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Diabetic hand : prevalence and incidence of diabetic hand problems using data from 1.1 million inhabitants in southern Sweden

Rydberg, Mattias LU orcid ; Zimmerman, Malin LU orcid ; Gottsäter, Anders LU ; Svensson, Ann-Marie ; Eeg-Olofsson, Katarina and Dahlin, Lars B LU orcid (2022) In BMJ open diabetes research & care 10(1).
Abstract

INTRODUCTION: 'The diabetic hand' has traditionally referred to hand complications due to diabetes mellitus (DM), including trigger finger (TF) and Dupuytren's disease (DD). Recent publications have also proposed DM as a risk factor for carpal tunnel syndrome (CTS), ulnar nerve entrapment (UNE), and possibly osteoarthritis (OA) of the first carpometacarpal (CMC-1) joint. This study aimed to explore prevalence and incidence of diabetic hand complications among the population in southern Sweden.

RESEARCH DESIGN AND METHODS: Approximately 1.1 million inhabitants in the region of Skåne aged ≥18 years, whereof 50 000 with DM, were included. Data on incident CTS, UNE, TF, DD, and OA of the CMC-1 joint between 2004 and 2019 were... (More)

INTRODUCTION: 'The diabetic hand' has traditionally referred to hand complications due to diabetes mellitus (DM), including trigger finger (TF) and Dupuytren's disease (DD). Recent publications have also proposed DM as a risk factor for carpal tunnel syndrome (CTS), ulnar nerve entrapment (UNE), and possibly osteoarthritis (OA) of the first carpometacarpal (CMC-1) joint. This study aimed to explore prevalence and incidence of diabetic hand complications among the population in southern Sweden.

RESEARCH DESIGN AND METHODS: Approximately 1.1 million inhabitants in the region of Skåne aged ≥18 years, whereof 50 000 with DM, were included. Data on incident CTS, UNE, TF, DD, and OA of the CMC-1 joint between 2004 and 2019 were collected from the Skåne Healthcare Register and cross-linked with the National Diabetes Register. Prevalences on December 31, 2019 and 10-year incidence ratios were calculated for type 1 diabetes (T1D), type 2 diabetes (T2D), and the population without DM, stratified for sex. Prevalence ratios and incidence rate ratios with 95% CIs were used for group comparisons.

RESULTS: The prevalences of all five studied diagnoses were higher in both men and women with T1D and T2D (p<0.01) and both T1D and T2D had more concomitant prevalent diagnoses (p<0.0001). The 10-year incidence rates of all diagnoses were higher among T1D and T2D (p<0.0001), except OA of the CMC-1 joint in men with T1D (p=0.055).

CONCLUSIONS: CTS, UNE, and possibly also OA of the CMC-1 joint should be included together with TF and DD when referring to 'the diabetic hand'. The incidence of hand disorders was up to eight times higher among T1D, and both T1D and T2D had more concomitant prevalent diagnoses compared with the population without DM. Future studies should elucidate the pathophysiology behind diabetic hand complications to enable development of effective preventive measures in patients with diabetes.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMJ open diabetes research & care
volume
10
issue
1
article number
e002614
publisher
BMJ Publishing Group
external identifiers
  • scopus:85123674640
  • pmid:35046015
ISSN
2052-4897
DOI
10.1136/bmjdrc-2021-002614
language
English
LU publication?
yes
additional info
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
id
441f8f2c-8743-48de-b584-43a14800e02e
date added to LUP
2022-03-10 07:37:27
date last changed
2024-06-14 14:06:53
@article{441f8f2c-8743-48de-b584-43a14800e02e,
  abstract     = {{<p>INTRODUCTION: 'The diabetic hand' has traditionally referred to hand complications due to diabetes mellitus (DM), including trigger finger (TF) and Dupuytren's disease (DD). Recent publications have also proposed DM as a risk factor for carpal tunnel syndrome (CTS), ulnar nerve entrapment (UNE), and possibly osteoarthritis (OA) of the first carpometacarpal (CMC-1) joint. This study aimed to explore prevalence and incidence of diabetic hand complications among the population in southern Sweden.</p><p>RESEARCH DESIGN AND METHODS: Approximately 1.1 million inhabitants in the region of Skåne aged ≥18 years, whereof 50 000 with DM, were included. Data on incident CTS, UNE, TF, DD, and OA of the CMC-1 joint between 2004 and 2019 were collected from the Skåne Healthcare Register and cross-linked with the National Diabetes Register. Prevalences on December 31, 2019 and 10-year incidence ratios were calculated for type 1 diabetes (T1D), type 2 diabetes (T2D), and the population without DM, stratified for sex. Prevalence ratios and incidence rate ratios with 95% CIs were used for group comparisons.</p><p>RESULTS: The prevalences of all five studied diagnoses were higher in both men and women with T1D and T2D (p&lt;0.01) and both T1D and T2D had more concomitant prevalent diagnoses (p&lt;0.0001). The 10-year incidence rates of all diagnoses were higher among T1D and T2D (p&lt;0.0001), except OA of the CMC-1 joint in men with T1D (p=0.055).</p><p>CONCLUSIONS: CTS, UNE, and possibly also OA of the CMC-1 joint should be included together with TF and DD when referring to 'the diabetic hand'. The incidence of hand disorders was up to eight times higher among T1D, and both T1D and T2D had more concomitant prevalent diagnoses compared with the population without DM. Future studies should elucidate the pathophysiology behind diabetic hand complications to enable development of effective preventive measures in patients with diabetes.</p>}},
  author       = {{Rydberg, Mattias and Zimmerman, Malin and Gottsäter, Anders and Svensson, Ann-Marie and Eeg-Olofsson, Katarina and Dahlin, Lars B}},
  issn         = {{2052-4897}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ open diabetes research & care}},
  title        = {{Diabetic hand : prevalence and incidence of diabetic hand problems using data from 1.1 million inhabitants in southern Sweden}},
  url          = {{http://dx.doi.org/10.1136/bmjdrc-2021-002614}},
  doi          = {{10.1136/bmjdrc-2021-002614}},
  volume       = {{10}},
  year         = {{2022}},
}