Alabdali Login Ahmed S, Jaeken Jasmien, Dinant Geert-Jan, van den Akker Marjan, Winkens Bjorn, Ottenheijm Ramon P G
Department of Family Medicine, CAPHRI Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Ministry of Education, Riyadh 12435, Saudi Arabia.
Medicines (Basel). 2021 Feb 1;8(2):8. doi: 10.3390/medicines8020008.
One of the lesser recognized complications of diabetes mellitus are musculoskeletal (MSK) complications of the upper and lower extremity. No prevalence studies have been conducted in general practice. Thus, the aim of this study was to investigate the prevalence of upper extremity MSK disorders in patients with type 2 diabetes (T2DM) in the Netherlands. We conducted a cross-sectional study with two different approaches, namely a representative Dutch primary care medical database study and a questionnaire study among patients with T2DM. In the database study, 2669 patients with T2DM and 2669 non-diabetes patients were included. MSK disorders were observed in 16.3% of patients with T2DM compared to 11.2% of non-diabetes patients ( < 0.001, OR 1.53, 95% CI 1.31, 1.80). In the questionnaire study, 200 patients with T2DM were included who reported a lifetime prevalence of painful upper extremity body sites for at least four weeks of 67.3%. We found that upper extremity MSK disorders have a high prevalence in Dutch patients with T2DM presenting in general practice. The prevalence ranges from 16% based on GP registered disorders and complaints to 67% based on self-reported diagnosis and pain. Early detection and treatment of these disorders may play a role in preventing the development of chronic MSK disorders.
糖尿病较少被认识到的并发症之一是上下肢的肌肉骨骼（MSK）并发症。在全科医疗中尚未进行患病率研究。因此，本研究的目的是调查荷兰2型糖尿病（T2DM）患者上肢MSK疾病的患病率。我们采用两种不同方法进行了一项横断面研究，即具有代表性的荷兰初级保健医疗数据库研究以及对T2DM患者的问卷调查研究。在数据库研究中，纳入了2669例T2DM患者和2669例非糖尿病患者。观察到16.3%的T2DM患者存在MSK疾病，相比之下，非糖尿病患者为11.2%（<0.001，比值比1.53，95%置信区间1.31, 1.80）。在问卷调查研究中，纳入了200例T2DM患者，他们报告至少四周上肢身体部位疼痛的终生患病率为67.3%。我们发现，在荷兰全科医疗中就诊的T2DM患者中，上肢MSK疾病的患病率很高。患病率范围从基于全科医生记录的疾病和症状的16%到基于自我报告诊断和疼痛的67%。这些疾病的早期检测和治疗可能在预防慢性MSK疾病的发展中发挥作用。
