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; Patricia Price; John Tarlton; John Weinman; Andrew Day; Rona Campbell; Jenna Reps; Daniele Soria

doi:10.1371/journal.pone.0153315

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
, Patricia Price
, John Tarlton
, John Weinman
, Andrew Day
, Rona Campbell
, Jenna Reps
, Daniele Soria

Immunology and Immunotherapy

Research output: Contribution to journal › Article › peer-review

Abstract

Background Patients' illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions. Objective We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Methods Patients (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. Results Cox 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. Conclusions Our 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.

Original language	English
Article number	e0153315
Journal	PLOS One
Volume	11
Issue number	4
DOIs	https://doi.org/10.1371/journal.pone.0153315
Publication status	Published - Apr 2016

Bibliographical note

Publisher Copyright:
© 2016 Vedhara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ASJC Scopus subject areas

General

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pone.0153315

Cite this

@article{65252b06b2f04917820d59ef9e55f13d,

title = "Illness beliefs predict mortality in patients with diabetic foot ulcers",

abstract = "Background Patients' illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions. Objective We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Methods Patients (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. Results Cox 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. Conclusions Our 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.",

author = "Kavita Vedhara and Karen Dawe and Miles, \{Jeremy N.V.\} and Wetherell, \{Mark A.\} and Nicky Cullum and Colin Dayan and Nicola Drake and Patricia Price and John Tarlton and John Weinman and Andrew Day and Rona Campbell and Jenna Reps and Daniele Soria",

note = "Publisher Copyright: {\textcopyright} 2016 Vedhara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

year = "2016",

month = apr,

doi = "10.1371/journal.pone.0153315",

language = "English",

volume = "11",

journal = "PLOS One",

issn = "1932-6203",

publisher = "Public Library of Science (PLOS)",

number = "4",

}

TY - JOUR

T1 - Illness beliefs predict mortality in patients with diabetic foot ulcers

AU - Vedhara, Kavita

AU - Dawe, Karen

AU - Miles, Jeremy N.V.

AU - Wetherell, Mark A.

AU - Cullum, Nicky

AU - Dayan, Colin

AU - Drake, Nicola

AU - Price, Patricia

AU - Tarlton, John

AU - Weinman, John

AU - Day, Andrew

AU - Campbell, Rona

AU - Reps, Jenna

AU - Soria, Daniele

N1 - Publisher Copyright: © 2016 Vedhara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2016/4

Y1 - 2016/4

N2 - Background Patients' illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions. Objective We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Methods Patients (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. Results Cox 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. Conclusions Our 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.

AB - Background Patients' illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions. Objective We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Methods Patients (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. Results Cox 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. Conclusions Our 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.

UR - https://www.scopus.com/pages/publications/84979052551

U2 - 10.1371/journal.pone.0153315

DO - 10.1371/journal.pone.0153315

M3 - Article

C2 - 27096609

AN - SCOPUS:84979052551

SN - 1932-6203

VL - 11

JO - PLOS One

JF - PLOS One

IS - 4

M1 - e0153315

ER -

Illness beliefs predict mortality in patients with diabetic foot ulcers

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

Access to Document

Fingerprint

Cite this