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Presurgical management of ulnar nerve entrapment in patients with and without diabetes mellitus

Andersson, Stina ; Zimmerman, Malin LU orcid ; Perez, Raquel LU ; Rydberg, Mattias LU orcid and Dahlin, Lars B LU orcid (2024) In Scientific Reports 14. p.1-8
Abstract

Diabetes mellitus (DM) is a risk factor for the development of ulnar nerve entrapment (UNE). Differences in surgical outcomes for UNE between patients with and without DM have been reported, but studies on presurgical management are scarce. This study aimed to evaluate the presurgical management of UNE in patients with (DM diagnosis < 2 years of UNE diagnosis) and without DM regarding the level of care for diagnosis and the proportion that proceeds to surgery. Data from 6600 patients with UNE between 2004 and 2019 were included from the Skåne Health Care Register (SHR) and cross-linked with data from the Swedish National Diabetes Register (NDR). The group with UNE and DM was compared to the group with UNE without DM and prevalence... (More)

Diabetes mellitus (DM) is a risk factor for the development of ulnar nerve entrapment (UNE). Differences in surgical outcomes for UNE between patients with and without DM have been reported, but studies on presurgical management are scarce. This study aimed to evaluate the presurgical management of UNE in patients with (DM diagnosis < 2 years of UNE diagnosis) and without DM regarding the level of care for diagnosis and the proportion that proceeds to surgery. Data from 6600 patients with UNE between 2004 and 2019 were included from the Skåne Health Care Register (SHR) and cross-linked with data from the Swedish National Diabetes Register (NDR). The group with UNE and DM was compared to the group with UNE without DM and prevalence ratios were calculated using Cox regression analysis. Patients with DM more often got their first UNE diagnosis in secondary care than in primary care (643/667, 96% vs. 5361/5786; 93%). Patients with and without DM, regardless of the type of DM, presence of retinopathy, or HbA1c levels, were surgically treated for UNE to the same extent (258/667, 39% of patients with DM vs. 2131/5786, 37% of patients without DM). The proportion of surgically treated was significantly lower among patients diagnosed with UNE in primary care compared to secondary care (59/449, 13% vs. 2330/5786, 38%). Men were more often surgically treated than women (1228/3191, 38% vs.1161/3262 36%). Patients with UNE and DM are surgically treated to the same extent as patients with UNE but without DM and are more likely to be diagnosed in specialized care.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Male, Female, Middle Aged, Ulnar Nerve Compression Syndromes/surgery, Aged, Sweden/epidemiology, Diabetes Mellitus/surgery, Adult, Registries, Ulnar Nerve/surgery, Risk Factors
in
Scientific Reports
volume
14
article number
15595
pages
1 - 8
publisher
Nature Publishing Group
external identifiers
  • pmid:38971864
ISSN
2045-2322
DOI
10.1038/s41598-024-66592-y
language
English
LU publication?
yes
additional info
© 2024. The Author(s).
id
3cf29a58-60a2-4ac5-b5e3-5cc7ff0e6ede
date added to LUP
2024-08-14 11:40:44
date last changed
2024-08-14 16:13:07
@article{3cf29a58-60a2-4ac5-b5e3-5cc7ff0e6ede,
  abstract     = {{<p>Diabetes mellitus (DM) is a risk factor for the development of ulnar nerve entrapment (UNE). Differences in surgical outcomes for UNE between patients with and without DM have been reported, but studies on presurgical management are scarce. This study aimed to evaluate the presurgical management of UNE in patients with (DM diagnosis &lt; 2 years of UNE diagnosis) and without DM regarding the level of care for diagnosis and the proportion that proceeds to surgery. Data from 6600 patients with UNE between 2004 and 2019 were included from the Skåne Health Care Register (SHR) and cross-linked with data from the Swedish National Diabetes Register (NDR). The group with UNE and DM was compared to the group with UNE without DM and prevalence ratios were calculated using Cox regression analysis. Patients with DM more often got their first UNE diagnosis in secondary care than in primary care (643/667, 96% vs. 5361/5786; 93%). Patients with and without DM, regardless of the type of DM, presence of retinopathy, or HbA1c levels, were surgically treated for UNE to the same extent (258/667, 39% of patients with DM vs. 2131/5786, 37% of patients without DM). The proportion of surgically treated was significantly lower among patients diagnosed with UNE in primary care compared to secondary care (59/449, 13% vs. 2330/5786, 38%). Men were more often surgically treated than women (1228/3191, 38% vs.1161/3262 36%). Patients with UNE and DM are surgically treated to the same extent as patients with UNE but without DM and are more likely to be diagnosed in specialized care.</p>}},
  author       = {{Andersson, Stina and Zimmerman, Malin and Perez, Raquel and Rydberg, Mattias and Dahlin, Lars B}},
  issn         = {{2045-2322}},
  keywords     = {{Humans; Male; Female; Middle Aged; Ulnar Nerve Compression Syndromes/surgery; Aged; Sweden/epidemiology; Diabetes Mellitus/surgery; Adult; Registries; Ulnar Nerve/surgery; Risk Factors}},
  language     = {{eng}},
  month        = {{07}},
  pages        = {{1--8}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{Presurgical management of ulnar nerve entrapment in patients with and without diabetes mellitus}},
  url          = {{http://dx.doi.org/10.1038/s41598-024-66592-y}},
  doi          = {{10.1038/s41598-024-66592-y}},
  volume       = {{14}},
  year         = {{2024}},
}