before diagnosis and from six months to the onset of the active phase, suggesting a relationship between reduced blood sugar levels and the onset of CN.
Article Synopsis
- The EDUC@DOM study evaluated a telemedicine program aimed at improving the management of type 2 diabetes through remote monitoring and education, analyzing its effects over 1 and 2 years.
- Results showed that patients in the telemonitoring group experienced both a decrease in glycated hemoglobin (HbA1c) levels and significant cost savings compared to the control group, amounting to €1334 and €3144 over 1 and 2 years, respectively.
- The findings suggest that telemonitoring can be a cost-effective approach for managing type 2 diabetes, potentially leading to wider acceptance and implementation of similar programs.
Article Synopsis
- The study aimed to evaluate the impact of a connected telemonitoring device and lifestyle education software on managing type 2 diabetes (T2D) compared to standard care.
- A total of 282 participants were randomly assigned to a telemonitoring group (TMG) or a control group (CG) for one year, with the TMG using interactive software and connected devices at home under remote monitoring.
- Results showed a small but significant improvement in HbA1c levels and weight loss in the TMG, particularly among those who frequently used the telemonitoring tools, although the overall difference compared to the CG was not statistically significant.
Objective: In March 2018, the Explorer study, an international, double-blind, randomised controlled trial (RCT), established that adding a TLC-NOSF (UrgoStart Contact, Laboratoires Urgo, France) dressing to good local standard of care (SoC) significantly and substantially increases wound closure and reduces the healing time of neuroischaemic diabetic foot ulcers (DFU). Besides the TLC-NOSF treatment, the wound duration was the only other covariate that had an influence on the wound closure rate in the regression model used in the original study. The purpose of this work was to further document the impact of wound duration on the healing outcomes of the DFUs included in the Explorer study and to discuss complementary pragmatic observations on the TLC-NOSF effect.
View Article and Find Full Text PDFSucrose octasulfate dressing versus control dressing in patients with neuroischaemic diabetic foot ulcers (Explorer): an international, multicentre, double-blind, randomised, controlled trial.
Lancet Diabetes Endocrinol
March 2018
Background: Diabetic foot ulcers are serious and challenging wounds associated with high risk of infection and lower-limb amputation. Ulcers are deemed neuroischaemic if peripheral neuropathy and peripheral artery disease are both present. No satisfactory treatment for neuroischaemic ulcers currently exists, and no evidence supports one particular dressing.
View Article and Find Full Text PDFBackground: The global prevalence of type 2 diabetes is considerable. To avoid or delay its chronic complications, patients with type 2 diabetes should improve blood glucose management by adapting their life style. This involves changing the way in which diabetes is controlled.
View Article and Find Full Text PDFBackground: Health authorities recommend regular screening for the chronic complications of diabetes. The ENTRED survey results show that insufficient screening is undertaken. The DIABSAT program aims to improve care for diabetes patients in rural areas of the Midi-Pyrénées region, telemonitoring complications of diabetes through an itinerant screening service.
View Article and Find Full Text PDFIntroduction: Diabetic retinopathy (DR), diabetic kidney disease (DKD) and diabetic foot ulcer (DFU) represent a public health and economic concern that may be assessed with cost-of-illness (COI) studies.
Objectives: (1) To review COI studies published between 2000 and 2015, about DR, DKD and DFU; (2) to analyse methods used.
Methods: Disease definition, epidemiological approach, perspective, type of costs, activity data sources, cost valuation, sensitivity analysis, cost discounting and presentation of costs may be described in COI studies.
The Diabsat programme, coordinated by the Midi-Pyrénées diabetes network (Diamip), uses new technologies to enable patients to update the tests for chronic complications of their diabetes. In the long run, this favours their health prognosis and their quality of life.
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