Decreasing incidence of foot ulcer among patients with type 1 and type 2 diabetes in the period 2001-2014

Anne Rasmussen, T Almdal, A Anker Nielsen, Kirsten Engelhart Nielsen, M E Jørgensen, S Hangaard, V Siersma, P E Holstein

21 Citationer (Scopus)

Abstract

AIM: Diabetic foot ulcer (DFU) is a serious complication to diabetes. The aim was to study the incidence of first DFU among patients with type 1 (T1DM) and type 2 diabetes (T2DM), stratified according to etiology: neuropathic, neuro-ischemic or ischemic, over a period of 14years (2001-2014).

METHODS: DFU incidence rates were calculated from electronic patient record data from patients with T1DM and complicated T2DM from a large specialized diabetes hospital with a multidisciplinary foot clinic in Denmark. Poisson regression was used to model incidence of first DFU according to calendar year, diabetes type and etiology.

RESULTS: Among 5640 patients with T1DM 255 developed a DFU, corresponding to an incidence of 5.8 (95% confidence interval (95%CI) 5.1-6.5) per 1000 patient years; this incidence dropped from 8.1 (95%CI 5.4-11.9) per 1000 patient years in 2002 to 2.6 (95%CI 1.3-5.3) in 2014 (p=0.0059). Among 6953 patients with T2DM 310 developed a DFU, corresponding to an incidence of 11.3 (95%CI 10.1-12.6) per 1000 patient years; this incidence dropped from 17.0 (95%CI 12.2-23.8) per 1000 patient years in 2002 to 8.7 (95%CI 5.3-14.1) per 1000 patient year (p=0.0260) in 2014.

CONCLUSION: The incidence of DFU has decreased substantially in T1DM as well as in T2DM. This change was driven by a decrease in incidence of neuropathic ulcers.

OriginalsprogEngelsk
TidsskriftDiabetes Research and Clinical Practice
Vol/bind130
Sider (fra-til)221-228
Antal sider7
ISSN0168-8227
DOI
StatusUdgivet - 2017

Fingeraftryk

Dyk ned i forskningsemnerne om 'Decreasing incidence of foot ulcer among patients with type 1 and type 2 diabetes in the period 2001-2014'. Sammen danner de et unikt fingeraftryk.

Citationsformater