ArticleDiabetologia2020
Geospatial mapping and data linkage uncovers variability in outcomes of foot disease according to multiple deprivation: a population cohort study of people with diabetes.
Article in Diabetologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Piloting a Postdischarge Virtual Glucose Monitoring Program for Patients With Diabetic Foot Wound in a Safety-Net Health System.Journal of diabetes science and technology · 2026Article
- Beyond the wound: A scoping review of the psychosocial impact of diabetes-related foot ulcers.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Risk factors for development of diabetic foot ulcer disease in two large contemporary UK cohorts.Diabetes, obesity & metabolism · 2025Article
- Exploring Patient and Podiatrist Perspectives of the 'In-Remission' Status in Diabetes-Related Foot Disease.Journal of foot and ankle research · 2025Article
- Unravelling the cardio-renal-metabolic-foot connection in people with diabetes-related foot ulceration: a narrative review.Cardiovascular diabetology · 2024Review
- The feasibility of a social media-based foot self-management education and support program for adults with diabetes: A partially randomized preference trial.PEC innovation · 2024Article
- Neutrophil Extracellular Traps (NETs) Are Associated with Type 2 Diabetes and Diabetic Foot Ulcer Related Amputation: A Prospective Cohort Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- The Development of the Municipal Registry of People with Diabetes in Porto Alegre, Brazil.Journal of clinical medicine · 2024Article
- Social deprivation and diabetic kidney disease: A European view.Journal of diabetes investigation · 2024Review
- Independent association of history of diabetic foot with all-cause mortality in patients with type 2 diabetes: the Renal Insufficiency And Cardiovascular Events (RIACE) Italian Multicenter Study.Cardiovascular diabetology · 2024Observational
- The impact of social deprivation on development and progression of diabetic kidney disease.HRB open research · 2024Article
- Diabetic Foot Ulcers: A Review.JAMA · 2023Review
- Factors influencing diabetes-related foot ulcer healing in Australian adults: A prospective cohort study.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers.Diabetes care · 2023Review
- Social Deprivation, Healthcare Access and Diabetic Foot Ulcer: A Narrative Review.Journal of clinical medicine · 2022Review
- Disparities in Advanced Peripheral Arterial Disease Presentation by Socioeconomic Status.World journal of surgery · 2022Article
- Adherence to General Diabetes and Foot Care Processes, with Prompt Referral, Are Associated with Amputation-Free Survival in People with Type 2 Diabetes and Foot Ulcers: A Scottish National Registry Analysis.Journal of diabetes research · 2022Article
- Development of a prediction model for foot ulcer recurrence in people with diabetes using easy-to-obtain clinical variables.BMJ open diabetes research & care · 2021Article
- Assessing data on the incidence of lower limb amputation in diabetes.Diabetologia · 2021Article
- Association of peripheral artery disease and chronic limb-threatening ischemia with socioeconomic deprivation in people with diabetes: A population data-linkage and geospatial analysis.Vascular medicine (London, England) · 2021Article
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Authors and funding
8 authors.
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Abstract
aims/hypothesisOur aim was to investigate the geospatial distribution of diabetic foot ulceration (DFU), lower extremity amputation (LEA) and mortality rates in people with diabetes in small geographical areas with varying levels of multiple deprivation.
methodsWe undertook a population cohort study to extract the health records of 112,231 people with diabetes from the Scottish Care Information - Diabetes Collaboration (SCI-Diabetes) database. We linked this to health records to identify death, LEA and DFU events. These events were geospatially mapped using multiple deprivation maps for the geographical area of National Health Service (NHS) Greater Glasgow and Clyde. Tests of spatial autocorrelation and association were conducted to evaluate geographical variation and patterning, and the association between prevalence-adjusted outcome rates and multiple deprivation by quintile.
resultsWithin our health board region, people with diabetes had crude prevalence-adjusted rates for DFU of 4.6% and for LEA of 1.3%, and an incidence rate of mortality preceded by either a DFU or LEA of 10.5 per 10,000 per year. Spatial autocorrelation identified statistically significant hot spot (high prevalence) and cold spot (low prevalence) clusters for all outcomes. Small-area maps effectively displayed near neighbour clustering across the health board geography. Disproportionately high numbers of hot spots within the most deprived quintile for DFU (p < 0.001), LEA (p < 0.001) and mortality (p < 0.001) rates were found. Conversely, a disproportionately higher number of cold spots was found within the least deprived quintile for LEA (p < 0.001). CONCLUSIONS/
interpretationIn people with diabetes, DFU, LEA and mortality rates are associated with multiple deprivation and form geographical neighbourhood clusters.
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