PMID: 9442809Jan 27, 1998Paper

Risk factors for lower limb complications in diabetic patients. The Italian Study Group for the Implementation of the St. Vincent Declaration

Journal of Diabetes and Its Complications
M el-ShazlyA Nicolucci

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

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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
Nov 2, 2005·Journal of Diabetes and Its Complications·Giorgia De BerardisUNKNOWN QuED Study Group-Quality of Care and Outcomes in Type 2 Diabetes
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

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