Type 2 & other diabetes

Diabetic foot disease carries an intrinsic high risk of mortality and other severe outcomes in type 2 diabetes: a propensity score-matched retrospective population-based study

Cardiovasc DiabetolPublished Retrospective population-based cohort study

Authors' conclusion

Although DFD often coexists with other risk factors, it carries an intrinsic high risk of morbidity and mortality in individuals with T2DM. DFD should be regarded as a severe complication already at its onset, as it carries a poor clinical prognosis.

Study context

Population
Individuals with T2D from primary-care settings; first diabetic foot disease (DFD) episode 2010–2015, followed up until 2018matched cohort
Exposure
DFD vs no DFD
  • DFDn = 11,117
Outcome
Incidence of fatal and non-fatal events
Follow-up
Until 2018
Methodological detailspropensity score matched 1 to 1, primary-care settings
  • Propensity score matched 1 to 1
  • Primary-care settings

Main finding

As reported in the abstract

Composite outcome:
  • All-cause mortality
  • CV events

Observational data: associations, not effects.

Further findings

OutcomeDFDWithout DFDHR (95% CI)
New DFD episode22.2 IR per 100 person-years1.1 IR per 100 person-years15.1 (13.8–16.5)
Amputation19.4 (16.7–22.6)

Original publication

Diabetic foot disease carries an intrinsic high risk of mortality and other severe outcomes in type 2 diabetes: a propensity score-matched retrospective population-based study. Cardiovasc Diabetol. Published 19 June 2024. doi:10.1186/s12933-024-02303-1

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