Distance as a risk factor for amputation in patients with diabetes: A case-control study
| dc.contributor.author | Gallagher, D | |
| dc.contributor.author | Jordan, V | |
| dc.contributor.author | Gillespie, P | |
| dc.contributor.author | Cullinan, J | |
| dc.contributor.author | Dinneen, S | |
| dc.date.accessioned | 2014-04-25T11:54:04Z | |
| dc.date.available | 2014-04-25T11:54:04Z | |
| dc.date.issued | 2014 | |
| dc.identifier.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 | en_GB |
| dc.identifier.uri | http://hdl.handle.net/10147/316132 | |
| dc.description.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 | |
| dc.language.iso | en | en |
| dc.publisher | Irish Medical Journal | en_GB |
| dc.subject | DIABETES MELLITUS | en_GB |
| dc.subject.other | AMPUTATION | en_GB |
| dc.title | Distance as a risk factor for amputation in patients with diabetes: A case-control study | en_GB |
| dc.type | Article | en |
| dc.identifier.journal | Irish Medical Journal | en_GB |
| dc.description.funding | No funding | en |
| dc.description.province | Connacht | en |
| dc.description.peer-review | peer-review | en |
| refterms.dateFOA | 2018-08-24T01:31:35Z | |
| html.description.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 |
