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 journalArticle

4 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 10 5 for the diabetics, compared with 1641 per 10 5 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 10 5 ), followed by SFT (1209 per 10 5 ), LJM (39 per 10 5 ), and DD (6 per 10 5 ). 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 languageEnglish
Pages (from-to)622-627
Number of pages6
JournalJournal of Diabetes
Volume9
Issue number6
DOIs
Publication statusPublished - 2017 Jun 1

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Taiwan
Tendon Entrapment
Diabetes Mellitus
Hand
Carpal Tunnel Syndrome
Population
Dupuytren Contracture
Confidence Intervals
Joint Diseases
National Health Programs
Epidemiologic Studies
Cross-Sectional Studies
Joints

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism

Cite this

Hou, Wen Hsuan ; Li, Chung-Yi ; Chen, Lu Hsuan ; Wang, Liang-Yi ; Kuo, Ken N. ; Shen, Hsiu Nien ; Chang, Ming Fong. / Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan : A population-based study. In: Journal of Diabetes. 2017 ; Vol. 9, No. 6. pp. 622-627.
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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 10 5 for the diabetics, compared with 1641 per 10 5 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 10 5 ), followed by SFT (1209 per 10 5 ), LJM (39 per 10 5 ), and DD (6 per 10 5 ). 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.",
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Prevalence of hand syndromes among patients with diabetes mellitus in Taiwan : A population-based study. / Hou, Wen Hsuan; Li, Chung-Yi; Chen, Lu Hsuan; Wang, Liang-Yi; Kuo, Ken N.; Shen, Hsiu Nien; Chang, Ming Fong.

In: Journal of Diabetes, Vol. 9, No. 6, 01.06.2017, p. 622-627.

Research output: Contribution to journalArticle

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AU - Chen, Lu Hsuan

AU - Wang, Liang-Yi

AU - Kuo, Ken N.

AU - Shen, Hsiu Nien

AU - Chang, Ming Fong

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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 10 5 for the diabetics, compared with 1641 per 10 5 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 10 5 ), followed by SFT (1209 per 10 5 ), LJM (39 per 10 5 ), and DD (6 per 10 5 ). 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 10 5 for the diabetics, compared with 1641 per 10 5 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 10 5 ), followed by SFT (1209 per 10 5 ), LJM (39 per 10 5 ), and DD (6 per 10 5 ). 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.

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