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Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain

Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain. Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examinatio...

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Autores principales: Dòria, Montserrat, Rosado, Verónica, Pacheco, Linda Roxana, Hernández, Marta, Betriu, Àngels, Valls, Joan, Franch-Nadal, Josep, Fernández, Elvira, Mauricio, Dídac
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848423/
https://www.ncbi.nlm.nih.gov/pubmed/27190996
http://dx.doi.org/10.1155/2016/7217586
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author Dòria, Montserrat
Rosado, Verónica
Pacheco, Linda Roxana
Hernández, Marta
Betriu, Àngels
Valls, Joan
Franch-Nadal, Josep
Fernández, Elvira
Mauricio, Dídac
author_facet Dòria, Montserrat
Rosado, Verónica
Pacheco, Linda Roxana
Hernández, Marta
Betriu, Àngels
Valls, Joan
Franch-Nadal, Josep
Fernández, Elvira
Mauricio, Dídac
author_sort Dòria, Montserrat
collection PubMed
description Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain. Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examination, we explored the presence of cardiovascular risk factors, late diabetes complications, including peripheral neuropathy, atherosclerotic disease, and peripheral artery disease. We assessed risk factors for foot ulceration and amputation by logistic regression. Results. Prevalent diabetic foot was found in 17.4% of patients, foot deformities were found in 54.3%, previous ulcer was found in 19.6%, and amputations were found in 16.3%; and 87% of them had some risk of suffering diabetic foot in the future. We observed a high prevalence of patients with peripheral neuropathy and peripheral artery disease (89.1% and 64.2%, resp.). Multivariable analysis identified diabetic retinopathy and advanced atherosclerotic disease (stenosing carotid plaques) as independent risk factors for foot ulceration (p = 0.004 and p = 0.023, resp.) and diabetic retinopathy also as an independent risk factor for lower-limb amputations (p = 0.013). Moreover, there was a temporal association between the initiation of dialysis and the incidence of amputations. Conclusion. Diabetic patients receiving dialysis therapy are at high risk of foot complications and should receive appropriate and intensive foot care.
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spelling pubmed-48484232016-05-17 Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain Dòria, Montserrat Rosado, Verónica Pacheco, Linda Roxana Hernández, Marta Betriu, Àngels Valls, Joan Franch-Nadal, Josep Fernández, Elvira Mauricio, Dídac Biomed Res Int Research Article Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain. Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examination, we explored the presence of cardiovascular risk factors, late diabetes complications, including peripheral neuropathy, atherosclerotic disease, and peripheral artery disease. We assessed risk factors for foot ulceration and amputation by logistic regression. Results. Prevalent diabetic foot was found in 17.4% of patients, foot deformities were found in 54.3%, previous ulcer was found in 19.6%, and amputations were found in 16.3%; and 87% of them had some risk of suffering diabetic foot in the future. We observed a high prevalence of patients with peripheral neuropathy and peripheral artery disease (89.1% and 64.2%, resp.). Multivariable analysis identified diabetic retinopathy and advanced atherosclerotic disease (stenosing carotid plaques) as independent risk factors for foot ulceration (p = 0.004 and p = 0.023, resp.) and diabetic retinopathy also as an independent risk factor for lower-limb amputations (p = 0.013). Moreover, there was a temporal association between the initiation of dialysis and the incidence of amputations. Conclusion. Diabetic patients receiving dialysis therapy are at high risk of foot complications and should receive appropriate and intensive foot care. Hindawi Publishing Corporation 2016 2016-04-14 /pmc/articles/PMC4848423/ /pubmed/27190996 http://dx.doi.org/10.1155/2016/7217586 Text en Copyright © 2016 Montserrat Dòria et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Dòria, Montserrat
Rosado, Verónica
Pacheco, Linda Roxana
Hernández, Marta
Betriu, Àngels
Valls, Joan
Franch-Nadal, Josep
Fernández, Elvira
Mauricio, Dídac
Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title_full Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title_fullStr Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title_full_unstemmed Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title_short Prevalence of Diabetic Foot Disease in Patients with Diabetes Mellitus under Renal Replacement Therapy in Lleida, Spain
title_sort prevalence of diabetic foot disease in patients with diabetes mellitus under renal replacement therapy in lleida, spain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848423/
https://www.ncbi.nlm.nih.gov/pubmed/27190996
http://dx.doi.org/10.1155/2016/7217586
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