Timing of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study.

Hdl Handle:
http://hdl.handle.net/10147/576988
Title:
Timing of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study.
Authors:
Buckley, Claire M; Ali, Fauzi; Roberts, Graham; Kearney, Patricia M; Perry, Ivan J; Bradley, Colin P
Citation:
Timing of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study. 2013, 3 (10):e003871 BMJ Open
Publisher:
BMJ Open
Journal:
BMJ Open
Issue Date:
3-Sep-2013
URI:
http://hdl.handle.net/10147/576988
DOI:
10.1136/bmjopen-2013-003871
PubMed ID:
24171939
Abstract:
Lower extremity amputation (LEA) is a complication of diabetes and a marker of the quality of diabetes care. Clinical and sociodemographic determinants of LEA in people with diabetes are well known. However, the role of service-related factors has been less well explored. Early referral to secondary healthcare is assumed to prevent the occurrence of LEA. The objective of this study is to investigate a possible association between the timing of patient access to secondary healthcare services for diabetes management, as a key marker of service-related factors, and LEA in patients with diabetes.; This is a case-control study. The source population is people with diabetes. Cases will be people with diabetes who have undergone a first major LEA, identified from the hospital discharge data at each of three regional centres for diabetes care. Controls will be patients with diabetes without LEA admitted to the same centre either electively or as an emergency. Frequency-matching will be applied for gender, type of diabetes, year and centre of LEA. Three controls per case will be selected from the same population as the cases. With a power of 90% to detect OR of 0.4 for an association between 'good quality care' and LEA in people with diabetes, 107 cases and 321 controls are required. Services involved in diabetes management are endocrinology, ophthalmology, renal, cardiology, vascular surgery and podiatry; timing of first contact with any of these services is the main exploratory variable. Using unconditional logistic regression, an association between this exposure and the outcome of major LEA in people with diabetes will be explored, while adjusting for confounders.; Ethical approval was granted by the Clinical Research Ethics Committee of the Cork Teaching Hospitals, Ireland. Results will be presented at conferences and published in peer-reviewed journals.
Item Type:
Article
Language:
en
Description:
Lower extremity amputation (LEA) is an important complication of diabetes mellitus. National and global LEA rates vary for reasons such as ethnicity, case definition, and ascertainment of diabetes prevalence.
Keywords:
DIABETES MELLITUS; AMPUTATION
ISSN:
2044-6055

Full metadata record

DC FieldValue Language
dc.contributor.authorBuckley, Claire Men
dc.contributor.authorAli, Fauzien
dc.contributor.authorRoberts, Grahamen
dc.contributor.authorKearney, Patricia Men
dc.contributor.authorPerry, Ivan Jen
dc.contributor.authorBradley, Colin Pen
dc.date.accessioned2015-09-09T09:41:20Zen
dc.date.available2015-09-09T09:41:20Zen
dc.date.issued2013-09-03en
dc.identifier.citationTiming of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study. 2013, 3 (10):e003871 BMJ Openen
dc.identifier.issn2044-6055en
dc.identifier.pmid24171939en
dc.identifier.doi10.1136/bmjopen-2013-003871en
dc.identifier.urihttp://hdl.handle.net/10147/576988en
dc.descriptionLower extremity amputation (LEA) is an important complication of diabetes mellitus. National and global LEA rates vary for reasons such as ethnicity, case definition, and ascertainment of diabetes prevalence.en
dc.description.abstractLower extremity amputation (LEA) is a complication of diabetes and a marker of the quality of diabetes care. Clinical and sociodemographic determinants of LEA in people with diabetes are well known. However, the role of service-related factors has been less well explored. Early referral to secondary healthcare is assumed to prevent the occurrence of LEA. The objective of this study is to investigate a possible association between the timing of patient access to secondary healthcare services for diabetes management, as a key marker of service-related factors, and LEA in patients with diabetes.en
dc.description.abstractThis is a case-control study. The source population is people with diabetes. Cases will be people with diabetes who have undergone a first major LEA, identified from the hospital discharge data at each of three regional centres for diabetes care. Controls will be patients with diabetes without LEA admitted to the same centre either electively or as an emergency. Frequency-matching will be applied for gender, type of diabetes, year and centre of LEA. Three controls per case will be selected from the same population as the cases. With a power of 90% to detect OR of 0.4 for an association between 'good quality care' and LEA in people with diabetes, 107 cases and 321 controls are required. Services involved in diabetes management are endocrinology, ophthalmology, renal, cardiology, vascular surgery and podiatry; timing of first contact with any of these services is the main exploratory variable. Using unconditional logistic regression, an association between this exposure and the outcome of major LEA in people with diabetes will be explored, while adjusting for confounders.en
dc.description.abstractEthical approval was granted by the Clinical Research Ethics Committee of the Cork Teaching Hospitals, Ireland. Results will be presented at conferences and published in peer-reviewed journals.en
dc.language.isoenen
dc.publisherBMJ Openen
dc.rightsArchived with thanks to BMJ openen
dc.subjectDIABETES MELLITUSen
dc.subjectAMPUTATIONen
dc.titleTiming of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study.en
dc.typeArticleen
dc.identifier.journalBMJ Openen

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