Major amputations in type 2 diabetes between 2001 and 2015 in Spain: regional differences

Pérez, María del Cristo Rodríguez; Chines, Chiara; García, Arturo J. Pedrero; Sousa, Djeniffer; Fernández, Francisco Santolaria; Marcelino-Rodríguez, Itahisa; Coello, Santiago Domínguez; León, Antonio Cabrera de

doi:10.1186/s12889-019-8137-7

Cited by 21 publications

(9 citation statements)

References 23 publications

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“… 10 In the case of the Canary Islands, complications of T2DM and its related mortality are higher than those in other Spanish regions. 11 , 12 A descriptive study of 40.392 major amputations among patients with T2DM in different Spanish regions recently showed a growing trend in the Canary Islands, which diverged from the global downward trend in Spain. 12 …”

Section: Introductionmentioning

confidence: 99%

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Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis

Duarte-Díaz

González‐Pacheco

Rivero-Santana

et al. 2022

Health Expectations

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Objective The aim of the present study is to identify factors associated with patient empowerment in people living with type 2 diabetes mellitus (T2DM) in the Canary Islands (Spain). Methods Secondary cross‐sectional analysis was carried out of data obtained in the INDICA study: A 24‐month cluster randomized‐controlled trial evaluating the effectiveness of educational interventions supported by new technology decision tools for T2DM patients. Sociodemographic variables, clinical data (years since diagnosis, glycated haemoglobin level, creatine, triglycerides, waist hip index, body mass index and number of comorbidities), diabetes knowledge (DIATEK), affective outcomes (Beck Depression Inventory‐II, the State subscale of the State‐Trait Anxiety Inventory and The Diabetes Distress Scale) and diabetes‐related quality of life (The Audit of Diabetes‐Dependent Quality of life) were assessed as potential correlates of patient empowerment, assessed using the Diabetes Empowerment Scale‐Short Form. Multilevel mixed linear regression models on patient empowerment were developed. Results The analysis included the baseline data of 2334 patients. Results showed that age (B = −0.14; p < .001), diabetes knowledge (B = 0.61; p < .001) and state‐anxiety (B = −0.09; p < .001) are significantly associated with patient empowerment. Sex, education level, living alone, employment status, country of birth, time since diagnosis, number of comorbidities, glycated haemoglobin level, depression and distress were not independently associated with patient empowerment in the multivariate analyses. Conclusion Younger age, lower state‐anxiety and greater diabetes‐specific knowledge are important correlates of patient empowerment. In line with the results of the INDICA study, interventions based on patient‐centred care might be effective in improving patient empowerment in adults with T2DM. Understanding the factors associated with empowerment may help clinicians and policymakers to identify high‐risk groups, prioritize resources and target evidence‐based interventions to better support people with T2DM to be actively involved in their own care. Patient or Public Contribution Patients with T2DM were actively involved in the design of the INDICA study. Two patient associations were included as part of the research team and actively participated in designing the interventions and selecting outcome measures.

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Section: Introductionmentioning

confidence: 99%

“… 11 , 12 A descriptive study of 40.392 major amputations among patients with T2DM in different Spanish regions recently showed a growing trend in the Canary Islands, which diverged from the global downward trend in Spain. 12 …”

Section: Introductionmentioning

confidence: 99%

Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis

Duarte-Díaz

González‐Pacheco

Rivero-Santana

et al. 2022

Health Expectations

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“…Also, high variation exists for these procedures, from one country to another and even within the same country. In Spain, the incidence of amputations also shows significant variation from one region to another, and in the case of major lower-limb amputations, Catalonia is in an intermediate situation among the different health care regions ( 20 ). The rate of amputations in Catalonia in 2016 among the diabetic population aged between 45 and 74 years was 27.4 per 10,000 people with diabetes ( 3 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of diabetic foot disease among the people with type 2 diabetes using real-world practice data from Catalonia during 2018

