The foot‐health of people with diabetes in regional and rural Australia: baseline results from an observational cohort study

Perrin, Byron; Allen, Penny; Gardner, Marcus; Chappell, Andrew; Phillips, Bronwyn; Massey, Claire; Skinner, Isabelle; Skinner, Timothy C.

doi:10.1186/s13047-019-0366-6

Cited by 23 publications

(32 citation statements)

References 38 publications

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“…The prevalence of DPN was also found to be higher among DM patients who were having diabetes for more than 10 years. This was in line with results of previous studies [13], [14], [17], [20]. As the duration of DM increases, the risk of complications advances and this accelerates if the glycemic control is also poor.…”

Section: Discussionsupporting

confidence: 92%

“…About 42.0% of diabetic patients were found to be suffering from peripheral neuropathy. This was similar to the ndings of other studies on diabetic peripheral neuropathy (DPN) [10], [13][14][15][16].However, this was in contrast to the ndings of Kaewput et al [17] and Perrin et al [18] in which prevalence ranged from 3.0% to 16.6%. The possible reasons for this variation could be different study settings and different classi cation used to diagnose DPN in these studies.…”

Section: Discussionsupporting

confidence: 89%

“…In the present study, it was found that prevalence of DPN was signi cantly higher among males than females. This was similar to the results of some other studies [15], [17], but different from the ndings of Sendi RA et al [14] who observed no gender difference in DPN prevalence. The higher prevalence of DPN among males could be due to the fact that health seeking behavior among women is poor in most of the developing countries, hence lesser chances of being detected, especially in rural areas.…”

Section: Discussionsupporting

confidence: 83%

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Prevalence and Determinants of Diabetic Peripheral Neuropathy/Foot Syndrome in a rural population of North India

Bashar¹,

Verma²

2020

Preprint

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Background Diabetic peripheral neuropathy (DPN), a common and troublesome complication in patients with type 2 diabetes mellitus (T2DM), contributes to a higher risk of diabetic foot ulcer and lower limb amputation. These situations can negatively impact the quality of life of affected individuals.Objectives The study aimed to assess prevalence of DPN in patients of type 2 DM from rural North India and associated risk factors. Methods A facility based cross sectional study was carried out among type 2 diabetic patients attending NCD clinic of a secondary care hospital in rural North India. A questionnaire which included socio-demographic details, clinical and laboratory parameters, and the Michigan Neuropathy Screening Instrument (MNSI) for detecting peripheral neuropathy, was administered to 100 consecutive patients. Statistical Package for Social Sciences (SPSS) version 25.0 was used for entering and analyzing data. Bivariate analysis was performed for determining the factors significantly associated with presence of DPN. Results The prevalence of DPN was 42.0%. Male gender, advancing age(≥60 years), longer duration of diabetes (>10 years ), smoking, physical inactivity, obesity, uncontrolled blood pressure, poor A glycaemic control and altered lipid profile were found to be significantly associated with the presence of DPN. Conclusion Prevalence of DPN among type 2 diabetics from rural north India is alarmingly high. There is need of essential screening of all diabetic patients by their primary care provider for early detection of DPN particularly in rural India.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 83%

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Prevalence and Determinants of Diabetic Peripheral Neuropathy/Foot Syndrome in a rural population of North India

Bashar¹,

Verma²

2020

Preprint

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“…While the relevant global guidance and clinical pathway publications directly describe the best available evidence base for assessment, diagnosis and management of acute CN, little attention has been given to factors that may impact on the delivery of this care [ 1 , 3 , 4 , 42 ]. This finding is not surprising because the biopsychosocial barriers influencing foot-health outcomes in people with diabetes and potentials barriers to translating evidence into practice is only recently gaining attention [ 44 , 45 ]. This is particularly concerning as acute CN has been described as a medical emergency, where treatment can be very effective in mitigating pathophysiological deterioration and subsequent gross structural and functional damage to the foot [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Diacogiorgis

