Abstract
Diabetic lower extremity complications may be influenced by a number of factors, including those related to the interaction between patients and the health-care system. Our objective is to identify risk factors for the development of lower limb complications, by looking for classical clinical variables and those related to quality of care. A case-control study was carried out between December 1993 and June 1994 by interviewing 348 patients with lower-limb diabetic complications and 1050 controls enrolled from 35 diabetes outpatient clinics and 49 general practitioner's offices in Italy. Among sociodemographic characteristics associated with increased risk of lower limb complications were male gender [odds ratio (OR) = 2.5, confidence interval (CI) 1.6-3.9], age between 50 and 70 years as opposed to younger than 50 (OR = 3.6, CI 2.1-6.3) and being single as opposed to married (OR = 1.4, CI 1.1-1.8). Among clinical variables, treatment with insulin for IDDM and NIDDM patients was an important predictor of lower extremity complications compared to NIDDM patients not being treated with insulin. Cardio-cerebrovascular disease and presence of diabetic neuropathy were associated with a higher risk of being a case (OR = 1.4, CI 1.2-1.8...Continue Reading
References
Oct 1, 1992·Diabetes Research and Clinical Practice·J Apelqvist, C D Agardh
Mar 1, 1992·Archives of Internal Medicine·S E MossB E Klein
May 1, 1992·Medical Care·S Greenfield, E C Nelson
Jul 15, 1992·Annals of Internal Medicine·G E ReiberT D Koepsell
Oct 1, 1989·The Journal of Diabetic Complications·J A ColwellF Nuttall
Dec 1, 1989·American Journal of Surgery·J M MaloneT J Bunt
Mar 1, 1989·Medical Care·S H KaplanJ E Ware
Jan 1, 1988·Diabetes Care·R G NelsonW C Knowler
Jan 1, 1987·Journal of Chronic Diseases·S H Kaplan
Jan 1, 1983·Diabetes Care·R S Most, P Sinnock
Jan 1, 1982·Diabetologia·A J BoultonJ D Ward
Apr 1, 1995·Diabetes Care·J V Selby, D Zhang
Feb 1, 1995·Diabetes Care·R Klein
May 22, 1993·Lancet·P H WangT C Chalmers
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jan 1, 1993·Diabetes Care·O I SiitonenK Pyörälä
Jan 1, 1993·Diabetes Care·J E GilmoreJ R Hayes
Mar 6, 1993·BMJ : British Medical Journal·M PringleJ Sterland
Citations
Nov 15, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Haseeb E BakheitMohamed E Ahmed
Apr 2, 2009·Journal of the Peripheral Nervous System : JPNS·Rodica Pop-BusuiUNKNOWN BARI 2D Investigators
Dec 20, 2011·Journal of Diabetes·Moulinath BanerjeeAbdul F Lakhdar
Aug 13, 2003·Journal of Thrombosis and Haemostasis : JTH·E CiccaroneUNKNOWN Gendiabe Investigators
Apr 24, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·J C WonB Y Cha
Mar 15, 2014·Diabetes & Metabolism Journal·Jong Chul WonBong-Yun Cha
Feb 26, 2016·World Journal of Surgery·Tobias HaltmeierDemetrios Demetriades
Oct 23, 2016·Diabetes & Metabolic Syndrome·Garry ShtofmakherMatthew Weintraub
Nov 2, 2005·Journal of Diabetes and Its Complications·Giorgia De BerardisUNKNOWN QuED Study Group-Quality of Care and Outcomes in Type 2 Diabetes
Jun 7, 2008·The Diabetes Educator·Byron Perrin, Hal Swerissen
Nov 8, 2007·Medicine and Science in Sports and Exercise·Judith M BurnfieldGregory R Bashford
Oct 14, 2005·Foot & Ankle International·Olfat MohamedJudy M Burnfield