Charcot neuroarthropathy in diabetic patients in Texas

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-06-29 DOI:10.1016/j.pcd.2024.06.012

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引用次数: 0

Abstract

Aims

Charcot neuroarthropathy (CN) is a complex disease of the bone and joints that can lead to serious and life-threatening complications. This study investigates epidemiologic trends in diabetic CN in Texas and the impact of age on these values.

Methods

A retrospective analysis was conducted using the Texas Department of State Health Services Hospital Discharge Data Public Use Data File. Using International Classification of Diseases, Ninth (ICD-9) and Tenth (ICD-10) Revision codes, we identified patients with diabetes and Charcot ankle or foot. Data extracted included diagnoses, race, and gender. Population rates were estimated using census data, calculated per 1000 population and standardized by age.

Results

Overall and age-standardized rates of CN increased each year from 2006 to 2016, except for a downward trend from 2014 to 2016. Poisson regression revealed significant increases in the incidence rate ratio compared to 2006 for each year from 2008 to 2016. When age group is included, all years except 2007 show a significant increase relative to 2006, and all age groups have increased rates relative to ages 18–44. Major and minor amputations in patients with CN have increased.

Conclusions

The increasing rates of CN and amputations highlight the need for further research and standardized strategies for diagnosis and management.

查看原文本刊更多论文

得克萨斯州糖尿病患者的 Charcot 神经关节病。

目的：夏科神经性关节病（CN）是一种复杂的骨关节疾病，可导致严重并危及生命的并发症。本研究调查了得克萨斯州糖尿病性神经性关节病的流行趋势以及年龄对这些数值的影响：方法：使用德克萨斯州卫生服务部的医院出院数据公共使用数据文件进行了回顾性分析。我们使用《国际疾病分类》第九版（ICD-9）和第十版（ICD-10）修订代码确定了糖尿病合并夏科氏踝或足的患者。提取的数据包括诊断、种族和性别。人口发病率根据人口普查数据估算，以每千人为单位计算，并按年龄进行标准化：从 2006 年到 2016 年，CN 的总体发病率和年龄标准化发病率逐年上升，只有 2014 年到 2016 年呈下降趋势。泊松回归显示，与2006年相比，2008年至2016年每年的发病率比率都有显著增加。如果将年龄组包括在内，除 2007 年外，其他年份的发病率与 2006 年相比均有显著增加，而且所有年龄组的发病率与 18-44 岁年龄组相比均有增加。CN患者的大截肢率和小截肢率均有所上升：CN和截肢率的上升凸显了进一步研究和标准化诊断与管理策略的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.