et al. 2022

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BackgroundOur study aimed to assess the prevalence of diabetic foot disease (DFD) and its associated risk factors among subjects attending primary care centers in Catalonia (Spain).MethodsWe undertook a cross-sectional analysis of data from the primary health care (SIDIAP) database. The presence of comorbidities and concomitant medication were analyzed for subjects with or without DFD. DFD prevalence was estimated from 1st January 2018 to 31st December 2018.ResultsDuring the 12-month observational period, out of 394,266 people with type 2 diabetes, we identified 3,277 (0.83%) active episodes of DFD in the database. The majority of these episodes were foot ulcers (82%). The mean age of patients with DFD was 70.3 (± 12.5) years and 55% were male. In the multivariable descriptive models, male gender, diabetes duration, hypertension, macrovascular, microvascular complications, and insulin and antiplatelet agents were strongly associated with DFD. A previous history of DFD was the stronger risk factor for DFD occurrence in subjects with T2DM (OR: 13.19, 95%CI: 11.81; 14.72).ConclusionsIn this real-world primary care practice database, we found a lower prevalence of DFD compared to similar previous studies. Risk factors such as male sex, duration of diabetes, diabetes complications and previous history of DFD were associated with the presence of DFD.

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“…Previous referrals to the need for patient care must always be present, because poor care related to DM can have serious consequences for the patient's health, as well as for economic costs ( 56 – 61 ). Unfortunately, two of the sequelae of this poorly controlled illness are hospitalizations ( 62 – 64 ) and amputations ( 65 – 68 ).…”

Section: Introductionmentioning

confidence: 99%

Diabetes mellitus and inequalities in the equipment and use of information technologies as a socioeconomic determinant of health in Spain

Bosch-Frigola

Coca-Villalba²,

Pérez-Lacasta³

et al. 2023

Front. Public Health

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Inequalities in the equipment and use of information and communications technology (ICT) in Spanish households can lead to users being unable to access certain information or to carry out certain procedures. Accessibility to ICT is considered a social determinant of health (SDOH) because it can generate inequalities in access to information and in managing access to health services. In the face of a chronic illness such as diabetes mellitus (DM)—for which a comprehensive approach is complex and its complications have a direct impact on current healthcare systems—all the resources that patients may have are welcome. We aimed to analyze hospitalizations and amputations as direct consequences of DM among the autonomous communities of Spain (ACS) in 2019, along with socioeconomic factors related to health, including inequalities in access to ICT between territories, as well as citizens' interest in online information searches about DM. We used different databases such as that of the Ministerio de Sanidad (Spain's health ministry), Ministerio de Asuntos Económicos y transformación (Ministry of Economic Affairs and Digital Transformation), Google Trends (GT), and the Instituto Nacional de Estadística (Spain's national institute of statistics). We examined the data with R software. We employed a geolocation approach and performed multivariate analysis (specifically factor analysis of mixed data [FAMD]) to evaluate the aggregate interest in health information related to DM in different regions of Spain grounded in online search behavior. The use of FAMD allowed us to adjust the techniques of principal component analysis (PCA) and multiple correspondence analysis (MCA) to detect differences between the direct consequences of DM, citizen's interest in this non-communicable disease, and socioeconomic factors and inequalities in access to ICT in aggregate form between the country's different ACS. The results show how SDOH, such as poverty and education level, are related to the ACS with the highest number of homes that cite the cost of connection or equipment as the reason for not having ICT at home. These regions also have a greater number of hospitalizations due to DM. Given that in Spain, there are certain differences in accessibility in terms of the cost to households, in the case of DM, we take this issue into account from the standpoint of an integral approach by health policies.

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Major amputations in type 2 diabetes between 2001 and 2015 in Spain: regional differences

Cited by 21 publications

References 23 publications

Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis

Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross‐sectional analysis

Prevalence and risk factors of diabetic foot disease among the people with type 2 diabetes using real-world practice data from Catalonia during 2018

Diabetes mellitus and inequalities in the equipment and use of information technologies as a socioeconomic determinant of health in Spain

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