Prevalence of Peripheral Arterial Disease in Patients With Diabetic Charcot Neuroarthropathy
Abstract Charcot neuroarthropathy (CN) is a serious complication of diabetes mellitus (DM) that can lead to pedal ulceration, infection, hospitalization, and amputation. Peripheral arterial disease (PAD) is also found in patients with diabetic foot disease; however, its prevalence in patients with C...
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| Veröffentlicht in: | The Journal of foot and ankle surgery 2016-07, Vol.55 (4), p.727-731 |
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| creator | Wukich, Dane K., MD Raspovic, Katherine M., DPM Suder, Natalie C., MPH |
| description | Abstract Charcot neuroarthropathy (CN) is a serious complication of diabetes mellitus (DM) that can lead to pedal ulceration, infection, hospitalization, and amputation. Peripheral arterial disease (PAD) is also found in patients with diabetic foot disease; however, its prevalence in patients with CN has not been extensively evaluated. The aim of the present study was to evaluate the prevalence of PAD in a group of patients with CN (with and without ulceration) and compare this to a group of patients with diabetic foot ulceration (DFU) and no CN. We compared the lower extremity noninvasive arterial testing results of 85 patients with DM and CN with those from a group of 126 patients with DFU and no CN. No statistically significant differences were found in age, gender, type of DM (1 versus 2), insulin use, duration of DM, or history of dialysis between our study and control groups. The prevalence of PAD in the patients with CN was 40%. Compared with patients with DFUs, the patients with CN were less likely to have PAD (odds ratio 0.48, 95% confidence interval 0.28 to 0.85; p = .0111), ischemia (odds ratio 0.33, 95% confidence interval 0.16 to 0.69; p = .0033), or the need for revascularization (odds ratio 0.27, 95% confidence interval 0.10 to 0.73; p = .0097). Critical limb ischemia (great toe pressure |
| doi_str_mv | 10.1053/j.jfas.2016.01.051 |
| format | Article |
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Peripheral arterial disease (PAD) is also found in patients with diabetic foot disease; however, its prevalence in patients with CN has not been extensively evaluated. The aim of the present study was to evaluate the prevalence of PAD in a group of patients with CN (with and without ulceration) and compare this to a group of patients with diabetic foot ulceration (DFU) and no CN. We compared the lower extremity noninvasive arterial testing results of 85 patients with DM and CN with those from a group of 126 patients with DFU and no CN. No statistically significant differences were found in age, gender, type of DM (1 versus 2), insulin use, duration of DM, or history of dialysis between our study and control groups. The prevalence of PAD in the patients with CN was 40%. Compared with patients with DFUs, the patients with CN were less likely to have PAD (odds ratio 0.48, 95% confidence interval 0.28 to 0.85; p = .0111), ischemia (odds ratio 0.33, 95% confidence interval 0.16 to 0.69; p = .0033), or the need for revascularization (odds ratio 0.27, 95% confidence interval 0.10 to 0.73; p = .0097). Critical limb ischemia (great toe pressure <30 mm Hg) was 82% less likely in patients with CN than in patients with DFU. PAD in patients with CN is not uncommon; however, ischemia and the need for revascularization were significantly less likely than in patients with DFU without CN.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2016.01.051</identifier><identifier>PMID: 27020760</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Ankle Brachial Index ; Arthropathy, Neurogenic - complications ; Arthropathy, Neurogenic - etiology ; Case-Control Studies ; Creatinine - blood ; Diabetic Foot - complications ; diagnosis ; Endovascular Procedures - statistics & numerical data ; Female ; foot ; Humans ; ischemia ; Ischemia - complications ; Lower Extremity - blood supply ; Male ; Middle Aged ; neuropathy ; Orthopedics ; osteoarthropathy ; Peripheral Arterial Disease - complications ; Peripheral Arterial Disease - diagnosis ; Prevalence ; Pulse ; Retrospective Studies ; ulcer ; vascular</subject><ispartof>The Journal of foot and ankle surgery, 2016-07, Vol.55 (4), p.727-731</ispartof><rights>American College of Foot and Ankle Surgeons</rights><rights>2016 American College of Foot and Ankle Surgeons</rights><rights>Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-60dcd5360e33e9428e5746769a57c925e33a3790c6ad440dbaa9103d0106e2493</citedby><cites>FETCH-LOGICAL-c411t-60dcd5360e33e9428e5746769a57c925e33a3790c6ad440dbaa9103d0106e2493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jfas.2016.01.051$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27020760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wukich, Dane K., MD</creatorcontrib><creatorcontrib>Raspovic, Katherine M., DPM</creatorcontrib><creatorcontrib>Suder, Natalie C., MPH</creatorcontrib><title>Prevalence of Peripheral Arterial Disease in Patients With Diabetic Charcot Neuroarthropathy</title><title>The Journal of foot and ankle surgery</title><addtitle>J Foot Ankle Surg</addtitle><description>Abstract Charcot neuroarthropathy (CN) is a serious complication of diabetes mellitus (DM) that can lead to pedal ulceration, infection, hospitalization, and amputation. Peripheral arterial disease (PAD) is also found in patients with diabetic foot disease; however, its prevalence in patients with CN has not been extensively evaluated. The aim of the present study was to evaluate the prevalence of PAD in a group of patients with CN (with and without ulceration) and compare this to a group of patients with diabetic foot ulceration (DFU) and no CN. We compared the lower extremity noninvasive arterial testing results of 85 patients with DM and CN with those from a group of 126 patients with DFU and no CN. No statistically significant differences were found in age, gender, type of DM (1 versus 2), insulin use, duration of DM, or history of dialysis between our study and control groups. The prevalence of PAD in the patients with CN was 40%. Compared with patients with DFUs, the patients with CN were less likely to have PAD (odds ratio 0.48, 95% confidence interval 0.28 to 0.85; p = .0111), ischemia (odds ratio 0.33, 95% confidence interval 0.16 to 0.69; p = .0033), or the need for revascularization (odds ratio 0.27, 95% confidence interval 0.10 to 0.73; p = .0097). Critical limb ischemia (great toe pressure <30 mm Hg) was 82% less likely in patients with CN than in patients with DFU. PAD in patients with CN is not uncommon; however, ischemia and the need for revascularization were significantly less likely than in patients with DFU without CN.</description><subject>Aged</subject><subject>Ankle Brachial Index</subject><subject>Arthropathy, Neurogenic - complications</subject><subject>Arthropathy, Neurogenic - etiology</subject><subject>Case-Control Studies</subject><subject>Creatinine - blood</subject><subject>Diabetic Foot - complications</subject><subject>diagnosis</subject><subject>Endovascular Procedures - statistics & numerical data</subject><subject>Female</subject><subject>foot</subject><subject>Humans</subject><subject>ischemia</subject><subject>Ischemia - complications</subject><subject>Lower Extremity - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>neuropathy</subject><subject>Orthopedics</subject><subject>osteoarthropathy</subject><subject>Peripheral Arterial Disease - complications</subject><subject>Peripheral Arterial Disease - diagnosis</subject><subject>Prevalence</subject><subject>Pulse</subject><subject>Retrospective Studies</subject><subject>ulcer</subject><subject>vascular</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhk1padK0f6CH4mMvdkeyPtZQCmH7FQjJQlt6KYhZeRbL9VobSQ7sv6_Mpj3k0NPMSO_7wjxTFK8Z1Axk826ohx3GmgNTNbAaJHtSnDMpeMU5F09zD0pXXDJ1VryIcQDgvF3J58UZ18BBKzgvfm0C3eNIk6XS78oNBXfoKeBYXoaUh9x8dJEwUummcoPJ0ZRi-dOlPn_glpKz5brHYH0qb2gOHkPqgz9g6o8vi2c7HCO9eqgXxY_Pn76vv1bXt1-u1pfXlRWMpUpBZzvZKKCmoVbwFUktlFYtSm1bLvMzNroFq7ATArotYsug6SDvR1y0zUXx9pR7CP5uppjM3kVL44gT-TkaptuV5kwInqX8JLXBxxhoZw7B7TEcDQOzUDWDWaiahaoBZjLVbHrzkD9v99T9s_zFmAXvTwLKW947CiZatzDtXCCbTOfd__M_PLLb0U3O4vibjhQHP4cp8zPMRG7AfFvuupyVKQBQijV_AC8gnKM</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Wukich, Dane K., MD</creator><creator>Raspovic, Katherine M., DPM</creator><creator>Suder, Natalie