Diabetes complications

Global healthcare pathway of people living with diabetes prior to wounding is associated with a decreased risk of amputation

Diabetes Res Clin PractPublished Cohort study

Main finding · AmputationResult — go to the resultHazard ratio 0.71 95% CI 0.499–0.995

Authors' 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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