Diabetes complications

Incidence of diabetes-related foot disease: results from 2 prospective cohort studies and meta-analysis

Diabetes Res Clin PractPublished Prospective cohort studies and meta-analysis

Authors' conclusion

In conclusion, incidence for DFD exceeds 10 per 1,000 person-year among patients with diabetes, and peripheral neuropathy and foot ulcer are major contributors to incident DFD.

Study context

Population
Patients with diabetes free of diabetes-related foot disease (DFD), UK Biobank and Chongqing Diabetes Registry; DFD per International Working Group on the Diabetic Foot 2023 criteria2 cohorts + 64 cohorts
Comparison
UK Biobank vs Chongqing Diabetes Registry (CDR)
Outcome
Incidence of overall and individual components of DFD
Methodological details2 prospective cohorts, systematic review, meta-analysis of 64 cohorts
  • 2 prospective cohorts
  • Systematic review
  • Meta-analysis of 64 cohorts

Pooled result

As reported in the abstract

Incidence of DFD

Further pooled results

Pooled incidence of DFD components (meta-analysis)

Peripheral neuropathy
19.84 (95% CI 16.58-23.10)
Foot ulcer
7.32 (CI 6.17-8.47)
Lower-extremity amputation
2.56 (CI 2.20-2.93)
Lower-extremity arterial disease
2.56 (CI 1.08-4.04)
Gangrene
0.81 (CI 0.00-1.74)
Heterogeneity across studies
I2 > 99 %

Original publication

Incidence of diabetes-related foot disease: results from 2 prospective cohort studies and meta-analysis. Diabetes Res Clin Pract. Published 20 March 2026. doi:10.1016/j.diabres.2026.113218

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