A fact-finding survey on pre-ulcerative lesions of foot in patients with diabetes: analysis using the Diabetes Study from the Center of Tokyo Women's Medical University 2018 (DIACET 2018).

IF 1.3 Q4 ENDOCRINOLOGY & METABOLISM

Diabetology International Pub Date : 2023-08-02 eCollection Date: 2023-10-01 DOI:10.1007/s13340-023-00649-7

Haruna Azuma, Kazuki Ikura, Junnosuke Miura, Tetsuya Babazono

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Abstract

Aims/introduction: We aimed to identify the frequency and risk factors of pre-ulcerative lesions of foot in Japanese individuals with diabetes.

Materials and methods: This was a single-center cross-sectional observational study. We conducted a questionnaire survey of 5029 individuals with diabetes (mean age 63 years; 2185 women; 1015 individuals with type 1 diabetes and 4014 individuals with type 2 diabetes) who (a) participated in the Diabetes Study from the Center of Tokyo Women's Medical University: DIACET 2018, and (b) responded to the presence of pre-ulcerative lesions of foot. A pre-ulcerative lesions of foot was defined as a calluses, ingrown nails, or symptoms of fungal infection. The associations between pre-ulcerative lesions of foot and commonly available clinical information were examined using the logistic regression analysis.

Results: 412 of 1015 (40.6%) individuals with type 1 diabetes and 1585 of 4014 (39.5%) individuals with type 2 diabetes reported having any type of pre-ulcerative lesions of foot. The frequency of calluses, ingrown nails, and symptoms of fungal infection, respectively, were 16.8%, 15.8%, and 21.9% in type 1 diabetes and 10.5%, 18.5%, and 24.7% in type 2 diabetes. In the separate analysis by type of diabetes, common risk factors found to be significantly correlated with pre-ulcerative lesions of foot were female gender, numbness in the feet and foot deformation.

Conclusion: Proactive foot screening by health care professionals was considered important, especially in individuals with type 1 and type 2 diabetes with advanced complications and foot deformation.

Supplementary information: The online version contains supplementary material available at 10.1007/s13340-023-00649-7.

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糖尿病患者足部溃疡前病变的实况调查：使用东京女子医科大学中心2018年糖尿病研究的分析（DIACET 2018）。

目的/简介：我们旨在确定日本糖尿病患者足部溃疡前病变的频率和危险因素。材料和方法：这是一项单中心横断面观察性研究。我们对5029名糖尿病患者（平均年龄63岁；2185名女性；1015名1型糖尿病患者和4014名2型糖尿病患者）进行了问卷调查，他们（a）参加了东京女子医科大学中心的糖尿病研究：DIACET 2018，以及（b）对足溃疡前病变的存在做出了反应。足部溃疡前病变被定义为老茧、指甲向内生长或真菌感染症状。采用logistic回归分析检验足部溃疡前病变与常见临床信息之间的相关性。结果：1015名1型糖尿病患者中有412人（40.6%）和4014名2型糖尿病患者的1585人（39.5%）报告有任何类型的足部溃疡前病变。1型糖尿病患者出现老茧、指甲向内生长和真菌感染症状的频率分别为16.8%、15.8%和21.9%，2型糖尿病患者分别为10.5%、18.5%和24.7%。在按糖尿病类型进行的单独分析中，发现与足部溃疡前病变显著相关的常见风险因素是女性、足部麻木和足部变形。结论：由卫生保健专业人员进行积极的足部筛查被认为是重要的，尤其是对于患有1型和2型糖尿病并伴有晚期并发症和足部变形的患者。补充信息：在线版本包含补充材料，网址为10.1007/s13340-023-00649-7。

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来源期刊

Diabetology International ENDOCRINOLOGY & METABOLISM-

CiteScore

3.90

自引率

4.50%

发文量

期刊介绍： Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.