2011, Number 3
Estudio aleatorizado controlado de costo-efectividad de resonancia magnética en pacientes diabéticos con mal perforante plantar
Rojas GPA, Gutiérrez LMÁ, Serrano LJA, Flores EM, León JI, López MMC, Rodríguez AME
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ABSTRACTObjective: To determine whether the addition of magnetic resonance imaging to current patient evaluation by radiography would aid the tissue extension infection, presence of osteomyelitis and thus reduce the surgical treatment extension and reduce the reoperation rate. To assess whether the addition of MRI would be cost-effective.
Material and methods: A randomized controlled, open, parallel group trial with equal randomization.
Participants. Male and female patients with diabetic foot, were scheduled for surgical treatment based on what we found in radiography in one group and magnetic resonance imaging in the other group.
Results: From a total of 33 patients, 13 were randomized to MRI and 20 to no MRI. No difference in clinical aspects were found between the groups, and we found statistical significance in the localization of the surgical treatment and the reoperation rate.