Study of Quality of Life Changes Over 2 Years in Adults with Chronic Diabetic Charcot Foot Without Wounds

What this Trial Is About

Charcot foot is a complication of diabetes that causes progressive damage to bones, soft tissues, and tendons in the ankle and foot, often leading to joint dislocation. This condition is not well understood by patients and caregivers, and its non-specific symptoms often result in delayed or missed diagnosis. Researchers are studying a group of patients with chronic Charcot foot in France to assess how quality of life changes over two years and to identify factors that predict worse outcomes among these patients. Participants in this observational study will complete questionnaires including the SF-36, FAAM-F, PHQ-9, PHQ-2, and a simplified EPICES score to evaluate quality of life, foot and ankle function, depression, and social precarity. These assessments will be conducted at the start, after 12 months, and after 24 months. In addition, X-rays will be used to track changes in foot bone and joint deformities. The study will also monitor diabetes complications, medical treatments for Charcot foot, presence of wounds or infections, amputations, hospitalizations, and depression symptoms over the two-year period. Participants will be asked to fill out questionnaires at these three time points and undergo foot X-rays and clinical evaluations to track their condition. Researchers will evaluate results from these questionnaires and imaging studies to understand how quality of life evolves and what factors contribute to outcomes. The study includes a comprehensive assessment of diabetic complications, foot deformities, and mental health. Participants will be followed for two years to gather this detailed information and help improve understanding of chronic Charcot foot.

Factors Associated With an Evolution in the Quality of Life of Diabetic Patients With Chronic, Wound-free Charcot Foot