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Associations of Glycemic Control and Diabetes Duration With Dupuytren Disease in Men and Women With Type 1 and 2 Diabetes

Backman, Märta LU ; Nordenskjöld, Jesper LU ; Perez, Raquel LU orcid and Rydberg, Mattias LU orcid (2026) In Plastic and reconstructive surgery. Global open 14(1).
Abstract

BACKGROUND: Dupuytren disease (DD) is a benign fibroproliferative disorder affecting the hand. Although diabetes mellitus is a known risk factor, the underlying mechanisms behind this association remain unclear. This study aimed to examine the relationship between glycemic control and DD in type 1 (T1D) and type 2 diabetes (T2D), and to identify other metabolic risk factors influencing DD risk.

METHODS: In this retrospective registry study, data from the Swedish National Diabetes Register and the Skåne Healthcare Register were cross-linked. In total, 96,039 individuals aged 18 years or older with T1D or T2D were included. Sex-stratified, multivariable logistic regression models calculated associations between HbA1c levels and DD... (More)

BACKGROUND: Dupuytren disease (DD) is a benign fibroproliferative disorder affecting the hand. Although diabetes mellitus is a known risk factor, the underlying mechanisms behind this association remain unclear. This study aimed to examine the relationship between glycemic control and DD in type 1 (T1D) and type 2 diabetes (T2D), and to identify other metabolic risk factors influencing DD risk.

METHODS: In this retrospective registry study, data from the Swedish National Diabetes Register and the Skåne Healthcare Register were cross-linked. In total, 96,039 individuals aged 18 years or older with T1D or T2D were included. Sex-stratified, multivariable logistic regression models calculated associations between HbA1c levels and DD risk. Interaction analyses evaluated whether diabetes duration modified the association between HbA1c levels and DD risk.

RESULTS: Longer diabetes duration consistently increased the risk of DD in both T1D and T2D groups. A trend toward increased DD risk with higher HbA1c levels was seen in T1D (P > 0.05). Higher body mass index was inversely associated with DD in men and women with T2D (P < 0.05). No interaction was observed between HbA1c levels and diabetes duration.

CONCLUSIONS: Diabetes duration seems to be a strong and independent risk factor for DD in T1D and T2D. Although a trend toward higher DD risk with elevated HbA1c was observed in T1D, no interaction with diabetes duration was found. A higher body mass index was associated with a lower risk of DD in individuals with T2D.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic and reconstructive surgery. Global open
volume
14
issue
1
article number
e7435
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:41614044
ISSN
2169-7574
DOI
10.1097/GOX.0000000000007435
language
English
LU publication?
yes
additional info
Copyright © 2026 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
id
4febdcf4-e17f-446d-912c-569258b7d6ba
date added to LUP
2026-02-02 13:47:47
date last changed
2026-02-02 14:43:11
@article{4febdcf4-e17f-446d-912c-569258b7d6ba,
  abstract     = {{<p>BACKGROUND: Dupuytren disease (DD) is a benign fibroproliferative disorder affecting the hand. Although diabetes mellitus is a known risk factor, the underlying mechanisms behind this association remain unclear. This study aimed to examine the relationship between glycemic control and DD in type 1 (T1D) and type 2 diabetes (T2D), and to identify other metabolic risk factors influencing DD risk.</p><p>METHODS: In this retrospective registry study, data from the Swedish National Diabetes Register and the Skåne Healthcare Register were cross-linked. In total, 96,039 individuals aged 18 years or older with T1D or T2D were included. Sex-stratified, multivariable logistic regression models calculated associations between HbA1c levels and DD risk. Interaction analyses evaluated whether diabetes duration modified the association between HbA1c levels and DD risk.</p><p>RESULTS: Longer diabetes duration consistently increased the risk of DD in both T1D and T2D groups. A trend toward increased DD risk with higher HbA1c levels was seen in T1D (P &gt; 0.05). Higher body mass index was inversely associated with DD in men and women with T2D (P &lt; 0.05). No interaction was observed between HbA1c levels and diabetes duration.</p><p>CONCLUSIONS: Diabetes duration seems to be a strong and independent risk factor for DD in T1D and T2D. Although a trend toward higher DD risk with elevated HbA1c was observed in T1D, no interaction with diabetes duration was found. A higher body mass index was associated with a lower risk of DD in individuals with T2D.</p>}},
  author       = {{Backman, Märta and Nordenskjöld, Jesper and Perez, Raquel and Rydberg, Mattias}},
  issn         = {{2169-7574}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Plastic and reconstructive surgery. Global open}},
  title        = {{Associations of Glycemic Control and Diabetes Duration With Dupuytren Disease in Men and Women With Type 1 and 2 Diabetes}},
  url          = {{http://dx.doi.org/10.1097/GOX.0000000000007435}},
  doi          = {{10.1097/GOX.0000000000007435}},
  volume       = {{14}},
  year         = {{2026}},
}