Distance as a risk factor for amputation in patients with diabetes: A case-control study

Hdl Handle:
http://hdl.handle.net/10147/316132
Title:
Distance as a risk factor for amputation in patients with diabetes: A case-control study
Authors:
Gallagher, D; Jordan, V; Gillespie, P; Cullinan, J; Dinneen, S
Citation:
Gallagher D et al. Distance as a risk factor for amputation in patients with diabetes: A case-control study. Ir Med J 2014 Apr
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
2014
URI:
http://hdl.handle.net/10147/316132
Abstract:
We studied the association between amputation and distance of patientsâ residences to a diabetes care centre. We performed a case-control study matching each case (amputation) with 5 controls (no amputation) by age and sex. We compared the distance of residence to the diabetes centre, duration and type of diabetes, haemoglobin-A1c levels and foot examination findings for cases and controls. We analysed the association between distance and the strongest predictors of amputation. Sixty-six cases of amputation and 313 controls were identified. Distance of residence was 12.1km greater for cases (p=0.028). In multivariate analysis, only diabetes duration (OR/year 1.07, 1.03 to 1.11) and neuropathy (OR 10.73, 4.55 to 25.74) were significantly associated with amputation. Patients with neuropathy resided 9.7km further than those without neuropathy (p=0.01). Patients requiring amputation reside at greater distances from the diabetes centre, possibly due to higher rates of neuropathy
Item Type:
Article
Language:
en
Keywords:
DIABETES MELLITUS
Local subject classification:
AMPUTATION

Full metadata record

DC FieldValue Language
dc.contributor.authorGallagher, Den_GB
dc.contributor.authorJordan, Ven_GB
dc.contributor.authorGillespie, Pen_GB
dc.contributor.authorCullinan, Jen_GB
dc.contributor.authorDinneen, Sen_GB
dc.date.accessioned2014-04-25T11:54:04Z-
dc.date.available2014-04-25T11:54:04Z-
dc.date.issued2014-
dc.identifier.citationGallagher D et al. Distance as a risk factor for amputation in patients with diabetes: A case-control study. Ir Med J 2014 Apren_GB
dc.identifier.urihttp://hdl.handle.net/10147/316132-
dc.description.abstractWe studied the association between amputation and distance of patientsâ residences to a diabetes care centre. We performed a case-control study matching each case (amputation) with 5 controls (no amputation) by age and sex. We compared the distance of residence to the diabetes centre, duration and type of diabetes, haemoglobin-A1c levels and foot examination findings for cases and controls. We analysed the association between distance and the strongest predictors of amputation. Sixty-six cases of amputation and 313 controls were identified. Distance of residence was 12.1km greater for cases (p=0.028). In multivariate analysis, only diabetes duration (OR/year 1.07, 1.03 to 1.11) and neuropathy (OR 10.73, 4.55 to 25.74) were significantly associated with amputation. Patients with neuropathy resided 9.7km further than those without neuropathy (p=0.01). Patients requiring amputation reside at greater distances from the diabetes centre, possibly due to higher rates of neuropathyen_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectDIABETES MELLITUSen_GB
dc.subject.otherAMPUTATIONen_GB
dc.titleDistance as a risk factor for amputation in patients with diabetes: A case-control studyen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen
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