C., MPH</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Prevalence of Peripheral Arterial Disease in Patients With Diabetic Charcot Neuroarthropathy</title><author>Wukich, Dane K., MD ; Raspovic, Katherine M., DPM ; Suder, Natalie C., MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-60dcd5360e33e9428e5746769a57c925e33a3790c6ad440dbaa9103d0106e2493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Ankle Brachial Index</topic><topic>Arthropathy, Neurogenic - complications</topic><topic>Arthropathy, Neurogenic - etiology</topic><topic>Case-Control Studies</topic><topic>Creatinine - blood</topic><topic>Diabetic Foot - complications</topic><topic>diagnosis</topic><topic>Endovascular Procedures - statistics & numerical data</topic><topic>Female</topic><topic>foot</topic><topic>Humans</topic><topic>ischemia</topic><topic>Ischemia - complications</topic><topic>Lower Extremity - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>neuropathy</topic><topic>Orthopedics</topic><topic>osteoarthropathy</topic><topic>Peripheral Arterial Disease - complications</topic><topic>Peripheral Arterial Disease - diagnosis</topic><topic>Prevalence</topic><topic>Pulse</topic><topic>Retrospective Studies</topic><topic>ulcer</topic><topic>vascular</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wukich, Dane K., MD</creatorcontrib><creatorcontrib>Raspovic, Katherine M., DPM</creatorcontrib><creatorcontrib>Suder, Natalie C., MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wukich, Dane K., MD</au><au>Raspovic, Katherine M., DPM</au><au>Suder, Natalie C., MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Peripheral Arterial Disease in Patients With Diabetic Charcot Neuroarthropathy</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>55</volume><issue>4</issue><spage>727</spage><epage>731</epage><pages>727-731</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>Abstract Charcot neuroarthropathy (CN) is a serious complication of diabetes mellitus (DM) that can lead to pedal ulceration, infection, hospitalization, and amputation. Peripheral arterial disease (PAD) is also found in patients with diabetic foot disease; however, its prevalence in patients with CN has not been extensively evaluated. The aim of the present study was to evaluate the prevalence of PAD in a group of patients with CN (with and without ulceration) and compare this to a group of patients with diabetic foot ulceration (DFU) and no CN. We compared the lower extremity noninvasive arterial testing results of 85 patients with DM and CN with those from a group of 126 patients with DFU and no CN. No statistically significant differences were found in age, gender, type of DM (1 versus 2), insulin use, duration of DM, or history of dialysis between our study and control groups. The prevalence of PAD in the patients with CN was 40%. Compared with patients with DFUs, the patients with CN were less likely to have PAD (odds ratio 0.48, 95% confidence interval 0.28 to 0.85; p = .0111), ischemia (odds ratio 0.33, 95% confidence interval 0.16 to 0.69; p = .0033), or the need for revascularization (odds ratio 0.27, 95% confidence interval 0.10 to 0.73; p = .0097). Critical limb ischemia (great toe pressure <30 mm Hg) was 82% less likely in patients with CN than in patients with DFU. PAD in patients with CN is not uncommon; however, ischemia and the need for revascularization were significantly less likely than in patients with DFU without CN.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27020760</pmid><doi>10.1053/j.jfas.2016.01.051</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Ankle Brachial Index Arthropathy, Neurogenic - complications Arthropathy, Neurogenic - etiology Case-Control Studies Creatinine - blood Diabetic Foot - complications diagnosis Endovascular Procedures - statistics & numerical data Female foot Humans ischemia Ischemia - complications Lower Extremity - blood supply Male Middle Aged neuropathy Orthopedics osteoarthropathy Peripheral Arterial Disease - complications Peripheral Arterial Disease - diagnosis Prevalence Pulse Retrospective Studies ulcer vascular |
| title | Prevalence of Peripheral Arterial Disease in Patients With Diabetic Charcot Neuroarthropathy |
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