About this trial
D-FAR is to gather robust data on the clinical characteristics, management, and outcomes of patients with diabetic foot complications to enhance understanding, reduce complications, and improve patient care. This will include insights into the prevalence of risk factors, adherence to treatment protocols, and the effectiveness of interventions aimed at reducing the incidence of amputations and other adverse outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female patients
Residents of participating African countries.
Diagnosed with diabetic foot complications (e.g., ulcers, gangrene, infection, ischemia).
Patients with a history of foot ulcers or amputations due to diabetes.
Disqualifiers
Non-diabetic foot complications.
Acute traumatic injuries unrelated to diabetes.
Patients unwilling to provide informed consent.
Trial population
African population
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Proportion of Subjects Achieving Complete Wound Healing
Percentage of patients with diabetic foot ulcers who achieve complete wound closure without discharge or infection as recorded during follow-up visits. Defined as complete epithelialization of the diabetic foot ulcer with no discharge or infection as assessed during clinical follow-up.
Proportion of Subjects Undergoing Amputation Due to Diabetic Foot Ulcer
Number of subjects requiring surgical amputation (minor or major) of the affected foot during the follow-up period
Secondary outcomes
Time Taken for Diabetic Foot Ulcer to Heal
Duration (in days) from initial presentation to confirmed complete healing of the ulcer.
Change in SINBAD Score Over Time
SINBAD scores will be measured at baseline and during follow-up to assess changes in wound severity. SINBAD is an acronym based on six parameters (Site, Ischemia, Neuropathy, Bacterial infection, Area, and Depth) Scale Range: 0 to 6 Directionality: Higher scores indicate worse outcomes (i.e., more severe diabetic foot ulcer characteristics and higher risk of complications such as non-healing, infection, amputation, or death). Interpretation: 0-1: Mild ulcer, lower risk 2-3: Moderate ulcer, intermediate risk 4-6: Severe ulcer, high risk
All-Cause Mortality Among Subjects with Diabetic Foot Ulcers
Number and percentage of subjects who expire during the study period, regardless of cause.
Proportion of Subjects with Peripheral Neuropathy and Peripheral Arterial Disease
Presence of peripheral neuropathy and peripheral arterial disease (PAD) in subjects with diabetic foot ulcers based on clinical exam.Can be determined by clinical signs such as loss of protective sensation, absence of pedal pulses, decrease vascularity
Locations
Sponsors and contacts
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