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

R. Heggie; F. Chappell; F. Crawford; A. Martin; S. Gupta; N. Hawkins; M. Horne; G.P. Leese; J. Lewsey

doi:10.1111/dme.14339

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

R. Heggie, F. Chappell, F. Crawford, A. Martin, S. Gupta, N. Hawkins, M. Horne, G.P. Leese, J. Lewsey

School of Medicine

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	2116-2123
Number of pages	8
Journal	Diabetic Medicine
Volume	37
Issue number	12
Early online date	5 Jul 2020
DOIs	https://doi.org/10.1111/dme.14339
Publication status	Published - 13 Nov 2020

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© 2020 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Final published version, 406 KBLicence: CC BY-NC

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@article{77c3e020bd9245419443304a3e3fd4c2,

title = "Complication rate among people with diabetes at low risk of foot ulceration in Fife, UK: an analysis of routinely collected data",

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. ",

author = "R. Heggie and F. Chappell and F. Crawford and A. Martin and S. Gupta and N. Hawkins and M. Horne and G.P. Leese and J. Lewsey",

note = "This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment Board (project no: HTA 15/171/01).",

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T1 - Complication rate among people with diabetes at low risk of foot ulceration in Fife, UK

T2 - an analysis of routinely collected data

AU - Heggie, R.

AU - Chappell, F.

AU - Crawford, F.

AU - Martin, A.

AU - Gupta, S.

AU - Hawkins, N.

AU - Horne, M.

AU - Leese, G.P.

AU - Lewsey, J.

N1 - This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment Board (project no: HTA 15/171/01).

PY - 2020/11/13

Y1 - 2020/11/13

N2 - 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.

AB - 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.

U2 - 10.1111/dme.14339

DO - 10.1111/dme.14339

M3 - Article

SN - 0742-3071

VL - 37

SP - 2116

EP - 2123

JO - Diabetic Medicine

JF - Diabetic Medicine

IS - 12

ER -

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

Abstract

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