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Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997⁻2015: A Nation-Wide Population-Based Study.

dc.contributor.authorGómez-Huelgas, Ricardo
dc.contributor.authorLara-Rojas, Carmen M
dc.contributor.authorLopez-Carmona, Maria D
dc.contributor.authorJansen-Chaparro, Sergio
dc.contributor.authorBarba, Raquel
dc.contributor.authorZapatero, Antonio
dc.contributor.authorGuijarro-Merino, Ricardo
dc.contributor.authorTinahones, Francisco J
dc.contributor.authorPerez-Belmonte, Luis M
dc.contributor.authorBernal-Lopez, M Rosa
dc.date.accessioned2023-01-25T13:32:38Z
dc.date.available2023-01-25T13:32:38Z
dc.date.issued2019-04-11
dc.description.abstractWe aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 2015. Overall potentially preventable hospitalizations and hospitalizations by diabetes-related preventable conditions (short-term complications, long-term complications, uncontrolled diabetes, and lower-extremity amputations) were examined. Annual rates adjusted for age and sex were analyzed and trends were calculated. Over 19-years-period, 424,874 diabetes-related potentially preventable hospitalizations were recorded. Overall diabetes-related potentially preventable hospitalizations decreased significantly, with an average annual percentage change of 5.1 (95%CI: -5.6-(-4.7%); ptrend < 0.001). Among preventable conditions, the greatest decrease was observed in uncontrolled diabetes ( 5.6%; 95%CI: 6.7–( 4.7%); ptrend < 0.001), followed by short-term complications ( 5.4%; 95%CI: 6.1–( 4.9%); ptrend < 0.001), long-term complications ( 4.6%; 95%CI: 5.1–( 3.9%); ptrend < 0.001), and lower-extremity amputations ( 1.9%; 95%CI: 3.0–( 1.3%); ptrend < 0.001). These reductions were observed in all age strata for overall DM-related PPH and by preventable condition but lower-extremity amputations for those <65 years old. There was a greater reduction in overall DM-related PPH, uncontrolled DM, long-term-complications, and lower extremity amputations in females than in males (all p < 0.01). No significant di erence was shown for short-term complications (p = 0.101). Our study shows a significant reduction in national trends for diabetes-related potentially preventable hospitalizations in Spain. These findings could suggest a sustained improvement in diabetes care in Spain, despite the burden of these diabetes-related complications and the increase in the diabetes mellitus prevalence.
dc.description.versionSi
dc.identifier.citationGómez-Huelgas R, Lara-Rojas CM, López-Carmona MD, Jansen-Chaparro S, Barba R, Zapatero A, et al. Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997⁻2015: A Nation-Wide Population-Based Study. J Clin Med. 2019 Apr 11;8(4):492
dc.identifier.doi10.3390/jcm8040492
dc.identifier.issn2077-0383
dc.identifier.pmcPMC6526470
dc.identifier.pmid30978979
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526470/pdf
dc.identifier.unpaywallURLhttps://www.mdpi.com/2077-0383/8/4/492/pdf?version=1556188110
dc.identifier.urihttp://hdl.handle.net/10668/13820
dc.issue.number4
dc.journal.titleJournal of clinical medicine
dc.journal.titleabbreviationJ Clin Med
dc.language.isoen
dc.organizationHospital Universitario Virgen de la Victoria
dc.organizationHospital Universitario Regional de Málaga
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.page.number9
dc.provenanceRealizada la curación de contenido 21/05/2025
dc.publisherMDPI
dc.pubmedtypeJournal Article
dc.relation.publisherversionhttps://www.mdpi.com/resolver?pii=jcm8040492
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDiabetes care
dc.subjectDiabetes complications
dc.subjectDiabetes mellitus
dc.subjectPotentially preventable hospitalizations
dc.subject.decsAmputación quirúrgica
dc.subject.decsExtremidad Inferior
dc.subject.decsComplicaciones de la diabetes
dc.subject.decsFactores sexuales
dc.subject.decsHospitalización
dc.subject.meshSpain
dc.subject.meshHospitalization
dc.subject.meshAmputation, Surgical
dc.subject.meshLower Extremity
dc.titleTrends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997⁻2015: A Nation-Wide Population-Based Study.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number8
dspace.entity.typePublication

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