Perrin

Kingsley

2021

Journal of Foot and Ankle Research

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Background Acute Charcot Neuroarthropathy (CN) is a destructive condition that is characterised by acute fractures, dislocations and joint destruction in the weight-bearing foot. The acute phase is often misdiagnosed and can rapidly lead to devastating health outcomes. Early diagnosis and management of CN is imperative to attenuate progression of this condition. Consequently, timely evidence-based assessment, diagnosis and management of acute CN is imperative. Objective To identify the factors that impact the delivery of evidence-based care in assessment, diagnosis and management of people with acute CN. Method Systematic searches were conducted in four databases to identify studies in English that included factors that impact the delivery of evidence-based care in the assessment, diagnosis and management of people with acute CN. Articles and consensus/guideline documents were assessed for inclusion by the researchers and disagreements were resolved through consensus. Additionally backward citation searching was used to source other potentially relevant documents. Information relevant to the research question was extracted and thematic analyses were performed using qualitative synthesis. Results Thirty-two articles and four additional consensus/guideline documents were included for data extraction and analyses. Information related to the research question was of expert opinion using the National Health and Medical Research Council (NHMRC) Levels of Evidence guidelines. Themes explaining practices that deviated from evidence-based care in assessment, diagnosis and management of acute CN centred around patient, health professional and health organisation/environmental. Delay to diagnosis is particularly influenced by the patient’s knowledge of when to seek help, practitioner knowledge in knowing how to recognise and refer for appropriate immediate care, confusion in imaging and offloading and geographical and local health service resources to appropriately manage the condition. Conclusion Individual and health professional awareness and geographical barriers are key challenges to the effective delivery of evidence-based assessment, diagnosis and management of people with acute CN. Acute CN represents a medical emergency warranting the need for expedited assessment, diagnosis and management by appropriately trained health professionals in the appropriate.

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“…This was in line with the results of previous studies as well. 10,16 In all such instances where glycemic control is poor, the duration of DM increases the risk of complications and accelerates them too. Ratzman et al observed a quite lower prevalence of diabetic neuropathy (6.3%) in their study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of peripheral neuropathy in newly diagnosed type 2 diabetics in sub-district hospital Bishnah

Chander¹

2021

Int J Adv Med

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Background: Diabetic neuropathy is a loss of sensory function beginning distally in the lower extremities that is also characterized by pain and substantial morbidity. Screening and early identification of neuropathy among diabetics can be a crucial opportunity for course modulation for keeping the glycemic control to optimal levels and within recommended targets.Methods: A cross sectional observational study were conducted on 100 patients older than 30 years, of newly diagnosed type 2 diabetes mellitus (T2DM) and attending medicine OPD of sub district hospital Bishnah, district Jammu, Jammu and Kashmir from April 2020 to January 2021. Diabetic peripheral neuropathy (DPN) was diagnosed if two or more of the abnormalities of neuropathy symptoms score or neuropathy disability score were present.Results: Among the studied subjects, 59% were males and 41% were females. Mean age was 49.22±10.63 years for diabetics. 29% patients were alcoholic and 24% were smokers and body mass index (BMI) of more than 25 was found in 20% of patients. Most common of symptoms was tingling (37.14%). 29 subjects had neuropathic signs and neuropathy disability score (NDS) more than or equal to 2 with 28 of them having reduced nerve conduction velocity and loss of vibration in 65.52% patients. A higher prevalence of DPN was found among DM duration of greater than 5 years.Conclusions: The present study showed a significant correlation between DPN, duration of diabetes and BMI. Detection of neuropathic symptoms and complications is therefore essential among patients with T2DM before it hampers their quality of life.

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The foot‐health of people with diabetes in regional and rural Australia: baseline results from an observational cohort study

Cited by 23 publications

References 38 publications

Prevalence and Determinants of Diabetic Peripheral Neuropathy/Foot Syndrome in a rural population of North India

Prevalence and Determinants of Diabetic Peripheral Neuropathy/Foot Syndrome in a rural population of North India

Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Prevalence of peripheral neuropathy in newly diagnosed type 2 diabetics in sub-district hospital Bishnah

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