Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey

This is a post hoc analysis of quality of life in diabetic neuropathy patients in a cross-sectional survey performed in 2012 in Romania, using the Norfolk QOL-DN in which 21,756 patients with self-reported diabetes were enrolled. This current analysis aims to expand research on the diabetic foot and...

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Main Authors: Cosmina I. Bondor, Ioan A. Veresiu, Bogdan Florea, Etta J. Vinik, Aaron I. Vinik, Norina A. Gavan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/5439521
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author Cosmina I. Bondor
Ioan A. Veresiu
Bogdan Florea
Etta J. Vinik
Aaron I. Vinik
Norina A. Gavan
author_facet Cosmina I. Bondor
Ioan A. Veresiu
Bogdan Florea
Etta J. Vinik
Aaron I. Vinik
Norina A. Gavan
author_sort Cosmina I. Bondor
collection DOAJ
description This is a post hoc analysis of quality of life in diabetic neuropathy patients in a cross-sectional survey performed in 2012 in Romania, using the Norfolk QOL-DN in which 21,756 patients with self-reported diabetes were enrolled. This current analysis aims to expand research on the diabetic foot and to provide an update on the number of foot ulcers found in Romania. Of the 21,174 patients included in this analysis, 14.85% reported a history of foot ulcers and 3.60% reported an amputation. The percentage of neuropathy patients with foot ulcers increased with age; the lowest percentage was observed in the 20–29-year age group (6.62%) and the highest in the 80–89-year age group (17.68%). The highest number of amputations was reported in the 70–79-year age group (largest group). Compared to patients without foot ulcers, those with foot ulcers had significantly higher scores for total DN and all its subdomains translating to worse QOL (p<0.001). This analysis showed a high rate of foot ulcers and amputations in Romanian diabetic patients. It underscores the need for implementation of effective screening and educational programs.
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institution Kabale University
issn 2314-6745
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language English
publishDate 2016-01-01
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series Journal of Diabetes Research
spelling doaj-art-dc8a51eff5994555a34f085adfc1eb522025-02-03T06:06:21ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/54395215439521Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based SurveyCosmina I. Bondor0Ioan A. Veresiu1Bogdan Florea2Etta J. Vinik3Aaron I. Vinik4Norina A. Gavan5Department of Medical Informatics and Biostatistics, Iuliu Hațieganu University of Medicine and Pharmacy, 6 Pasteur Street, 400349 Cluj-Napoca, RomaniaDepartment of Diabetes, Nutrition and Metabolic Diseases, Iuliu Hațieganu University of Medicine and Pharmacy, 4-6 Clinicilor Street, 400006 Cluj-Napoca, RomaniaIMOGEN Research Center, Iuliu Hațieganu University of Medicine and Pharmacy, 8 Victor Babeș Street, 400012 Cluj-Napoca, RomaniaEastern Virginia Medical School, Strelitz Diabetes Center, 855 West Brambleton Avenue, Norfolk, VA 23510, USAResearch & Neuroendocrine Unit, Eastern Virginia Medical School, 855 West Brambleton Avenue, Norfolk, VA 23510, USASociety of Diabetic Neuropathy, Wörwag Pharma GmbH & Co. KG, Romanian Representative Office, 11 Fagului Street, 400483 Cluj-Napoca, RomaniaThis is a post hoc analysis of quality of life in diabetic neuropathy patients in a cross-sectional survey performed in 2012 in Romania, using the Norfolk QOL-DN in which 21,756 patients with self-reported diabetes were enrolled. This current analysis aims to expand research on the diabetic foot and to provide an update on the number of foot ulcers found in Romania. Of the 21,174 patients included in this analysis, 14.85% reported a history of foot ulcers and 3.60% reported an amputation. The percentage of neuropathy patients with foot ulcers increased with age; the lowest percentage was observed in the 20–29-year age group (6.62%) and the highest in the 80–89-year age group (17.68%). The highest number of amputations was reported in the 70–79-year age group (largest group). Compared to patients without foot ulcers, those with foot ulcers had significantly higher scores for total DN and all its subdomains translating to worse QOL (p<0.001). This analysis showed a high rate of foot ulcers and amputations in Romanian diabetic patients. It underscores the need for implementation of effective screening and educational programs.http://dx.doi.org/10.1155/2016/5439521
spellingShingle Cosmina I. Bondor
Ioan A. Veresiu
Bogdan Florea
Etta J. Vinik
Aaron I. Vinik
Norina A. Gavan
Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
Journal of Diabetes Research
title Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
title_full Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
title_fullStr Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
title_full_unstemmed Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
title_short Epidemiology of Diabetic Foot Ulcers and Amputations in Romania: Results of a Cross-Sectional Quality of Life Questionnaire Based Survey
title_sort epidemiology of diabetic foot ulcers and amputations in romania results of a cross sectional quality of life questionnaire based survey
url http://dx.doi.org/10.1155/2016/5439521
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