Soons, J. (Jordi) (2012) Burden of disease van de diabetische voet op Curaçao. thesis, Medicine.
Full text available on request.Abstract
Background: Diabetes mellitus is a common chronic disease in Curaçao. In 1995, the prevalence was estimated at 10%. A common and feared complication of diabetes mellitus is the diabetic foot. According to the literature, the incidence of foot ulcer in diabetes mellitus is 2-3%. In addition, the risk of developing a foot ulcer during the life of a diabetic patient can reach up to 25%. The diabetic foot is thought to be a major problem in Curaçao by clinicians, but no recent data on the incidence, prevalence, predictors and consequences of the diabetic foot are available. The aim of the study is to describe the burden of disease of the diabetic foot in Curaçao. Methods: The burden of disease was investigated by formulating five major objectives. These objectives each investigate different aspects of the burden of the diabetic foot. Medical records were used to describe the number and length of hospital admissions, number of amputations and limbsaving-operations that were related to the diabetic foot in 2010. Also, the percentage of patients who received a prosthesis after a major amputation was noted. The definition of a diabetic foot is described as an infection, ulceration or destruction of deep tissues of the foot associated with neuropathy and/or peripheral arterial disease in the lower extremity of people with diabetes. The definition of the foot is the structure below the malleoli. Results: A total of 123 patients with a diabetic foot were enrolled in the study. This group consisted of 63 men (51.2%) and 60 women (48.8%). In 2010, 1.1% of all hospital admissions at the Sint Elisabeth Hospital was related to the diabetic foot. The mean duration of stay per admission for the diabetic foot (18.8 ± 20.2 days) was almost twice as long as the mean duration of stay for the surgical department (10,2 days). A total of 58 major amputations and 36 limbsaving-operations were done in 2010 within this group. This equates to 73.4% and 50.7% respectively of all major amputations and limbsaving operations. Of all patients who have had a first major amputation, a total of 38.2% received a prosthesis. Conclusion: This study indicates that the impact of the burden of disease of the diabetic foot is high for both patients and healthcare facilities in Curaçao. This is evidenced by the relatively large number of hospital admissions and long duration of hospitalization that was related to the diabetic foot in 2010. The diabetic foot was responsible for nearly three-quarters of all the major amputations and half of the limbsaving operations performed in 2010. Eventually, about four in ten patients received a prosthesis after their first major amputation. It should be taken into account that the true burden of disease may be higher in Curaçao than described in this study, due to under-reporting.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultaire Begeleider: and Duits, Prof. Dr. A.J. |
| Supervisor name: | Juliet, dr. R.A. and Gerstenbluth dr. I. and Sint Elisabeth Hospitaal in Willemstad, Curaçao |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:57 |
| Last Modified: | 25 Jun 2020 10:57 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1754 |
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