Mairghani M, Elmusharaf K, Patton D, Burns J, Eltahir O, Jassim G, Moore Z
PhD Scholar, Royal College of Surgeons in Ireland, Dublin.
Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.
J Wound Care. 2017 Sep 1;26(Sup9):S27-S34. doi: 10.12968/jowc.2017.26.Sup9.S27.
There is a rising incidence of diabetes worldwide; however there seems to be a higher incidence and prevalence rates in the Arab world when compared with the global average. Out of the top 10 countries with the highest prevalence rates, six are Arab countries and almost 20.5 million people in that part of the world live with diabetes. Despite this, published scientific research from the 22 Arab countries is limited and seems to be of lower quality when compared with the rest of the developed world. Therefore, our aim was to explore the contribution of the different Arab countries in the world literature, to identify the diabetic foot ulcer (DFU) prevalence and incidence rates and to quality appraise these studies.
A systematic review, following PRISMA guidelines, was undertaken to identify the incidence and prevalence of DFUs in the Arab world. The following databases were searched: PubMed, Embase CINAHL, Web of Science (Scopus), Global Health and EBSCO Results: A total of nine papers were identified. The mean prevalence of DFU in Saudi Arabia was 11.85% (4.7-19%), in Egypt was 4.2% (1-7.4%), in Jordan was 4.65% (4-5.3%), in Bahrain was 5.9% and in Iraq was 2.7%. A single study identified DFU incidence in Saudi Arabia as 1.8% between 2009-2010.
The mean prevalence rates of DFU were highest in Saudi Arabia and Bahrain and lowest in Iraq. Saudi Arabia had the only reported incidence study, thus findings could not be compared to other countries of the Arab world. There were no studies identified during our search reporting prevalence rates of DFU in 17 of the 22 Arab countries. It is clear that further research is required to determine the incidence and prevalance of DFUs in the Arab world and that progress is needed in order to improve the quality of research conducted in those countries.
全球糖尿病发病率呈上升趋势；然而，与全球平均水平相比，阿拉伯世界的发病率和患病率似乎更高。在患病率最高的10个国家中，有6个是阿拉伯国家，该地区近2050万人患有糖尿病。尽管如此，22个阿拉伯国家发表的科学研究有限，与其他发达国家相比，质量似乎较低。因此，我们的目的是探讨不同阿拉伯国家在世界文献中的贡献，确定糖尿病足溃疡（DFU）的患病率和发病率，并对这些研究进行质量评估。
按照PRISMA指南进行系统评价，以确定阿拉伯世界DFU的发病率和患病率。检索了以下数据库：PubMed、Embase、CINAHL、科学网（Scopus）、全球健康和EBSCO。结果：共识别出9篇论文。沙特阿拉伯DFU的平均患病率为11.85%（4.7-19%），埃及为4.2%（1-7.4%），约旦为4.65%（4-5.3%），巴林为5.9%，伊拉克为2.7%。一项研究确定沙特阿拉伯2009-2010年间DFU的发病率为1.8%。
DFU的平均患病率在沙特阿拉伯和巴林最高，在伊拉克最低。沙特阿拉伯有唯一一项报告发病率的研究，因此无法与阿拉伯世界的其他国家进行比较。在我们的检索中，未发现关于22个阿拉伯国家中17个国家DFU患病率的研究报告。显然，需要进一步研究以确定阿拉伯世界DFU的发病率和患病率，并且需要取得进展以提高这些国家开展的研究质量。
