Schmitt, Volker H. and Hobohm, Lukas and Vosseler, Markus and Brochhausen, Christoph and Muenzel, Thomas and Espinola-Klein, Christine and Keller, Karsten (2022) Temporal trends in patients with peripheral artery disease influenced by diabetes mellitus in Germany. JOURNAL OF DIABETES, 14 (10). pp. 670-684. ISSN 1753-0393, 1753-0407
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Introduction In patients with peripheral artery disease (PAD) the presence of diabetes mellitus (DM) is associated with higher morbidity and mortality. Because huge efforts are made to improve medical care of patients with DM including chronic disease programs, the aim of the present study was to investigate temporal trends regarding the clinical burden of DM on PAD patients within a 15-year observational period. Methods We analyzed all patients hospitalized because of PAD between 2005 and 2019 in Germany stratified regarding DM. Results Overall, 2 654 871 hospitalizations of PAD patients (865 823 with DM) were included. Hospitalizations based on PAD inclined from 142 778 in 2005 to 190 135 in 2019 (beta 3956 per year; 95% confidence interval [CI] 3034-4878, p < .001) with simultaneous increase of hospitalizations of PAD patients with DM (2005: 41609 (29.1%) versus 2019: 65 302 (34.3%); beta 2019 per year [95% CI 1593-2446], p < .001). Amputation rates (beta -0.42 [95% CI -0.44 to -0.40]; p < .001) as well as in-hospital case-fatality rate (2005: 4.7%, 2019: 2.8%; beta -0.64 [95% CI -0.69 to -0.59]; p < .001) decreased in diabetic PAD patients during the observational time. In spite of improved morbidity and mortality in the last years of the observational period, patients with DM still suffered from an increased risk for morbidity and mortality during the observational period compared to nondiabetic PAD patients. Conclusions Despite the progress in DM treatments, DM still was associated with an unfavorable clinical patient profile and remained a substantial risk factor for morbidity and mortality in hospitalized patients with PAD and DM in Germany between 2005 and 2019.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LOWER-EXTREMITY AMPUTATION; RISK-FACTORS; OUTCOMES; PEOPLE; EPIDEMIOLOGY; POPULATION; PREVALENCE; GUIDELINES; MANAGEMENT; MORBIDITY; amputation; atherosclerosis; diabetes mellitus; epidemiology; health services research; peripheral artery disease; time-trends |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Pathologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Feb 2024 14:03 |
| Last Modified: | 29 Feb 2024 14:03 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58165 |
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