Assessment of healthcare utilization in diabetes patients according to foot risk level

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Primary Care Diabetes Pub Date : 2025-02-01 DOI:10.1016/j.pcd.2024.12.005

Cristina Blaya Fernández , Alba Gracia-Sánchez , Sara Zúnica-García , Esther Chicharro-Luna

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Abstract

Aims

To quantify healthcare service utilization over the past two years according to the foot risk level in patients with type 2 diabetes (T2DM).

Methodology

A descriptive observational study was conducted in a Primary Care Nursing consultation, evaluating patients with T2DM through examination and collection of sociodemographic and clinical data.

Results

A total of 153 patients were included. The prevalence of underdiagnosis was 71.2 % for neuropathy and 59.5 % for peripheral arterial disease. Patients with a high foot risk level had more consultations in PC Nursing for foot-related issues (2022 y 2023; p=<0.001). The number of hospitalization days in 2022 was also higher in patients with a high foot risk. Patients with diagnosed neuropathy consistently utilized healthcare services more frequently than those with undiagnosed or no neuropathy across most categories.

Conclusion

Patients with a high foot risk level consume more healthcare resources. Early detection and management of diabetic foot is crucial to avoid underdiagnosis, optimize resource use, and prevent serious complications.

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糖尿病患者足部危险程度对医疗保健利用的评价。

目的：根据2型糖尿病（T2DM）患者足部风险水平，量化过去两年的医疗保健服务利用情况。方法：在初级保健护理咨询中进行了一项描述性观察研究，通过检查和收集社会人口学和临床数据来评估2型糖尿病患者。结果：共纳入153例患者。神经病变的漏诊率为71.2%，外周动脉疾病为59.5%。高足部风险水平的患者在PC护理中有更多的足部相关问题咨询(2022 - 2023；p=结论：足部危险程度高的患者消耗更多的医疗资源。糖尿病足的早期发现和管理对于避免漏诊、优化资源利用和预防严重并发症至关重要。

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.