Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan

A population-based study

Wen Hsuan Hou, Chung Yi Li, Lu Hsuan Chen, Liang Yi Wang, Ken N. Kuo, Hsiu Nien Shen, Ming Fong Chang

Research output: Contribution to journalArticle

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Abstract

Background: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. Methods: The present study was a cross-sectional study based on a random sample of 57093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD). Results: The prevalence of overall DHS was estimated at 2472 per 105 for the diabetics, compared with 1641 per 105 for the controls, representing a prevalence RR of 1.51 (95 % confidence interval [CI] 1.39-1.64). Stratified analyses further revealed that the significantly increased prevalence of overall DHS was more evident in females than males (1.59 vs 1.36) and was only noted in diabetics aged ≥35years. Cause-specific analysis suggested that patients with diabetes had the highest prevalence of CTS (1244 per 105), followed by SFT (1209 per 105), LJM (39 per 105), and DD (6 per 105). In addition, diabetes was only significantly associated with CTS (RR 1.34; 95 % CI 1.20-1.51) and SFT (1.74; 95 % CI 1.54-1.97). Conclusion: The prevalence of overall and certain cause-specific DHS was significantly elevated in patients with diabetes in Taiwan.

Original languageEnglish
JournalJournal of Diabetes
DOIs
Publication statusAccepted/In press - 2016

Fingerprint

Taiwan
Tendon Entrapment
Diabetes Mellitus
Hand
Carpal Tunnel Syndrome
Population
Dupuytren Contracture
Confidence Intervals
Joint Diseases
National Health Programs
Epidemiologic Studies
Cross-Sectional Studies
Joints

Keywords

  • Cohort study
  • Diabetes hand syndromes
  • Diabetes mellitus
  • Prevalence rate
  • Relative risk

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan : A population-based study. / Hou, Wen Hsuan; Li, Chung Yi; Chen, Lu Hsuan; Wang, Liang Yi; Kuo, Ken N.; Shen, Hsiu Nien; Chang, Ming Fong.

In: Journal of Diabetes, 2016.

Research output: Contribution to journalArticle

Hou, Wen Hsuan ; Li, Chung Yi ; Chen, Lu Hsuan ; Wang, Liang Yi ; Kuo, Ken N. ; Shen, Hsiu Nien ; Chang, Ming Fong. / Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan : A population-based study. In: Journal of Diabetes. 2016.
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abstract = "Background: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. Methods: The present study was a cross-sectional study based on a random sample of 57093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD). Results: The prevalence of overall DHS was estimated at 2472 per 105 for the diabetics, compared with 1641 per 105 for the controls, representing a prevalence RR of 1.51 (95 {\%} confidence interval [CI] 1.39-1.64). Stratified analyses further revealed that the significantly increased prevalence of overall DHS was more evident in females than males (1.59 vs 1.36) and was only noted in diabetics aged ≥35years. Cause-specific analysis suggested that patients with diabetes had the highest prevalence of CTS (1244 per 105), followed by SFT (1209 per 105), LJM (39 per 105), and DD (6 per 105). In addition, diabetes was only significantly associated with CTS (RR 1.34; 95 {\%} CI 1.20-1.51) and SFT (1.74; 95 {\%} CI 1.54-1.97). Conclusion: The prevalence of overall and certain cause-specific DHS was significantly elevated in patients with diabetes in Taiwan.",
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AU - Kuo, Ken N.

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AU - Chang, Ming Fong

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N2 - Background: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. Methods: The present study was a cross-sectional study based on a random sample of 57093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD). Results: The prevalence of overall DHS was estimated at 2472 per 105 for the diabetics, compared with 1641 per 105 for the controls, representing a prevalence RR of 1.51 (95 % confidence interval [CI] 1.39-1.64). Stratified analyses further revealed that the significantly increased prevalence of overall DHS was more evident in females than males (1.59 vs 1.36) and was only noted in diabetics aged ≥35years. Cause-specific analysis suggested that patients with diabetes had the highest prevalence of CTS (1244 per 105), followed by SFT (1209 per 105), LJM (39 per 105), and DD (6 per 105). In addition, diabetes was only significantly associated with CTS (RR 1.34; 95 % CI 1.20-1.51) and SFT (1.74; 95 % CI 1.54-1.97). Conclusion: The prevalence of overall and certain cause-specific DHS was significantly elevated in patients with diabetes in Taiwan.

AB - Background: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. Methods: The present study was a cross-sectional study based on a random sample of 57093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD). Results: The prevalence of overall DHS was estimated at 2472 per 105 for the diabetics, compared with 1641 per 105 for the controls, representing a prevalence RR of 1.51 (95 % confidence interval [CI] 1.39-1.64). Stratified analyses further revealed that the significantly increased prevalence of overall DHS was more evident in females than males (1.59 vs 1.36) and was only noted in diabetics aged ≥35years. Cause-specific analysis suggested that patients with diabetes had the highest prevalence of CTS (1244 per 105), followed by SFT (1209 per 105), LJM (39 per 105), and DD (6 per 105). In addition, diabetes was only significantly associated with CTS (RR 1.34; 95 % CI 1.20-1.51) and SFT (1.74; 95 % CI 1.54-1.97). Conclusion: The prevalence of overall and certain cause-specific DHS was significantly elevated in patients with diabetes in Taiwan.

KW - Cohort study

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KW - Relative risk

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