Global healthcare pathway of people living with diabetes prior to wounding is associated with a decreased risk of amputation
Main finding · AmputationResult — go to the resultHazard ratio 0.71 95% CI 0.499–0.995Authors' conclusion
People with the best diabetes follow-up, even with several comorbidities, appear to have a better prognosis for their DFU. This highlights the importance of global healthcare and the care pathway in this chronic disease.
Study context
- Population
- People living with diabetic foot ulcer (DFU) in a region of France, SNDS cohort
- Participants
- 6,642 people
- Exposure
- Care consumption in the year before and after DFU onset
- Outcome
- Risk of amputation
- Follow-up
- One year after DFU onset
Methodological detailsancillary study, French National Health Data System (SNDS), regional
- Ancillary study
- French National Health Data System (SNDS)
- Regional
Main finding
Amputation
Hazard ratio
0.71
95% CI 0.499–0.995
P = 0.04
Ophthalmologist consultationvs No ophthalmologist consultation
HR 0.71 (95% CI 0.499–0.995); P = 0.04
As reported in the abstract
Observational data: associations, not effects.
Original publication
Global healthcare pathway of people living with diabetes prior to wounding is associated with a decreased risk of amputation. Diabetes Res Clin Pract. Published 10 November 2023. doi:10. 1016/ j. diabres. 2023. 111007
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