The complication rate among people with diabetes at low risk of foot ulceration in Fife, UK: an analysis of routinely collected data

Heggie, R., Chappell, F., Crawford, F., Martin, A., Gupta, S., Hawkins, N. , Horne, M., Leese, G.P. and Lewsey, J. (2020) The complication rate among people with diabetes at low risk of foot ulceration in Fife, UK: an analysis of routinely collected data. Diabetic Medicine, 37(12), pp. 2116-2123. (doi: 10.1111/dme.14339) (PMID:32510602)

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Abstract

Aims: To estimate the rate at which people with diabetes and a low risk of foot ulceration change diabetic foot ulceration risk status over time, and to estimate the rate of ulceration, amputation and death among this population. Methods: We conducted an observational study of 10 421 people with diabetes attending foot screening in an outpatient setting in NHS Fife, UK, using routinely collected data from a national diabetes register, NHS SCI Diabetes. We estimated the proportion of people who changed risk status and the cumulative incidence of ulceration, amputation and death, respectively, among people with diabetes at low risk of diabetic foot ulceration at 2‐year follow‐up. Results: At 2‐year follow‐up, 5.1% (95% CI 4.7, 5.6) of people with diabetes classified as low risk at their first visit had progressed to moderate risk. The cumulative incidence of ulceration, amputation and death was 0.4% (95% CI 0.3, 0.6), 0.1% (95% CI 0.1, 0.2) and 3.4% (95% CI 3.1, 3.8), respectively. Conclusions: At 2‐year follow‐up, 5% of people at low risk of diabetic foot ulceration changed clinical risk status and <1% of people experienced foot ulceration or amputation. These findings provide information which will help to inform the current debate regarding optimal foot screening intervals.

Item Type:Articles
Additional Information:This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Board (project no: HTA 15/171/01).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Hawkins, Professor Neil and Lewsey, Professor Jim and Heggie, Mr Robert
Authors: Heggie, R., Chappell, F., Crawford, F., Martin, A., Gupta, S., Hawkins, N., Horne, M., Leese, G.P., and Lewsey, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
Journal Name:Diabetic Medicine
Publisher:Wiley
ISSN:0742-3071
ISSN (Online):1464-5491
Published Online:08 June 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in Diabetic Medicine 37(12): 2116-2123
Publisher Policy:Reproduced under a Creative Commons License

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