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

doi:10.1111/1753-0407.12455

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 journal › Article › peer-review

10 Citations (Scopus)

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 57 093 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 ≥35 years. 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 language	English
Pages (from-to)	622-627
Number of pages	6
Journal	Journal of Diabetes
Volume	9
Issue number	6
DOIs	https://doi.org/10.1111/1753-0407.12455
Publication status	Published - Jun 2017

Keywords

cohort study
diabetes hand syndromes
diabetes mellitus
prevalence rate
relative risk

ASJC Scopus subject areas

Endocrinology, Diabetes and Metabolism

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/1753-0407.12455

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@article{202715368ff1441990dd8f2a07d47ccd,

title = "Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan: A population-based study",

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 57 093 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 ≥35 years. 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.",

keywords = "cohort study, diabetes hand syndromes, diabetes mellitus, prevalence rate, relative risk",

author = "Hou, {Wen Hsuan} and Li, {Chung Yi} and Chen, {Lu Hsuan} and Wang, {Liang Yi} and Kuo, {Ken N.} and Shen, {Hsiu Nien} and Chang, {Ming Fong}",

note = "Funding Information: This study was supported by research grants from Chi Mei Medical Center (105 CM-TMU-02) and the Ministry of Science and Technology (MOST 104-2314-B-006-020-MY2). The funders had no role in conducting or submitting this work. Publisher Copyright: {\textcopyright} 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd",

year = "2017",

month = jun,

doi = "10.1111/1753-0407.12455",

language = "English",

volume = "9",

pages = "622--627",

journal = "Journal of Diabetes",

issn = "1753-0393",

publisher = "Wiley-Blackwell",

number = "6",

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TY - JOUR

T1 - Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan

T2 - A population-based study

AU - Hou, Wen Hsuan

AU - Li, Chung Yi

AU - Chen, Lu Hsuan

AU - Wang, Liang Yi

AU - Kuo, Ken N.

AU - Shen, Hsiu Nien

AU - Chang, Ming Fong

N1 - Funding Information: This study was supported by research grants from Chi Mei Medical Center (105 CM-TMU-02) and the Ministry of Science and Technology (MOST 104-2314-B-006-020-MY2). The funders had no role in conducting or submitting this work. Publisher Copyright: © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd

PY - 2017/6

Y1 - 2017/6

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 57 093 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 ≥35 years. 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 57 093 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 ≥35 years. 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

KW - diabetes hand syndromes

KW - diabetes mellitus

KW - prevalence rate

KW - relative risk

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SN - 1753-0393

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EP - 627

JO - Journal of Diabetes

JF - Journal of Diabetes

IS - 6

ER -

Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan: A population-based study

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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